Epidemiological and serological investigation of a waterborne Campylobacter jejuni outbreak in a Danish town
Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3)...
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| Veröffentlicht in: | Epidemiology and infection 2017-03, Vol.145 (4), p.701-709 |
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| creator | KUHN, K. GAARDBO FALKENHORST, G. EMBORG, H.-D. CEPER, T. TORPDAHL, M. KROGFELT, K. A. ETHELBERG, S. MØLBAK, K. |
| description | Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3) serological study of blood samples from cases and asymptomatic members of case households, and (4) environmental analyses of the water distribution system. The questionnaire study identified 163 cases (respondent attack rate 16%). Results showed a significant dose-response relationship between consumption of tap water and risk of gastroenteritis. Campylobacter jejuni belonging to two related flaA types were isolated from stool samples. Serum antibody levels against Campylobacter were significantly higher in cases than in asymptomatic persons. Water samples were positive for coliform bacteria, and the likely mode of contamination was found to be surface water leaking into the drinking-water system. This geographically constrained outbreak presented an ideal opportunity to study the serological response in persons involved in a Campylobacter outbreak. The serology indicated that asymptomatic persons from the same household may have been exposed, during the outbreak period, to Campylobacter at doses that did not elicit symptoms or alternatively had been exposed to Campylobacter at a time prior to the outbreak, resulting in residual immunity and thus absence of clinical signs. |
| doi_str_mv | 10.1017/S0950268816002788 |
| format | Article |
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GAARDBO ; FALKENHORST, G. ; EMBORG, H.-D. ; CEPER, T. ; TORPDAHL, M. ; KROGFELT, K. A. ; ETHELBERG, S. ; MØLBAK, K.</creator><creatorcontrib>KUHN, K. GAARDBO ; FALKENHORST, G. ; EMBORG, H.-D. ; CEPER, T. ; TORPDAHL, M. ; KROGFELT, K. A. ; ETHELBERG, S. ; MØLBAK, K.</creatorcontrib><description>Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3) serological study of blood samples from cases and asymptomatic members of case households, and (4) environmental analyses of the water distribution system. The questionnaire study identified 163 cases (respondent attack rate 16%). Results showed a significant dose-response relationship between consumption of tap water and risk of gastroenteritis. Campylobacter jejuni belonging to two related flaA types were isolated from stool samples. Serum antibody levels against Campylobacter were significantly higher in cases than in asymptomatic persons. Water samples were positive for coliform bacteria, and the likely mode of contamination was found to be surface water leaking into the drinking-water system. This geographically constrained outbreak presented an ideal opportunity to study the serological response in persons involved in a Campylobacter outbreak. The serology indicated that asymptomatic persons from the same household may have been exposed, during the outbreak period, to Campylobacter at doses that did not elicit symptoms or alternatively had been exposed to Campylobacter at a time prior to the outbreak, resulting in residual immunity and thus absence of clinical signs.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268816002788</identifier><identifier>PMID: 27903324</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antibodies ; Antibodies, Bacterial - blood ; Asymptomatic ; Campylobacter ; Campylobacter Infections - epidemiology ; Campylobacter jejuni ; Campylobacter jejuni - classification ; Campylobacter jejuni - genetics ; Campylobacter jejuni - isolation & purification ; Child ; Child, Preschool ; Cohort Studies ; Denmark - epidemiology ; Disease Outbreaks ; Drinking water ; Feces - microbiology ; Female ; Flagellin - genetics ; Food contamination & poisoning ; Gastroenteritis ; Gastroenteritis - epidemiology ; Genotype ; Guillain-Barre syndrome ; Households ; Humans ; Infant ; Infections ; Male ; Middle Aged ; Original Papers ; Questionnaires ; Rain ; Serology ; Surveys and Questionnaires ; Water Microbiology ; Water supply ; Young Adult</subject><ispartof>Epidemiology and infection, 2017-03, Vol.145 (4), p.701-709</ispartof><rights>Copyright © Cambridge University Press 2016</rights><rights>Cambridge University Press 2016</rights><rights>Cambridge University Press 2016 2016 Cambridge University Press</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-e1457ced7403bc34f2f7507ad1ec513e8f78ea17c7925f3dc8c08bd59c3e2c923</citedby><cites>FETCH-LOGICAL-c483t-e1457ced7403bc34f2f7507ad1ec513e8f78ea17c7925f3dc8c08bd59c3e2c923</cites><orcidid>0000-0002-3100-4990</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26521137$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26521137$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27903324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KUHN, K. GAARDBO</creatorcontrib><creatorcontrib>FALKENHORST, G.</creatorcontrib><creatorcontrib>EMBORG, H.-D.</creatorcontrib><creatorcontrib>CEPER, T.</creatorcontrib><creatorcontrib>TORPDAHL, M.</creatorcontrib><creatorcontrib>KROGFELT, K. A.</creatorcontrib><creatorcontrib>ETHELBERG, S.</creatorcontrib><creatorcontrib>MØLBAK, K.