RESUMEN
In an outbreak of gastroenteritis affecting 43 people, cryptosporidium and campylobacter were isolated from stool specimens and in two cases dual infection was found. All the cases had drunk unboiled water from a private untreated water supply. Investigations revealed the carcasses of three lambs in a collection chamber connected with the water supply, and these, or run-off of slurry from surrounding fields, were the presumed source of contamination. Issues relating to the maintenance and monitoring of private water supplies are discussed. Problems with such supplies include old piping, proximity of livestock, inadequate knowledge of the layout and limited resources for monitoring and maintenance.
Asunto(s)
Infecciones por Campylobacter/epidemiología , Criptosporidiosis/epidemiología , Brotes de Enfermedades , Gastroenteritis/epidemiología , Gastroenteritis/microbiología , Microbiología del Agua , Abastecimiento de Agua , Adulto , Animales , Infecciones por Campylobacter/complicaciones , Campylobacter jejuni/aislamiento & purificación , Criptosporidiosis/complicaciones , Cryptosporidium/aislamiento & purificación , Inglaterra/epidemiología , Métodos Epidemiológicos , Femenino , Humanos , OvinosRESUMEN
Consumption of milk contaminated with Campylobacter jejuni has been described as a cause of human enteritis. Although faecal contamination of milk with the organism has frequently been described, direct milk excretion of Campylobacter jejuni into milk has rarely been linked with cases of human infection. We describe the investigations undertaken following the isolation of Campylobacter jejuni from samples of unpasteurized milk prior to retail. Results of epidemiological investigations including typing of Campylobacter jejuni isolates using pyrolysis mass spectrometry, Penner and Lior serotyping, biotyping, phage typing and restriction fragment length polymorphism analysis provided convincing evidence implicating direct milk excretion of Campylobacter jejuni by one asymptomatic dairy cow as the source of the milk contamination and the cause of local cases of human enteritis.