Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-31T15:16:26.890Z Has data issue: false hasContentIssue false
  • English
  • Français

Sources of sporadic Yersinia enterocolitica infections in Norway: a prospective case–control study

Published online by Cambridge University Press:  15 May 2009

S. M. Ostroff ,
G. Kapperud ,
L. C. Hutwagner ,
T. Nesbakken ,
N. H. Bean ,
J. Lassen  and
R. V. Tauxe
S. M. Ostroff
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Mailstop C12, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
G. Kapperud
Affiliation:
Department of Bacteriology, National Institute of Public Health, Oslo, Norway
L. C. Hutwagner
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Mailstop C12, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
T. Nesbakken
Affiliation:
Norwegian Meat Research Laboratory, Oslo, Norway
N. H. Bean
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Mailstop C12, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
J. Lassen
Affiliation:
Department of Bacteriology, National Institute of Public Health, Oslo, Norway
R. V. Tauxe
Affiliation:
Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Mailstop C12, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Yersinia enterocolitica is a recognized cause of gastroenteritis in northern Europe. During October 1988-January 1990, a prospective case-control study was performed to address risk factors associated with sporadic. Y. enterocolitica infections in southeastern Norway. Sixty-seven case-patients (mean age 23.4 years, range 8 months-88 years) and 132, age-, sex- and geographically-matched controls were enrolled in the study. Multivariate analysis of the data showed that persons with Y. enterocolitica infection reported having eaten significantly more pork items(3.79 v. 2.30 meals, P = 0.02) and sausage (2.84 v. 2.20 meals, P = 0.03) in the 2 weeks before illness onset than their matched controls; only one patient had eaten raw pork. Patients were also more likely than controls to report a preference for eating meat prepared raw or rare (47 v. 27%, P = 0.01), and to report drinking untreated water (39 v. 25%, P = 0.01) in the 2 weeks before illness onset. Each of these factors was independently associated with disease, suggesting a link between yersiniosis and consumption of undercooked pork and sausage products and untreated water. Efforts should be directed towards developing techniques to reduce Y. enterocolitica contamination of pork and educating consumers about (1) proper handling and preparation of pork items and (2) the hazards of drinking untreated water.

Type
Research Article
Information
Epidemiology & Infection , Volume 112 , Issue 1 , February 1994 , pp. 133 - 141
Copyright
Copyright © Cambridge University Press 1994

