Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil

Detalhes bibliográficos
Autor(a) principal: Kaku, M.
Data de Publicação: 1995
Outros Autores: Peresi, J.T.M., Tavechio, A.T., Fernandes, S.A., Batista, A.B., Castanheira, I.A.Z., Garcia, G.M.P., Irino, K., Gelli, D.S.
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/24097
Resumo: A foodborne outbreak which affected 211 persons occurred, in a School, in 1993. The epidemiological data obtained by interviewing the affected and non affected persons sampled showed as predominant symptoms: diarrhoea, fever (77.7%), abdominal cramps (67.7%), vomiting (65.8%), hot-and-cold sensations (54.5%) and headache (44.5%). The median incubation period was of 17 hours, the limits being 3 and 29 hours. The disease period was of from 3 to 4 days. The food concerned was a kind of paté, a mayonnaise mixture prepared with fresh eggs with boiled potatoes that was consumed with bread. The biological material analysis - 3 coprocultures, and leftovers of the food revealed the presence of one and the same organism: Salmonella Enteritidis. In the food, the numbers of this bacterium per gram were sufficient to account for the manifestation of the disease (104 and 105/g). The antibiogram of all the isolates showed the same sensibility pattern. The preparation related to this outbreak suggests the endogenous contamination of the eggs; the cross contamination - the outbreak affected three school periods, as the food was prepared separately for each school period; and the conditions under which the food was kept during the time from preparation to consumption. The observation of the 3 food handlers, by successive coprocultures, for one week, indicates that they were not asymptomatic carriers nor were they affected as a result of this outbreak by the causal bacteria.
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spelling Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil Surto alimentar por Salmonella Enteritidis no Noroeste do Estado de São Paulo, Brasil Intoxicação alimentar por Salmonella^i1^sepidemioloSurtos de doençasSalmonella^i1^sisolamento & purificaSalmonella food poisoning^i2^sepidemiolDisease outbreakSalmonella^i2^sisolat A foodborne outbreak which affected 211 persons occurred, in a School, in 1993. The epidemiological data obtained by interviewing the affected and non affected persons sampled showed as predominant symptoms: diarrhoea, fever (77.7%), abdominal cramps (67.7%), vomiting (65.8%), hot-and-cold sensations (54.5%) and headache (44.5%). The median incubation period was of 17 hours, the limits being 3 and 29 hours. The disease period was of from 3 to 4 days. The food concerned was a kind of paté, a mayonnaise mixture prepared with fresh eggs with boiled potatoes that was consumed with bread. The biological material analysis - 3 coprocultures, and leftovers of the food revealed the presence of one and the same organism: Salmonella Enteritidis. In the food, the numbers of this bacterium per gram were sufficient to account for the manifestation of the disease (104 and 105/g). The antibiogram of all the isolates showed the same sensibility pattern. The preparation related to this outbreak suggests the endogenous contamination of the eggs; the cross contamination - the outbreak affected three school periods, as the food was prepared separately for each school period; and the conditions under which the food was kept during the time from preparation to consumption. The observation of the 3 food handlers, by successive coprocultures, for one week, indicates that they were not asymptomatic carriers nor were they affected as a result of this outbreak by the causal bacteria. Em 1993 ocorreu um surto alimentar em escola, com 211 afetados. Os dados epidemiológicos levantados por entrevista de amostragem de afetados e não afetados mostraram que os sintomas predominantes foram diarréia, febre (77,7%), dor abdominal (67,7%), vômito (65,8%), calafrios (54,5%) e cefaléia (44,5%). A mediana de incubação foi de 17 horas, com limites entre 3 e 29 horas. A duração da doença foi de 3 a 4 dias. O alimento consumido foi um tipo de patê, mistura de molho de maionese preparada com ovos crus com batata cozida, passado em pão. A análise de material biológico (3 coproculturas) e de restos de alimentos revelou a presença do mesmo microrganismo, a Salmonella Enteritidis. No caso dos alimentos, o número encontrado desta bactéria por gramo de produto era compatível com a quantidade de células necessária para desencadear a doença (10(4)e 10(5)/g). O antibiograma de todas as cepas isoladas revelou o mesmo padrão de sensibilidade. As falhas no preparo do alimento relacionadas com o levantamento indicam a possibilidade de contaminação endógena dos ovos; contaminação cruzada - o surto afetou três períodos escolares, sendo que para cada um o alimento foi preparado em separado - e as condições de manutenção do alimento após preparo e até o consumo. A observação por uma semana seguida das 3 merendeiras envolvidas, através de coprocultura, não indicaram que as mesmas fossem portadoras assintomáticas desta bactéria ou que tivessem sido envolvidas no surto em questão. Universidade de São Paulo. Faculdade de Saúde Pública1995-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2409710.1590/S0034-89101995000200007Revista de Saúde Pública; Vol. 29 No. 2 (1995); 127-131 Revista de Saúde Pública; Vol. 29 Núm. 2 (1995); 127-131 Revista de Saúde Pública; v. 29 n. 2 (1995); 127-131 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/24097/26062Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessKaku, M.Peresi, J.T.M.Tavechio, A.T.Fernandes, S.A.Batista, A.B.Castanheira, I.A.Z.Garcia, G.M.P.Irino, K.Gelli, D.S.2012-05-29T16:27:32Zoai:revistas.usp.br:article/24097Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-29T16:27:32Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
Surto alimentar por Salmonella Enteritidis no Noroeste do Estado de São Paulo, Brasil
title Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
spellingShingle Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
Kaku, M.
