Campylobacteriosis outbreak associated with consumption of undercooked chicken liver pâté in the East of England, September 2011: identification of a dose–response risk

A foodborne outbreak with 49 cases (22 culture positive for Campylobacter sp.) following a wedding party in the East of England was investigated. A retrospective cohort study identified an association between consumption of chicken liver pâté and infection with Campylobacter jejuni/coli. There was a...

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Veröffentlicht in:Epidemiology and infection 2014-02, Vol.142 (2), p.352-357
Hauptverfasser: EDWARDS, D. S., MILNE, L. M., MORROW, K., SHERIDAN, P., VERLANDER, N. Q., MULLA, R., RICHARDSON, J. F., PENDER, A., LILLEY, M., REACHER, M.
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container_end_page 357
container_issue 2
container_start_page 352
container_title Epidemiology and infection
container_volume 142
creator EDWARDS, D. S.
MILNE, L. M.
MORROW, K.
SHERIDAN, P.
VERLANDER, N. Q.
MULLA, R.
RICHARDSON, J. F.
PENDER, A.
LILLEY, M.
REACHER, M.
description A foodborne outbreak with 49 cases (22 culture positive for Campylobacter sp.) following a wedding party in the East of England was investigated. A retrospective cohort study identified an association between consumption of chicken liver pâté and infection with Campylobacter jejuni/coli. There was a statistically significant association between dose (amount of chicken liver pâté eaten) and the risk of disease [‘tasted’: odds ratio (OR) 1·5, 95% confidence interval (CI) 0·04–∞; ‘partly eaten’: OR 8·4, 95% CI 1·4–87·5; ‘most or all eaten’: OR 36·1, 95% CI 3·3–2119). The local authority found evidence that the preparation of chicken livers breached Food Standards Agency's guidelines. This epidemiological investigation established a clear dose–response relationship between consumption of chicken liver pâté and the risk of infection with Campylobacter. The continuing need to raise public awareness of the risk to human health posed by undercooked chicken liver is evident.
doi_str_mv 10.1017/S0950268813001222
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subjects Adult
Animals
Biological and medical sciences
Campylobacter
Campylobacter coli
Campylobacter Infections - epidemiology
Campylobacter Infections - etiology
Campylobacter Infections - microbiology
Campylobacter jejuni
Catering
Chickens
Chickens - microbiology
Cooking
Diarrhea
Disease Outbreaks - statistics & numerical data
England - epidemiology
Epidemics
Epidemiology
Female
Foodborne Diseases - epidemiology
Foodborne Diseases - etiology
Fundamental and applied biological sciences. Psychology
Gastroenteritis
Gastroenteritis - epidemiology
Gastroenteritis - etiology
Gastroenteritis and Outbreaks
Gastrointestinal diseases
Humans
Illnesses
Liver
Male
Meals
Meat - adverse effects
Meat - microbiology
Microbiology
Middle Aged
Original Papers
Questionnaires
Variables
Vomiting
Wedding parties
Weddings
title Campylobacteriosis outbreak associated with consumption of undercooked chicken liver pâté in the East of England, September 2011: identification of a dose–response risk
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