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Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021
Between November and December 2021, the first ever recorded outbreak of enteroinvasive Escherichia coli in Denmark occurred at national scale. We describe the investigation of this outbreak, which was initially recognised in early December 2021. A total of 88 cases (58 female; 30 male) with a median...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Centre for Disease Prevention and Control (ECDC)
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103548/ https://www.ncbi.nlm.nih.gov/pubmed/37052680 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.15.2200572 |
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author | Torpdahl, Mia White, Emily Dibba Schjørring, Susanne Søby, Malene Engberg, Jørgen Engsbro, Anne Line Holt, Hanne M Lemming, Lars Lützen, Lisbeth Olesen, Bente Coia, John E Kjelsø, Charlotte Müller, Luise |
author_facet | Torpdahl, Mia White, Emily Dibba Schjørring, Susanne Søby, Malene Engberg, Jørgen Engsbro, Anne Line Holt, Hanne M Lemming, Lars Lützen, Lisbeth Olesen, Bente Coia, John E Kjelsø, Charlotte Müller, Luise |
author_sort | Torpdahl, Mia |
collection | PubMed |
description | Between November and December 2021, the first ever recorded outbreak of enteroinvasive Escherichia coli in Denmark occurred at national scale. We describe the investigation of this outbreak, which was initially recognised in early December 2021. A total of 88 cases (58 female; 30 male) with a median age of 52 years (range: 0–91) were detected by PCR-based diagnostic methods. Case ascertainment was complicated by current culture-free diagnostic procedures, with only 34 cases confirmed by culture, serotyping and whole genome sequencing. Isolates from cases grouped into two serotypes (O136:H7 and O96:H19), which was supported by whole-genome-sequence-phylogeny, also yielding two clusters. Interviews of 42 cases and traceback investigation pointed towards consumption of ready-to-eat salads as the outbreak cause. While the ready-to-eat salads comprised different vegetables, imported spring onions were the only common ingredient and thus the likely source. Environmental investigations failed to recover outbreak strains. This report highlights the value of fast typing (here O-typing) to confirm cases in an outbreak situation. Timely communication and data sharing are also important, and were facilitated by the national collaboration between relevant laboratories, the public health institute and the veterinary and food administration. High hygiene standards for imported fresh vegetables intended for ready-to-eat products are essential. |
format | Online Article Text |
id | pubmed-10103548 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Centre for Disease Prevention and Control (ECDC) |
record_format | MEDLINE/PubMed |
spelling | pubmed-101035482023-04-15 Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 Torpdahl, Mia White, Emily Dibba Schjørring, Susanne Søby, Malene Engberg, Jørgen Engsbro, Anne Line Holt, Hanne M Lemming, Lars Lützen, Lisbeth Olesen, Bente Coia, John E Kjelsø, Charlotte Müller, Luise Euro Surveill Outbreaks Between November and December 2021, the first ever recorded outbreak of enteroinvasive Escherichia coli in Denmark occurred at national scale. We describe the investigation of this outbreak, which was initially recognised in early December 2021. A total of 88 cases (58 female; 30 male) with a median age of 52 years (range: 0–91) were detected by PCR-based diagnostic methods. Case ascertainment was complicated by current culture-free diagnostic procedures, with only 34 cases confirmed by culture, serotyping and whole genome sequencing. Isolates from cases grouped into two serotypes (O136:H7 and O96:H19), which was supported by whole-genome-sequence-phylogeny, also yielding two clusters. Interviews of 42 cases and traceback investigation pointed towards consumption of ready-to-eat salads as the outbreak cause. While the ready-to-eat salads comprised different vegetables, imported spring onions were the only common ingredient and thus the likely source. Environmental investigations failed to recover outbreak strains. This report highlights the value of fast typing (here O-typing) to confirm cases in an outbreak situation. Timely communication and data sharing are also important, and were facilitated by the national collaboration between relevant laboratories, the public health institute and the veterinary and food administration. High hygiene standards for imported fresh vegetables intended for ready-to-eat products are essential. European Centre for Disease Prevention and Control (ECDC) 2023-04-13 /pmc/articles/PMC10103548/ /pubmed/37052680 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.15.2200572 Text en This article is copyright of the authors or their affiliated institutions, 2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made. |
spellingShingle | Outbreaks Torpdahl, Mia White, Emily Dibba Schjørring, Susanne Søby, Malene Engberg, Jørgen Engsbro, Anne Line Holt, Hanne M Lemming, Lars Lützen, Lisbeth Olesen, Bente Coia, John E Kjelsø, Charlotte Müller, Luise Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title | Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title_full | Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title_fullStr | Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title_full_unstemmed | Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title_short | Imported spring onions related to the first recorded outbreak of enteroinvasive Escherichia coli in Denmark, November to December 2021 |
title_sort | imported spring onions related to the first recorded outbreak of enteroinvasive escherichia coli in denmark, november to december 2021 |
topic | Outbreaks |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103548/ https://www.ncbi.nlm.nih.gov/pubmed/37052680 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.15.2200572 |
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