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2021-10-14Zeitschriftenartikel
Heatwave-associated Vibrio infections in Germany, 2018 and 2019
dc.contributor.authorBrehm, Thomas Theo
dc.contributor.authorBerneking, Laura
dc.contributor.authorMartins, Meike Sena
dc.contributor.authorDupke, Susann
dc.contributor.authorJacob, Daniela
dc.contributor.authorDrechsel, Oliver
dc.contributor.authorBohnert, Jürgen
dc.contributor.authorBecker, Karsten
dc.contributor.authorKramer, Axel
dc.contributor.authorChristner, Martin
dc.contributor.authorAepfelbacher, Martin
dc.contributor.authorSchmiedel, Stefan
dc.contributor.authorRohde, Holger
dc.contributor.authorthe German Vibrio Study Group
dc.date.accessioned2022-03-14T08:06:11Z
dc.date.available2022-03-14T08:06:11Z
dc.date.issued2021-10-14none
dc.identifier.other10.2807/1560-7917.ES.2021.26.41.2002041
dc.identifier.urihttp://edoc.rki.de/176904/9494
dc.description.abstractBackground: Vibrio spp. are aquatic bacteria that prefer warm seawater with moderate salinity. In humans, they can cause gastroenteritis, wound infections, and ear infections. During the summers of 2018 and 2019, unprecedented high sea surface temperatures were recorded in the German Baltic Sea. Aim: We aimed to describe the clinical course and microbiological characteristics of Vibrio infections in Germany in 2018 and 2019. Methods: We performed an observational retrospective multi-centre cohort study of patients diagnosed with domestically-acquired Vibrio infections in Germany in 2018 and 2019. Demographic, clinical, and microbiological data were assessed, and isolates were subjected to whole genome sequencing and antimicrobial susceptibility testing. Results: Of the 63 patients with Vibrio infections, most contracted the virus between June and September, primarily in the Baltic Sea: 44 (70%) were male and the median age was 65 years (range: 2–93 years). Thirty-eight patients presented with wound infections, 16 with ear infections, six with gastroenteritis, two with pneumonia (after seawater aspiration) and one with primary septicaemia. The majority of infections were attributed to V. cholerae (non–O1/non-O139) (n = 30; 48%) or V. vulnificus (n = 22; 38%). Phylogenetic analyses of 12 available isolates showed clusters of three identical strains of V. vulnificus, which caused wound infections, suggesting that some clonal lines can spread across the Baltic Sea. Conclusions: During the summers of 2018 and 2019, severe heatwaves facilitated increased numbers of Vibrio infections in Germany. Since climate change is likely to favour the proliferation of these bacteria, a further increase in Vibrio-associated diseases is expected.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleHeatwave-associated Vibrio infections in Germany, 2018 and 2019none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/9494-1
dc.type.versionpublishedVersionnone
local.edoc.container-titleEurosurveillancenone
local.edoc.container-issn1560-7917none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2021.26.41.2002041#html_fulltextnone
local.edoc.container-publisher-nameEuropean Centre for Disease Prevention and Controlnone
local.edoc.container-volume26none
local.edoc.container-issue41none
local.edoc.container-year2021none
dc.description.versionPeer Reviewednone

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