An outbreak of enterotoxigenic Escherichia coli (ETEC) infection in Norway, 2012: a reminder to consider uncommon pathogens in outbreaks involving imported products
We investigated an outbreak of gastroenteritis following a Christmas buffet served on 4–9 December 2012 to ~1300 hotel guests. More than 300 people were reported ill in initial interviews with hotel guests. To identify possible sources of infection we conducted a cohort investigation through which w...
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| Veröffentlicht in: | Epidemiology and infection 2015-02, Vol.143 (3), p.486-493 |
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| container_title | Epidemiology and infection |
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| creator | MacDONALD, E. MØLLER, K. E. WESTER, A. L. DAHLE, U. R. HERMANSEN, N. O. JENUM, P. A. THORESEN, L. VOLD, L. |
| description | We investigated an outbreak of gastroenteritis following a Christmas buffet served on 4–9 December 2012 to ~1300 hotel guests. More than 300 people were reported ill in initial interviews with hotel guests. To identify possible sources of infection we conducted a cohort investigation through which we identified 214 probable cases. Illness was associated with consumption of scrambled eggs (odds ratio 9·07, 95% confidence interval 5·20–15·84). Imported chives added fresh to the scrambled eggs were the suspected source of the outbreak but were unavailable for testing. Enterotoxigenic Escherichia coli (ETEC) infection was eventually confirmed in 40 hotel guests. This outbreak reinforces that ETEC should be considered in non-endemic countries when the clinical picture is consistent and common gastrointestinal pathogens are not found. Following this outbreak, the Norwegian Food Safety Authority recommended that imported fresh herbs should be heat-treated before use in commercial kitchens. |
| doi_str_mv | 10.1017/S0950268814001058 |
| format | Article |
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This outbreak reinforces that ETEC should be considered in non-endemic countries when the clinical picture is consistent and common gastrointestinal pathogens are not found. Following this outbreak, the Norwegian Food Safety Authority recommended that imported fresh herbs should be heat-treated before use in commercial kitchens.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268814001058</identifier><identifier>PMID: 24813906</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cohort Studies ; Diarrhea ; Disease Outbreaks ; E coli ; Enterotoxigenic Escherichia coli - isolation & purification ; Epidemics ; Escherichia coli ; Escherichia coli Infections - epidemiology ; Escherichia coli Infections - microbiology ; Female ; Food ; Food Microbiology ; Gastroenteritis ; Gastroenteritis - epidemiology ; Gastroenteritis - microbiology ; Gastrointestinal infection and food poisoning ; Hotels & motels ; Humans ; Infections ; Laboratories ; Listeria ; Male ; Middle Aged ; Norway - epidemiology ; Original Papers ; Pathogens ; Public health ; Questionnaires ; Retrospective Studies ; Salmonella ; Young Adult</subject><ispartof>Epidemiology and infection, 2015-02, Vol.143 (3), p.486-493</ispartof><rights>Copyright © Cambridge University Press 2014</rights><rights>Cambridge University Press 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-2cd5f930abf0ffd5f5763fe205b15e96db6d1536f49c644a3b0517d115b874fc3</citedby><cites>FETCH-LOGICAL-c541t-2cd5f930abf0ffd5f5763fe205b15e96db6d1536f49c644a3b0517d115b874fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26512647$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26512647$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24813906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacDONALD, E.</creatorcontrib><creatorcontrib>MØLLER, K. 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Illness was associated with consumption of scrambled eggs (odds ratio 9·07, 95% confidence interval 5·20–15·84). Imported chives added fresh to the scrambled eggs were the suspected source of the outbreak but were unavailable for testing. Enterotoxigenic Escherichia coli (ETEC) infection was eventually confirmed in 40 hotel guests. This outbreak reinforces that ETEC should be considered in non-endemic countries when the clinical picture is consistent and common gastrointestinal pathogens are not found. Following this outbreak, the Norwegian Food Safety Authority recommended that imported fresh herbs should be heat-treated before use in commercial kitchens.