References

REFERENCES

Cover, TL, Aber, RC. Yersinia enterocolitica. N Engl J Med 1989; 321: 16–24.CrossRefGoogle ScholarPubMed
Black, RE, Slome, S. Yersinia enterocolitica. Infect Dis Clin N Am 1988; 2: 625–41.Google Scholar
Doyle, MP. Pathogenic Escherichia coli, Yersinia enterocolitica, and Vibrio parahaemolyticus. Lancet 1990; 336: 1111–15.Google Scholar
Kapperud, G. Yersinia enterocolitica in food hygiene. Int J Food Microbiol 1991; 12: 53–66.CrossRefGoogle ScholarPubMed
Black, RE, Jackson, RJ, Tsai, T. et al. , Epidemic Yersinia enterocolitica infection due to contaminated chocolate milk. N Engl J Med 1978; 298: 76–9.Google Scholar
Tacket, CO, Narain, JP, Sattin, R. A multistate outbreak of infections caused by Yersinia enterocolitica transmitted by pasteurized milk. JAMA 1984; 251: 483–6.CrossRefGoogle ScholarPubMed
Greenwood, MH, Hooper, WL. Excretion of Yersinia spp. associated with consumption of pasteurized milk. Epidemiol Infect 1990; 104: 345–50.CrossRefGoogle ScholarPubMed
Tacket, CO, Ballard, J, Harris, N. et al. , An outbreak of Yersinia enterocolitica infections caused by contaminated tofu (soybean curd). Am J Epidemiol 1985; 121: 705–11.CrossRefGoogle ScholarPubMed
Aber, RC, McCarthy, MA, Berman, R. et al. , An outbreak of Yersinia enterocolitica among members of a Brownie troop in Pennsylvania. Program and Abstracts of the Twenty-Second Interscience Conference on Antimicrobial Agents and Chemotherapy. Miami Beach. 1982. Washington. D.C. American Society for Microbiology, 1982.Google Scholar
Maruyama, T. Yersinia enterocolitica infection in humans and isolation of the microorganism from pigs in Japan. Contrib Microbiol Immunol 1987; 9: 48–55.Google ScholarPubMed
Lee, LA, Gerber, AR, Lonsway, DR. et al. , yersinia enterocolitica O:3 infections in infants and children, associated with the household preparation of chitterlings. N Engl J Med 1990: 322: 984–7.CrossRefGoogle ScholarPubMed
Mollaret, HH, Bercovier, H, Alonso, JM. Summary of the data received at the WHO References Center for Yersinia enterocolitica. Contrib Microbiol Immunol 1979; 5: 174–84.Google ScholarPubMed
Verhargen, J, Dancsa, L, Lemmens, P. et al. , Yersinia enterocolitica surveilolance in Belgium (1979–1989). Contrib Microbiol Immunol 1991; 12: 11–16.Google Scholar
Prentice, MB, Cope, D, Swann, RA. The epidemiology of Yersinia enterocolitica infection in the British Isles 1983–1988. Contrib Microbiol Immunol 1991; 12: 17–25.Google Scholar
Bottone, EJ, Gullans, CR, Sierra, MF. Disease spectrum of Yersinia enterocolitica serogroup 0.3. the predominant cause of human infection in New York City. Contrib Microbiol Immunol 1987; 9: 56–60.Google Scholar
Bissett, ML, Powers, C, Abbott, SL.Janda, JM. Epidemiologic investigations of Yersinia enterocolitica and related species: sources, frequency, and serogroup distribution. J Clin Microbiol 1990; 28: 910–12.CrossRefGoogle ScholarPubMed
Tauxe, RV, Vandepitte, J.Wauters, G. et al. , Yersinia enterocolitica infections and pork: the missing link. Lancet 1987; i: 1129–32.CrossRefGoogle Scholar
Lee, LA.Taylor, J.Carter, GP.Quinn, B, Farmer III., JJ. Tauxe, RV. Yersinia enterocolitica 0.3: an emerging cause of pediatric gastroenteritis in the United States. J Infect Dis 1991; 163: 660–3.Google Scholar
Ostroff, SM, Kapperud, G.Lassen, J, Tauxe, RV. Clinical features of sporadic Yersinia enterocolitica infections in Norway. J Infect Dis 1992; 166: 812–17.CrossRefGoogle ScholarPubMed
Bercovier, H, Brenner, DJ.Ursing, J. et al. Characterization of Yersinia enterocolitica sensu stricto. Curr Microbiol 1980: 4: 201–6.Google Scholar
Wauters, G, Kandolo, K.Janssens, M. Revised biogrouping scheme of Yersinia enterocolitica. Contrib Microbiol Immunol 1987: 9: 14–21.Google Scholar
Wauters, G. Antigens of Yersinia enterocolitica. In: Bottone, EJ. ed. Yersinia enterocolitica. Boca Raton. FL: CRC Press. 1981: 41–54.Google Scholar
Unpublished data. National Notification System for Infectious Diseases (MSIS), National Institute of Public Health. Oslo. Norway.Google Scholar
Kapperud, G.Skjerve, E.Bean, NH.Ostroff, SM.Lessen, J. Risk factors for sporadic Campylobacter infections: results of a case-control study in southeastern Norway. J Clin Microbiol 1992: 30: 3117–21.Google Scholar
Nesbakken, T.Kapperud, G. Yersinia enterocolitica and Yersinia enterocolitica-like bacteria in Norwegian slaughter pigs. Int J Food Microbiol 1985: 1: 301–9.Google Scholar
Nesbakken, T. Comparison of sampling and isolation procedures for recovery of Yersinia enterocolitica serotype 0:3 from the oral cavity of slaughter pigs. Acta Vet Scand 1985; 26: 127–35.Google Scholar
Nesbakken, T. Enumeration of Yersinia enterocolitica 0:3 from the poreine oral cavity. and its occurrence on cut surfaces of pig carcasses and the environment in a slaughterhouse. Int J Food Microbiol 1988: 6 287–93.Google Scholar
Hurvell, B. Zoonotic Yersinia enterocolitica infection: host range, clinical manifestations, and transmission between animals and man. In: Bottone, EJ. ed. Yersinia enterocolitica. Boca Raton. FL: CRC Press. 1981: 145–59.Google Scholar
Shiozawa, K.Nishina, T.Miwa, Y.Mori, T.Akahane, S.Ito, K. Colonization in the tonsils of swine by Yersinia enterocolitica. Contrib Microbiol Immunol 1991: 12: 63–7.Google ScholarPubMed
Andersen, JK. Contamination of freshly slaughtered pig carcasses with human pathogenic Yersinia enterocolitica. Int J Food Microbiol 1988: 7: 193–202.Google Scholar
Nesbakken, T.Gondrosen, B.Kapperud, G. Investigation of Yersinia enterocolitica. Yersinia enterocolitica-like bacteria, and thermotolerant campylobacters in Norwegian pork products. Int J Food Microbiol 1985: 1: 311–20.Google Scholar
Nesbakken, T.Kapperud, G.Dommarsnes, K.Skurnik, M.Hornes, E. Comparative study of a DNA hybridization method and two isolation procedures for detection of Yersinia enterocolitica 0:3 in naturally contaminated pork products. Appl Environ Microbiol 1991: 57: 389–94.Google Scholar
Hanna, MO.Stewart, JC.Zink, DL, Carpenter, ZL.Vanderzant, C. Development of Yersinia enterocolitica on raw and cooked beef and pork at different temperatures. J Food Sci 1977: 42: 1180–4.CrossRefGoogle Scholar
Lee, WH.Vanderzant, C.Stern, N. The occurrence of Yersinia enterocolitica in foods. In: Bottone, EJ. ed. Yersinia enterocolitica. Boca Raton. FL: CRC Press, 1981: 161–71.Google Scholar
Thompson, JS.Gravel, MJ. Family outbreak of gastroenteritis due to Yersinia enterocolitica serotype 0:3 from well water. Can J Microbiol 1986: 32: 700–1.Google Scholar
Saebo, A.Lessen, J. A survey of acute and chronic disease associated with Yersinia enterocolitica infection: a Norwegian 10-year follow-up study on 458 hospitalized patients. Scand J Infect Dis 1991: 23: 517–27.CrossRefGoogle ScholarPubMed