A multi-state outbreak of Salmonella Saintpaul in Australia associated with cantaloupe consumption
A multi-state outbreak of Salmonella Saintpaul in Australia associated with cantaloupe consumption
复制标题
澳大利亚多州爆发的圣保罗沙门氏菌疫情与哈密瓜消费有关
DOI：
10.1017/s0950268808000861
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发表时间：
2008
影响因子：
4.2
通讯作者：
D. Durrheim
中科院分区：
文献类型：
--
作者：
S. Munnoch;K. Ward;Sarah L. Sheridan;G. Fitzsimmons;C. Shadbolt;J. Piispanen;Qinning Wang;T. Ward;Tory Worgan;C. Oxenford;J. Musto;J. McAnulty;D. Durrheim
摘要2006年10月，澳大利亚多州爆发了肠道沙门氏菌圣保罗血清型感染。在三个受影响的管辖区，新南威尔士州，维多利亚和澳大利亚首都直辖区进行的病例对照研究，包括36例爆发特异性S.通过粪便样本和106份对照中的多位点可变数量串联重复分析（MLVA）鉴定出Saintpaul。食用哈密瓜（甜瓜）与疾病密切相关（调整OR 23.995%，95%CI 5.1 - 112.4）。S.在从一家涉案零售商处获得的两个哈密瓜皮上检测到具有爆发MLVA特征的圣保罗。追溯调查未确定沙门氏菌暴发菌株的具体来源。圣保罗，但多种沙门氏菌属。在追溯行动中，从调查的农场和包装厂的环境样本中检测到。哈密瓜的生产和加工做法对公共卫生构成潜在威胁，需要采取监管和社区教育干预措施。
SUMMARY A multi-state outbreak of Salmonella enterica serovar Saintpaul infection occurred in Australia during October 2006. A case-control study conducted in three affected jurisdictions, New South Wales, Victoria and Australian Capital Territory, included 36 cases with the outbreak-specific strain of S. Saintpaul identified by multiple locus variable-number tandem repeat analysis (MLVA) in a faecal specimen and 106 controls. Consumption of cantaloupe (rockmelon) was strongly associated with illness (adjusted OR 23·9 95%, 95% CI 5·1–112·4). S. Saintpaul, with the outbreak MLVA profile, was detected on the skin of two cantaloupes obtained from an implicated retailer. Trace-back investigations did not identify the specific source of the outbreak strain of S. Saintpaul, but multiple Salmonella spp. were detected in environmental samples from farms and packing plants investigated during the trace-back operation. Cantaloupe production and processing practices pose a potential public health threat requiring regulatory and community educational interventions.