Surveillance of listeria infections in Europe.
Surveillance of listeria infections in Europe.
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DOI：
10.2807/esm.10.10.00572-en
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发表时间：
2005-10-01
期刊：
影响因子：
--
通讯作者：
Martin, P
中科院分区：
文献类型：
--
作者：
de Valk, H;Jacquet, C;Martin, P
除了与疫情相关的经济后果和威胁外，李斯特菌病仍然是一个重大的公共卫生问题，因为它是所有食源性感染中致死率最高的疾病之一（20%-30%），并且具有共同来源的流行潜力。粮食生产、分配和储存方式的变化，有可能造成涉及许多国家的扩散和广泛疫情。2002年，开展了一项调查，以评估建立欧洲人类李斯特菌感染网络的必要性和可行性。关于监测系统和实验室方法的数据是通过两次邮寄调查收集到的，邮寄给国家传染病监测中心和李斯特菌参考实验室。在接受调查的17个国家中，有16个国家运行了李斯特菌感染监测系统，16个国家设有国家参比实验室。所有国家对李斯特菌病的病例定义均以分离单核细胞增生李斯特菌为依据。14个nrl对人类毒株进行了至少一种分型方法。至少有13个国家已经开展或表示愿意按照标准方案，通过脉冲场凝胶电泳（PFGE）对从人类病例中分离的单核细胞增生乳杆菌菌株进行分离物特征鉴定。与会者的结论是，建立一个李斯特菌感染的欧洲监测网络，特别是在疫情发现和调查方面具有明显的附加价值，而且建立一个基于现有国家监测系统的监测网络是可行的。除了与疫情相关的经济后果和威胁外，李斯特菌病仍然是一个重大的公共卫生问题，因为它是所有食源性感染中致死率最高的疾病之一（20%-30%），并且具有共同来源的流行潜力。粮食生产、分配和储存方式的变化，有可能造成涉及许多国家的扩散和广泛疫情。2002年，开展了一项调查，以评估建立欧洲人类李斯特菌感染网络的必要性和可行性。关于监测系统和实验室方法的数据是通过两次邮寄调查收集到的，邮寄给国家传染病监测中心和李斯特菌参考实验室。在接受调查的17个国家中，有16个国家运行了李斯特菌感染监测系统，16个国家设有国家参比实验室。所有国家对李斯特菌病的病例定义均以分离单核细胞增生李斯特菌为依据。14个nrl对人类毒株进行了至少一种分型方法。至少有13个国家已经开展或表示愿意按照标准方案，通过脉冲场凝胶电泳（PFGE）对从人类病例中分离的单核细胞增生乳杆菌菌株进行分离物特征鉴定。与会者的结论是，建立一个李斯特菌感染的欧洲监测网络，特别是在疫情发现和调查方面具有明显的附加价值，而且建立一个基于现有国家监测系统的监测网络是可行的。
In addition to the economic consequences and threats associated with outbreaks, listeriosis remains of great public health concern, as it has one of the highest case fatality rates of all the foodborne infections (20%-30%), and has common source epidemic potential. Changes in the way food is produced, distributed and stored have created the potential for diffuse and widespread outbreaks involving many countries. In 2002, a survey was carried out to assess the need for and the feasibility of a European network on listeria infections in humans. Data on surveillance systems and laboratory methods were collected through two postal surveys sent to the national Centres for communicable disease surveillance and to the listeria reference laboratories. Surveillance systems for listeria infections were in operation in 16 out of the 17 countries surveyed, and 16 countries had a national reference laboratory (NRL). All countries based their case definition of listeriosis on the isolation of Listeria monocytogenes. Fourteen NRLs performed at least one typing method on human strains. At least 13 countries already carried out or expressed willingness to carry out characterisation of isolates by pulsed field gel electrophoresis (PFGE) of L. monocytogenes strains isolated from human cases following a standard protocol. The participants concluded that there was a clear added value to having a European surveillance network for listeria infections, particularly for outbreak detection and investigation, and that a surveillance network based on the existing national surveillance systems was feasible.In addition to the economic consequences and threats associated with outbreaks, listeriosis remains of great public health concern, as it has one of the highest case fatality rates of all the foodborne infections (20%-30%), and has common source epidemic potential. Changes in the way food is produced, distributed and stored have created the potential for diffuse and widespread outbreaks involving many countries. In 2002, a survey was carried out to assess the need for and the feasibility of a European network on listeria infections in humans. Data on surveillance systems and laboratory methods were collected through two postal surveys sent to the national Centres for communicable disease surveillance and to the listeria reference laboratories. Surveillance systems for listeria infections were in operation in 16 out of the 17 countries surveyed, and 16 countries had a national reference laboratory (NRL). All countries based their case definition of listeriosis on the isolation of Listeria monocytogenes. Fourteen NRLs performed at least one typing method on human strains. At least 13 countries already carried out or expressed willingness to carry out characterisation of isolates by pulsed field gel electrophoresis (PFGE) of L. monocytogenes strains isolated from human cases following a standard protocol. The participants concluded that there was a clear added value to having a European surveillance network for listeria infections, particularly for outbreak detection and investigation, and that a surveillance network based on the existing national surveillance systems was feasible.