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2011-12-15Zeitschriftenartikel DOI: 10.25646/943
Outbreak of Salmonella Montevideo associated with a dietary food supplement flagged in the Rapid Alert System for Food and Feed (RASFF) in Germany, 2010
dc.contributor.authorStöcker, Petra
dc.contributor.authorRosner, Bettina
dc.contributor.authorWerber, Dirk
dc.contributor.authorKirchner, Markus
dc.contributor.authorReinecke, Annette
dc.contributor.authorWichmann-Schauer, Heidi
dc.contributor.authorPrager, Rita
dc.contributor.authorRabsch, Wolfgang
dc.contributor.authorFrank, Christina
dc.date.accessioned2018-05-07T15:02:45Z
dc.date.available2018-05-07T15:02:45Z
dc.date.created2012-01-02
dc.date.issued2011-12-15none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reFLx4LyrJjE/PDF/290IfFDly1wv6.pdf
dc.identifier.urihttp://edoc.rki.de/176904/1018
dc.description.abstractIn March 2010 the Rapid Alert System for Food and Feed (RASFF) was used to inform about Salmonella Montevideo in a herbal food supplement, formulated in capsules, distributed under a Dutch label in Germany. Simultaneous to the first RASFF notice, in the last two weeks of March 2010 an unusual number of 15 infections with S. Montevideo was notified within the electronic reporting system for infectious diseases at the Robert Koch Institute. Adult women (median age: 43, range: 1–90 years) were mainly affected. An outbreak was suspected and the food supplement hypothesised to be its vehicle. Cases were notified from six federal states throughout Germany, which required efficient coordination of information and activities. A case–control study (n=55) among adult women showed an association between consumption of the specific food supplement and the disease (odds ratio (OR): 27.5, 95% confidence interval (CI): 3.1–infinity, p-value=0.002). Restricting the case–control study to the period when the outbreak peaked (between 29 March and 11 April 2010) resulted in an OR of 43.5 (95% CI: 4.8–infinity, p-value=0.001). Trace-back of the supplement’s main ingredient, hemp seed flour, and subsequent microbiological testing by pulsed-field gel electrophoresis supported its likely role in transmission. This outbreak investigation illustrates that information from RASFF may aid in hypothesis generation in outbreak investigations, though likely late in the outbreak.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionsepidemiologie
dc.subjectAdolescenteng
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectDisease Outbreakseng
dc.subjectGermany/epidemiologyeng
dc.subjectSalmonella Food Poisoning/epidemiologyeng
dc.subjectMaleeng
dc.subjectMiddle Agedeng
dc.subjectChildeng
dc.subjectAdulteng
dc.subjectCase-Control Studieseng
dc.subjectAgedeng
dc.subjectInfanteng
dc.subjectYoung Adulteng
dc.subjectChild Preschooleng
dc.subjectAged 80 and overeng
dc.subjectDietary Supplements/microbiology*eng
dc.subjectInformation Systemseng
dc.subject.ddc610 Medizin
dc.titleOutbreak of Salmonella Montevideo associated with a dietary food supplement flagged in the Rapid Alert System for Food and Feed (RASFF) in Germany, 2010
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10017060
dc.identifier.doihttp://dx.doi.org/10.25646/943
local.edoc.container-titleEuroSurveillance
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20040
local.edoc.container-publisher-nameECDC
local.edoc.container-volume16
local.edoc.container-issue50
local.edoc.container-year2011

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