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2005-02-03Zeitschriftenartikel DOI: 10.1186/1471-2334-5-7
International outbreak of Salmonella Oranienburg due to German chocolate.
dc.contributor.authorWerber, Dirk
dc.contributor.authorDreesman, Johannes
dc.contributor.authorFeil, Fabian
dc.contributor.authorTreeck, Ulrich van
dc.contributor.authorFell, Gerhard
dc.contributor.authorEthelberg, Steen
dc.contributor.authorHauri, Anja M.
dc.contributor.authorRoggentin, Peter
dc.contributor.authorPrager, Rita
dc.contributor.authorFisher, Ian ST
dc.contributor.authorBehnke, Susanne
dc.contributor.authorBartelt, Edda
dc.contributor.authorWeise, Ekkehard
dc.contributor.authorEllis, Andrea
dc.contributor.authorSiitonen, Anja
dc.contributor.authorAndersson, Yvonne
dc.contributor.authorTschäpe, Helmut
dc.contributor.authorKramer, Michael H.
dc.contributor.authorAmmon, Andrea
dc.date.accessioned2018-05-07T13:26:14Z
dc.date.available2018-05-07T13:26:14Z
dc.date.created2009-12-03
dc.date.issued2005-02-03none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/rerOd5JTpjKz2/PDF/23OF6v3ZBNayA.pdf
dc.identifier.urihttp://edoc.rki.de/176904/496
dc.description.abstractBackground: This report describes a large international chocolate-associated Salmonella outbreak originating from Germany. Methods: We conducted epidemiologic investigations including a case-control study, and food safety investigations. Salmonella (S.) Oranienburg isolates were subtyped by the use of pulsed-field gel electrophoresis (PFGE). Results: From 1 October 2001 through 24 March 2002, an estimated excess of 439 S. Oranienburg notifications was registered in Germany. Simultaneously, an increase in S. Oranienburg infections was noted in other European countries in the Enter-net surveillance network. In a multistate matched case-control study in Germany, daily consumption of chocolate (matched odds ratio [MOR]: 4.8; 95% confidence interval [CI]: 1.3-26.5), having shopped at a large chain of discount grocery stores (MOR: 4.2; CI: 1.2-23.0), and consumption of chocolate purchased there (MOR: 5.0; CI: 1.1-47.0) were associated with illness. Subsequently, two brands from the same company, one exclusively produced for that chain, tested positive for S. Oranienburg. In two other European countries and in Canada chocolate from company A was ascertained that also contained S. Oranienburg. Isolates from humans and from chocolates had indistinguishable PFGE profiles. No source or point of contamination was identified. Epidemiological identification of chocolate as a vehicle of infections required two months, and was facilitated by proxy measures. Conclusions: Despite the use of improved production technologies, the chocolate industry continues to carry a small risk of manufacturing Salmonella-containing products. Particularly in diffuse outbreak-settings, clear associations with surrogates of exposure should suffice to trigger public health action. Networks such as Enter-net have become invaluable for facilitating rapid and appropriate management of international outbreaks.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionsepidemiologie
dc.subjectAdolescenteng
dc.subjectPreschooleng
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectDisease Outbreakseng
dc.subjectGermany/epidemiologyeng
dc.subjectSalmonella Food Poisoning/epidemiologyeng
dc.subjectElectrophoresiseng
dc.subjectGeleng
dc.subjectPulsed-Field/methodseng
dc.subjectMaleeng
dc.subjectMiddle Agedeng
dc.subjectCanada/epidemiologyeng
dc.subjectRisk Factorseng
dc.subjectChildeng
dc.subjectAdulteng
dc.subjectCase-Control Studieseng
dc.subjectAgedeng
dc.subjectCacao/microbiologyeng
dc.subjectCandy/microbiologyeng
dc.subjectEurope/epidemiologyeng
dc.subjectFood Microbiologyeng
dc.subjectInfanteng
dc.subjectSalmonella/geneticseng
dc.subjectSalmonella/isolation & purificationeng
dc.subjectSalmonella Food Poisoning/microbiologyeng
dc.subjectAged 80 and overeng
dc.subject.ddc610 Medizin
dc.titleInternational outbreak of Salmonella Oranienburg due to German chocolate.
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-1003114
dc.identifier.doi10.1186/1471-2334-5-7
dc.identifier.doihttp://dx.doi.org/10.25646/421
local.edoc.container-titleBMC Infectious Diseases
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.biomedcentral.com/1471-2334/5/7
local.edoc.container-publisher-nameBioMedCentral
local.edoc.container-volume5
local.edoc.container-issue7
local.edoc.container-year2005

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