Outbreak of Salmonella Enteritidis in northwest of S. Paulo State, Brazil
Autor(a) principal: | |
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Data de Publicação: | 1995 |
Outros Autores: | , , , , , , , |
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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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 instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
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) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221777097392128 |