</creatorcontrib><title>Epidemiological and serological investigation of a waterborne Campylobacter jejuni outbreak in a Danish town</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3) serological study of blood samples from cases and asymptomatic members of case households, and (4) environmental analyses of the water distribution system. The questionnaire study identified 163 cases (respondent attack rate 16%). Results showed a significant dose-response relationship between consumption of tap water and risk of gastroenteritis. Campylobacter jejuni belonging to two related flaA types were isolated from stool samples. Serum antibody levels against Campylobacter were significantly higher in cases than in asymptomatic persons. Water samples were positive for coliform bacteria, and the likely mode of contamination was found to be surface water leaking into the drinking-water system. This geographically constrained outbreak presented an ideal opportunity to study the serological response in persons involved in a Campylobacter outbreak. The serology indicated that asymptomatic persons from the same household may have been exposed, during the outbreak period, to Campylobacter at doses that did not elicit symptoms or alternatively had been exposed to Campylobacter at a time prior to the outbreak, resulting in residual immunity and thus absence of clinical signs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibodies</subject><subject>Antibodies, Bacterial - blood</subject><subject>Asymptomatic</subject><subject>Campylobacter</subject><subject>Campylobacter Infections - epidemiology</subject><subject>Campylobacter jejuni</subject><subject>Campylobacter jejuni - classification</subject><subject>Campylobacter jejuni - genetics</subject><subject>Campylobacter jejuni - isolation & purification</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Denmark - epidemiology</subject><subject>Disease Outbreaks</subject><subject>Drinking water</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Flagellin - genetics</subject><subject>Food contamination & poisoning</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - epidemiology</subject><subject>Genotype</subject><subject>Guillain-Barre syndrome</subject><subject>Households</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Papers</subject><subject>Questionnaires</subject><subject>Rain</subject><subject>Serology</subject><subject>Surveys and Questionnaires</subject><subject>Water Microbiology</subject><subject>Water supply</subject><subject>Young Adult</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkctu1DAUhi0EotPCA7AARWLDJuBrbG-QqqEFpEosgLXlOCdTh8Qe7KRV3x6PZhgKCImVdfx_5_YfhJ4R_JpgIt98xlpg2ihFGoypVOoBWhHe6JpzrB-i1U6ud_oJOs15wBhrquRjdEKlxoxRvkLjxdZ3MPk4xo13dqxs6KoM6Rj7cAN59hs7-xiq2Fe2urUzpDamANXaTtu7MbbWla9qgGEJvorL3Caw30puod_Z4PN1Ncfb8AQ96u2Y4enhPUNfLy--rD_UV5_ef1yfX9WOKzbXQLiQDjrJMWsd4z3tpcDSdgScIAxULxVYIp3UVPSsc8ph1XZCOwbUacrO0Nt93e3STtA5CHOyo9kmP9l0Z6L15ncl-GuziTem-CWl2BV4dSiQ4vel7G8mnx2Mow0Ql2yI0kQVDzn5D5QLKhpNREFf_oEOcUmhOFEo1VBVKFwosqdcijkn6I9zE2x2Zzd_nb3kvLi_8DHj550L8HwPDHmO6ZfeCEoIk0Vnh6Z2apPvNnBvtn-2_QHOlMLF</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>KUHN, K. 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GAARDBO ; FALKENHORST, G. ; EMBORG, H.-D. ; CEPER, T. ; TORPDAHL, M. ; KROGFELT, K. 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GAARDBO</au><au>FALKENHORST, G.</au><au>EMBORG, H.-D.</au><au>CEPER, T.</au><au>TORPDAHL, M.</au><au>KROGFELT, K. A.</au><au>ETHELBERG, S.</au><au>MØLBAK, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiological and serological investigation of a waterborne Campylobacter jejuni outbreak in a Danish town</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>145</volume><issue>4</issue><spage>701</spage><epage>709</epage><pages>701-709</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>Following an unusually heavy rainfall in June 2009, a community-wide outbreak of Campylobacter gastroenteritis occurred in a small Danish town. The outbreak investigation consisted of (1) a cohort study using an e-questionnaire of disease determinants, (2) microbiological study of stool samples, (3) serological study of blood samples from cases and asymptomatic members of case households, and (4) environmental analyses of the water distribution system. The questionnaire study identified 163 cases (respondent attack rate 16%). Results showed a significant dose-response relationship between consumption of tap water and risk of gastroenteritis. Campylobacter jejuni belonging to two related flaA types were isolated from stool samples. Serum antibody levels against Campylobacter were significantly higher in cases than in asymptomatic persons. Water samples were positive for coliform bacteria, and the likely mode of contamination was found to be surface water leaking into the drinking-water system. This geographically constrained outbreak presented an ideal opportunity to study the serological response in persons involved in a Campylobacter outbreak. The serology indicated that asymptomatic persons from the same household may have been exposed, during the outbreak period, to Campylobacter at doses that did not elicit symptoms or alternatively had been exposed to Campylobacter at a time prior to the outbreak, resulting in residual immunity and thus absence of clinical signs.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>27903324</pmid><doi>10.1017/S0950268816002788</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3100-4990</orcidid></addata></record> |
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| ispartof | Epidemiology and infection, 2017-03, Vol.145 (4), p.701-709 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Antibodies Antibodies, Bacterial - blood Asymptomatic Campylobacter Campylobacter Infections - epidemiology Campylobacter jejuni Campylobacter jejuni - classification Campylobacter jejuni - genetics Campylobacter jejuni - isolation & purification Child Child, Preschool Cohort Studies Denmark - epidemiology Disease Outbreaks Drinking water Feces - microbiology Female Flagellin - genetics Food contamination & poisoning Gastroenteritis Gastroenteritis - epidemiology Genotype Guillain-Barre syndrome Households Humans Infant Infections Male Middle Aged Original Papers Questionnaires Rain Serology Surveys and Questionnaires Water Microbiology Water supply Young Adult |
| title | Epidemiological and serological investigation of a waterborne Campylobacter jejuni outbreak in a Danish town |
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