Author:
DE VALK H.,DELAROCQUE-ASTAGNEAU E.,COLOMB G.,PLE S.,GODARD E.,VAILLANT V.,HAEGHEBAERT S.,BOUVET PH.,GRIMONT F.,GRIMONT P.,DESENCLOS J.-C.
Abstract
In 1997, a community-wide outbreak of Salmonella enterica serotype Typhimurium
(S. typhimurium) infection occurred in France. The investigation included case searching and a
case-control study. A case was defined as a resident of the Jura district with fever or diarrhoea
between 12 May and 8 July 1997, from whom S. typhimurium was isolated in stool or blood.
One hundred and thirteen cases were identified. Thirty-three (83%) of 40 cases but only 23
(55%) of 42 community controls, matched for age and area of residence, reported eating
Morbier cheese (Odds ratio: 6·5; 95% Confidence Interval: 1·4–28·8). Morbier cheese samples
taken from the refrigerators of two case-patients and one symptom-free neighbour cultured
positive for S. typhimurium of the same phage type as the human isolates. The analysis of
distribution channels incriminated one batch from a single processing plant. These findings
show that an unpasteurized soft cheese is an effective vehicle of S. typhimurium transmission.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Epidemiology
Cited by
32 articles.
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