International foodborne outbreak of Shigella sonnei infection in airline passengers
International foodborne outbreak of Shigella sonnei infection in airline passengers
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DOI：
10.1017/s0950268807000064
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发表时间：
2009-03-01
影响因子：
4.2
通讯作者：
Effler, P. V.
中科院分区：
文献类型：
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作者：
Gaynor, K.;Park, S. Y.;Effler, P. V.
2004年8月22日至24日，从夏威夷出发的航空旅客受到宋内志贺氏菌感染的影响。47名携带细菌培养证实的志贺氏菌病的乘客和116名可能病例乘坐12架航班前往日本、澳大利亚、美国22个州和美属萨摩亚。所有航班都由一家餐饮公司提供服务。脉冲电场电泳法检测29株S。Sonnei分离物产生在一条带内匹配的模式。食物历史和菜单审查确定生胡萝卜作为感染的可能载体。在三个被调查的有确诊病例的航班上，腹泻的发病率分别为54%（110/204）、32%（20/63）和12%（8/67）。在有确诊病例的航班上共提供了2700份餐食;使用在调查航班上观察到的发病率，我们估计有300-1500名乘客被感染。这次疫情说明了疾病从一个主要航空枢纽的点源快速全球传播的风险。
During 22-24 August 2004, an outbreak of Shigella sonnei infection affected air travellers who departed from Hawaii. Forty-seven passengers with culture-con firmed shigellosis and 116 probable cases who travelled on 12 flights dispersed to Japan, Australia, 22 US states, and American Samoa. All flights were served by one caterer. Pulsed-field get electrophoresis of all 29 S. sonnei isolates yielded patterns that matched within one band. Food histories and menu reviews identified raw carrot served onboard as the likely vehicle of infection. Attack rates for diarrhoea on three surveyed flights with confirmed cases were 54% (110/204), 32% (20/63), and 12% (8/67). A total of 2700 meals were served on flights with confirmed cases; using attack rates observed on surveyed flights, we estimated that 300-1500 passengers were infected. This outbreak illustrates the risk of rapid, global spread of illness from a point-source at a major airline hub.