Intoxicação alimentar por Salmonella^i1^sepidemiolo
Surtos de doenças
Salmonella^i1^sisolamento & purifica
Salmonella food poisoning^i2^sepidemiol
Disease outbreak
Salmonella^i2^sisolat
title_short Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
title_full Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
title_fullStr Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
title_full_unstemmed Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
title_sort Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
author Kaku, M.
author_facet Kaku, M.
Peresi, J.T.M.
Tavechio, A.T.
Fernandes, S.A.
Batista, A.B.
Castanheira, I.A.Z.
Garcia, G.M.P.
Irino, K.
Gelli, D.S.
author_role author
author2 Peresi, J.T.M.
Tavechio, A.T.
Fernandes, S.A.
Batista, A.B.
Castanheira, I.A.Z.
Garcia, G.M.P.
Irino, K.
Gelli, D.S.
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Kaku, M.
Peresi, J.T.M.
Tavechio, A.T.
Fernandes, S.A.
Batista, A.B.
Castanheira, I.A.Z.
Garcia, G.M.P.
Irino, K.
Gelli, D.S.
dc.subject.por.fl_str_mv Intoxicação alimentar por Salmonella^i1^sepidemiolo
Surtos de doenças
Salmonella^i1^sisolamento & purifica
Salmonella food poisoning^i2^sepidemiol
Disease outbreak
Salmonella^i2^sisolat
topic Intoxicação alimentar por Salmonella^i1^sepidemiolo
Surtos de doenças
Salmonella^i1^sisolamento & purifica
Salmonella food poisoning^i2^sepidemiol
Disease outbreak
Salmonella^i2^sisolat
description A foodborne outbreak which affected 211 persons occurred, in a School, in 1993. The epidemiological data obtained by interviewing the affected and non affected persons sampled showed as predominant symptoms: diarrhoea, fever (77.7%), abdominal cramps (67.7%), vomiting (65.8%), hot-and-cold sensations (54.5%) and headache (44.5%). The median incubation period was of 17 hours, the limits being 3 and 29 hours. The disease period was of from 3 to 4 days. The food concerned was a kind of paté, a mayonnaise mixture prepared with fresh eggs with boiled potatoes that was consumed with bread. The biological material analysis - 3 coprocultures, and leftovers of the food revealed the presence of one and the same organism: Salmonella Enteritidis. In the food, the numbers of this bacterium per gram were sufficient to account for the manifestation of the disease (104 and 105/g). The antibiogram of all the isolates showed the same sensibility pattern. The preparation related to this outbreak suggests the endogenous contamination of the eggs; the cross contamination - the outbreak affected three school periods, as the food was prepared separately for each school period; and the conditions under which the food was kept during the time from preparation to consumption. The observation of the 3 food handlers, by successive coprocultures, for one week, indicates that they were not asymptomatic carriers nor were they affected as a result of this outbreak by the causal bacteria.
publishDate 1995
dc.date.none.fl_str_mv 1995-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24097
10.1590/S0034-89101995000200007
url https://www.revistas.usp.br/rsp/article/view/24097
identifier_str_mv 10.1590/S0034-89101995000200007
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/24097/26062
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 29 No. 2 (1995); 127-131
Revista de Saúde Pública; Vol. 29 Núm. 2 (1995); 127-131
Revista de Saúde Pública; v. 29 n. 2 (1995); 127-131
1518-8787
0034-8910
reponame:Revista de Saúde Pública
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instname_str Universidade de São Paulo (USP)
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reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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