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Diarrhea</subject><subject>Disease Outbreaks</subject><subject>E coli</subject><subject>Enterotoxigenic Escherichia coli - isolation & purification</subject><subject>Epidemics</subject><subject>Escherichia coli</subject><subject>Escherichia coli Infections - epidemiology</subject><subject>Escherichia coli Infections - microbiology</subject><subject>Female</subject><subject>Food</subject><subject>Food Microbiology</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Gastroenteritis - microbiology</subject><subject>Gastrointestinal infection and food poisoning</subject><subject>Hotels & motels</subject><subject>Humans</subject><subject>Infections</subject><subject>Laboratories</subject><subject>Listeria</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Norway - epidemiology</subject><subject>Original Papers</subject><subject>Pathogens</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Retrospective Studies</subject><subject>Salmonella</subject><subject>Young Adult</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Uctu1DAUtRAVHQY-gAXIUjdFImA7thOzq0bDQ6pgQVlHjh8zHhJ7sJ2W_g8fWkczBQRi5WOd15UOAM8weo0Rbt58QYIhwtsWU4QwYu0DsMCUi4pSJB6CxUxXM38KHqe0QwgJ0jaPwCmhLa4F4gvw88LDMOU-GvkNBguNzyaGHH64jfFOwXVSWxOd2joJVRgcPF9frVcvofPWqOyCLwh-CvFG3r6CBGHyFkoYzei8NhHmUEw-uRlPXoVxLIa9zNtQ0tNsve-eP9dhuHZ-A924DzEbDfcx6Enl9AScWDkk8_T4LsHXd-ur1Yfq8vP7j6uLy0oxinNFlGZW1Ej2FllbMGt4bQ1BrMfMCK57rjGruaVCcUpl3SOGG40x69uGWlUvwfkhtxR_n0zK3eiSMsMgvQlT6jDnLSkWRor07C_pLkzRl-uKinLWCFqqlgAfVCqGlKKx3T66UcbbDqNunrD7Z8LieXFMnvrR6F-O-82K4PlBsEs5xN88Z5hw2hS-PpbKsY9Ob8wft_239g41MrC0</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>MacDONALD, E.</creator><creator>MØLLER, K. 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E.</au><au>WESTER, A. L.</au><au>DAHLE, U. R.</au><au>HERMANSEN, N. O.</au><au>JENUM, P. A.</au><au>THORESEN, L.</au><au>VOLD, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An outbreak of enterotoxigenic Escherichia coli (ETEC) infection in Norway, 2012: a reminder to consider uncommon pathogens in outbreaks involving imported products</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>143</volume><issue>3</issue><spage>486</spage><epage>493</epage><pages>486-493</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>We investigated an outbreak of gastroenteritis following a Christmas buffet served on 4–9 December 2012 to ~1300 hotel guests. More than 300 people were reported ill in initial interviews with hotel guests. To identify possible sources of infection we conducted a cohort investigation through which we identified 214 probable cases. Illness was associated with consumption of scrambled eggs (odds ratio 9·07, 95% confidence interval 5·20–15·84). Imported chives added fresh to the scrambled eggs were the suspected source of the outbreak but were unavailable for testing. Enterotoxigenic Escherichia coli (ETEC) infection was eventually confirmed in 40 hotel guests. This outbreak reinforces that ETEC should be considered in non-endemic countries when the clinical picture is consistent and common gastrointestinal pathogens are not found. Following this outbreak, the Norwegian Food Safety Authority recommended that imported fresh herbs should be heat-treated before use in commercial kitchens.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>24813906</pmid><doi>10.1017/S0950268814001058</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2015-02, Vol.143 (3), p.486-493 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Cohort Studies Diarrhea Disease Outbreaks E coli Enterotoxigenic Escherichia coli - isolation & purification Epidemics Escherichia coli Escherichia coli Infections - epidemiology Escherichia coli Infections - microbiology Female Food Food Microbiology Gastroenteritis Gastroenteritis - epidemiology Gastroenteritis - microbiology Gastrointestinal infection and food poisoning Hotels & motels Humans Infections Laboratories Listeria Male Middle Aged Norway - epidemiology Original Papers Pathogens Public health Questionnaires Retrospective Studies Salmonella Young Adult |
| title | An outbreak of enterotoxigenic Escherichia coli (ETEC) infection in Norway, 2012: a reminder to consider uncommon pathogens in outbreaks involving imported products |
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