Your browser doesn't support javascript.
loading
The proof of the pudding is in the eating: an outbreak of emetic syndrome after a kindergarten excursion, Berlin, Germany, December 2007.
Kamga Wambo, G O; Burckhardt, F; Frank, C; Hiller, P; Wichmann-Schauer, H; Zuschneid, I; Hentschke, J; Hitzbleck, T; Contzen, M; Suckau, M; Stark, K.
Afiliação
  • Kamga Wambo GO; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Euro Surveill ; 16(15)2011 Apr 14.
Article em En | MEDLINE | ID: mdl-21507320
ABSTRACT
An outbreak of food poisoning (emetic syndrome) occurred in three kindergartens (A, B and C) in Berlin, Germany, on 3 December 2007 after an excursion during which food was served. We conducted a retrospective cohort study among the kindergarten children and personnel who participated in the trip. The overall attack rate among the 155 participants was 30%. It was 31% among the 137 children (aged two to six years) and 17% among adults (n=18). The consumption of rice pudding was significantly associated with disease. Among those who ate rice pudding, the attack rate was 36%, compared with 0% for non-eaters (relative risk infinite, p<0.001, aetiological fraction 100%), but differed significantly between kindergartens A (43%), B (61%) and C (3%), probably because groups were served from different pots. Bacillus cereus sensu stricto was identified from one vomit sample. The clinical and epidemiological characteristics suggest that B. cereus emetic toxin (cereulide) was the causative agent, although it could not be proven in the single vomit isolate. Inadequate food handling most probably led to the outbreak. Single-portion ready-to-eat rice pudding was recommended for subsequent excursions and no further cases of food poisoning occurred.
Assuntos
Buscar no Google
Coleções: 01-internacional Contexto em Saúde: 3_ND Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Bacillus cereus / Vômito / Surtos de Doenças / Doenças Transmitidas por Alimentos Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Child / Child, preschool / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Euro Surveill Ano de publicação: 2011 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Contexto em Saúde: 3_ND Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Bacillus cereus / Vômito / Surtos de Doenças / Doenças Transmitidas por Alimentos Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Child / Child, preschool / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Euro Surveill Ano de publicação: 2011 Tipo de documento: Article