Epidemiological and microbiological investigation of a large increase in vibriosis, northern Europe, 2018.
Euro Surveill
; 27(28)2022 07.
Article
em En
| MEDLINE
| ID: mdl-35837965
ABSTRACT
BackgroundVibriosis cases in Northern European countries and countries bordering the Baltic Sea increased during heatwaves in 2014 and 2018.AimWe describe the epidemiology of vibriosis and the genetic diversity of Vibrio spp. isolates from Norway, Sweden, Denmark, Finland, Poland and Estonia in 2018, a year with an exceptionally warm summer.MethodsIn a retrospective study, we analysed demographics, geographical distribution, seasonality, causative species and severity of non-travel-related vibriosis cases in 2018. Data sources included surveillance systems, national laboratory notification databases and/or nationwide surveys to public health microbiology laboratories. Moreover, we performed whole genome sequencing and multilocus sequence typing of available isolates from 2014 to 2018 to map their genetic diversity.ResultsIn 2018, we identified 445 non-travel-related vibriosis cases in the study countries, considerably more than the median of 126 cases between 2014 and 2017 (range 87-272). The main reported mode of transmission was exposure to seawater. We observed a species-specific geographical disparity of vibriosis cases across the Nordic-Baltic region. Severe vibriosis was associated with infections caused by Vibrio vulnificus (adjOR 17.2; 95% CI 3.3-90.5) or Vibrio parahaemolyticus (adjOR 2.1; 95% CI 1.0-4.5), age ≥ 65 years (65-79 years adjOR 3.9; 95% CI 1.7-8.7; ≥â¯80 years adjOR 15.5; 95% CI 4.4-54.3) or acquiring infections during summer (adjOR 5.1; 95% CI 2.4-10.9). Although phylogenetic analysis revealed diversity between Vibrio spp. isolates, two V. vulnificus clusters were identified.ConclusionShared sentinel surveillance for vibriosis during summer may be valuable to monitor this emerging public health issue.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Vibrioses
/
Vibrio parahaemolyticus
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Euro Surveill
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Noruega