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A severe foodborne outbreak of diarrhoea linked to a canteen in Italy caused by enteroinvasive Escherichia coli, an uncommon agent.
Escher, M; Scavia, G; Morabito, S; Tozzoli, R; Maugliani, A; Cantoni, S; Fracchia, S; Bettati, A; Casa, R; Gesu, G P; Torresani, E; Caprioli, A.
Afiliación
  • Escher M; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
  • Scavia G; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
  • Morabito S; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
  • Tozzoli R; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
  • Maugliani A; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
  • Cantoni S; Azienda Sanitaria Locale di Milano, Milan,Italy.
  • Fracchia S; Azienda Sanitaria Locale di Milano, Milan,Italy.
  • Bettati A; Azienda Sanitaria Locale di Milano, Milan,Italy.
  • Casa R; Azienda Sanitaria Locale di Milano, Milan,Italy.
  • Gesu GP; Azienda Ospedaliera Ospedale Niguarda Ca' Grand, Milan,Italy.
  • Torresani E; Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan,Italy.
  • Caprioli A; Department of Veterinary Public Health and Food Safety,Istituto Superiore di Sanità,Rome,Italy.
Epidemiol Infect ; 142(12): 2559-66, 2014 Dec.
Article en En | MEDLINE | ID: mdl-24534429
We describe a foodborne outbreak in Italy caused by enteroinvasive Escherichia coli (EIEC), an enteric pathogen uncommon in industrialized countries. On 14 April 2012 a number of employees of the city of Milan Fire Brigade (FB) were admitted to hospital with severe diarrhoea after attending their canteen. Thirty-two patients were hospitalized and a total of 109 cases were identified. A case-control study conducted on 83 cases and 32 controls attending the canteen without having symptoms identified cooked vegetables to be significantly associated with the disease. Stool samples collected from 62 subjects were screened for enteric pathogens using PCR-based commercial kits: 17 cases and two asymptomatic kitchen-workers were positive for the Shigella marker gene ipaH; an ipaH-positive EIEC strain O96:H19 was isolated from six cases. EIEC may cause serious dysentery-like outbreaks even in Western European countries. Microbiologists should be aware of microbiological procedures to detect EIEC, to be applied especially when no common enteric pathogens are identified.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Shigella / Brotes de Enfermedades / Diarrea / Disentería Bacilar / Escherichia coli / Infecciones por Escherichia coli / Enfermedades Transmitidas por los Alimentos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Shigella / Brotes de Enfermedades / Diarrea / Disentería Bacilar / Escherichia coli / Infecciones por Escherichia coli / Enfermedades Transmitidas por los Alimentos Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido