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 |
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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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S. ; MILNE, L. M. ; MORROW, K. ; SHERIDAN, P. ; VERLANDER, N. Q. ; MULLA, R. ; RICHARDSON, J. F. ; PENDER, A. ; LILLEY, M. ; REACHER, M.</creator><creatorcontrib>EDWARDS, D. S. ; MILNE, L. M. ; MORROW, K. ; SHERIDAN, P. ; VERLANDER, N. Q. ; MULLA, R. ; RICHARDSON, J. F. ; PENDER, A. ; LILLEY, M. ; REACHER, M.</creatorcontrib><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.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268813001222</identifier><identifier>PMID: 23711104</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>Epidemiology and infection, 2014-02, Vol.142 (2), p.352-357</ispartof><rights>Copyright © Cambridge University Press 2013</rights><rights>Cambridge University Press 2014</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © Cambridge University Press 2013 The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution license</rights><rights>Cambridge University Press 2013 2013 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-2e111cbeea6025d53e56f696c0451944d4252e2fd96637af88d954acc309b09e3</citedby><cites>FETCH-LOGICAL-c486t-2e111cbeea6025d53e56f696c0451944d4252e2fd96637af88d954acc309b09e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24477161$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24477161$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28113043$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23711104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>EDWARDS, D. S.</creatorcontrib><creatorcontrib>MILNE, L. M.</creatorcontrib><creatorcontrib>MORROW, K.</creatorcontrib><creatorcontrib>SHERIDAN, P.</creatorcontrib><creatorcontrib>VERLANDER, N. Q.</creatorcontrib><creatorcontrib>MULLA, R.</creatorcontrib><creatorcontrib>RICHARDSON, J. F.</creatorcontrib><creatorcontrib>PENDER, A.</creatorcontrib><creatorcontrib>LILLEY, M.</creatorcontrib><creatorcontrib>REACHER, M.</creatorcontrib><title>Campylobacteriosis outbreak associated with consumption of undercooked chicken liver pâté in the East of England, September 2011: identification of a dose–response risk</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><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.</description><subject>Adult</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Campylobacter</subject><subject>Campylobacter coli</subject><subject>Campylobacter Infections - epidemiology</subject><subject>Campylobacter Infections - etiology</subject><subject>Campylobacter Infections - microbiology</subject><subject>Campylobacter jejuni</subject><subject>Catering</subject><subject>Chickens</subject><subject>Chickens - microbiology</subject><subject>Cooking</subject><subject>Diarrhea</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>England - epidemiology</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Foodborne Diseases - epidemiology</subject><subject>Foodborne Diseases - etiology</subject><subject>Fundamental and applied biological sciences. 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S. ; MILNE, L. M. ; MORROW, K. ; SHERIDAN, P. ; VERLANDER, N. Q. ; MULLA, R. ; RICHARDSON, J. 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Psychology</topic><topic>Gastroenteritis</topic><topic>Gastroenteritis - epidemiology</topic><topic>Gastroenteritis - etiology</topic><topic>Gastroenteritis and Outbreaks</topic><topic>Gastrointestinal diseases</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Liver</topic><topic>Male</topic><topic>Meals</topic><topic>Meat - adverse effects</topic><topic>Meat - microbiology</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Original Papers</topic><topic>Questionnaires</topic><topic>Variables</topic><topic>Vomiting</topic><topic>Wedding parties</topic><topic>Weddings</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>EDWARDS, D. S.</creatorcontrib><creatorcontrib>MILNE, L. M.</creatorcontrib><creatorcontrib>MORROW, K.</creatorcontrib><creatorcontrib>SHERIDAN, P.</creatorcontrib><creatorcontrib>VERLANDER, N. Q.</creatorcontrib><creatorcontrib>MULLA, R.</creatorcontrib><creatorcontrib>RICHARDSON, J. 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S.</au><au>MILNE, L. M.</au><au>MORROW, K.</au><au>SHERIDAN, P.</au><au>VERLANDER, N. Q.</au><au>MULLA, R.</au><au>RICHARDSON, J. F.</au><au>PENDER, A.</au><au>LILLEY, M.</au><au>REACHER, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Campylobacteriosis outbreak associated with consumption of undercooked chicken liver pâté in the East of England, September 2011: identification of a dose–response risk</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>142</volume><issue>2</issue><spage>352</spage><epage>357</epage><pages>352-357</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23711104</pmid><doi>10.1017/S0950268813001222</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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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