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Garvey P, McKeown P, Kelly P, Cormican M, Anderson W, Flack A, Barron S, De Lappe N, Buckley J, Cosgrove C, Molloy D, O' Connor J, O' Sullivan P, Matthews J, Ward M, Breslin A, O' Sullivan MB, Kelleher K, McNamara A, Foley-Nolan C, Pelly H, Cloak F. Investigation and management of an outbreak of Salmonella Typhimurium DT8 associated with duck eggs, Ireland 2009 to 2011. Euro Surveill 2013; 18:20454. [PMID: 23611032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
Salmonella Typhimurium DT8 was a very rare cause of human illness in Ireland between 2000 and 2008, with only four human isolates from three patients being identified. Over a 19-month period between August 2009 and February 2011, 34 confirmed cases and one probable case of Salmonella Typhimurium DT8 were detected, all of which had an MLVA pattern 2-10-NA-12-212 or a closely related pattern. The epidemiological investigations strongly supported a linkbetween illness and exposure to duck eggs. Moreover, S. Typhimurium with an MLVA pattern indistinguishable (or closely related) to the isolates from human cases, was identified in 22 commercial and backyard duck flocks, twelve of which were linked with known human cases. A range of control measures were taken at farm level, and advice was provided to consumers on the hygienic handling and cooking of duck eggs. Although no definitive link was established with a concurrent duck egg-related outbreak of S. Typhimurium DT8 in the United Kingdom, it seems likely that the two events were related. It may be appropriate for other countries with a tradition of consuming duck eggs to consider the need for measures to reduce the risk of similar outbreaks.
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Affiliation(s)
- P Garvey
- Health Protection Surveillance Centre, Dublin, Ireland.
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Garvey P, McKeown P, Kelly P, Cormican M, Anderson W, Flack A, Barron S, De Lappe N, Buckley J, Cosgrove C, Molloy D, O’Connor J, O’Sullivan P, Matthews J, Ward M, Breslin A, O’Sullivan MB, Kelleher K, McNamara A, Foley-Nolan C, Pelly H, Cloak F, Outbreak control team C. Investigation and management of an outbreak of Salmonella Typhimurium DT8 associated with duck eggs, Ireland 2009 to 2011. Euro Surveill 2013. [DOI: 10.2807/ese.18.16.20454-en] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
>Salmonella Typhimurium DT8 was a very rare cause of human illness in Ireland between 2000 and 2008, with only four human isolates from three patients being identified. Over a 19-month period between August 2009 and February 2011, 34 confirmed cases and one probable case of Salmonella Typhimurium DT8 were detected, all of which had an MLVA pattern 2-10-NA-12-212 or a closely related pattern. The epidemiological investigations strongly supported a link between illness and exposure to duck eggs. Moreover, S. Typhimurium with an MLVA pattern indistinguishable (or closely related) to the isolates from human cases, was identified in 22 commercial and backyard duck flocks, twelve of which were linked with known human cases. A range of control measures were taken at farm level, and advice was provided to consumers on the hygienic handling and cooking of duck eggs. Although no definitive link was established with a concurrent duck egg-related outbreak of S. Typhimurium DT8 in the United Kingdom, it seems likely that the two events were related. It may be appropriate for other countries with a tradition of consuming duck eggs to consider the need for measures to reduce the risk of similar outbreaks.
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Affiliation(s)
- P Garvey
- Health Protection Surveillance Centre, Dublin, Ireland
| | - P McKeown
- Health Protection Surveillance Centre, Dublin, Ireland
| | - P Kelly
- Irish Department of Agriculture, Food and the Marine, Dublin, Ireland
| | - M Cormican
- National Salmonella, Shigella and Listeria Reference Laboratory, Medical Microbiology Department, University Hospital Galway, Galway, Ireland
| | - W Anderson
- Food Safety Authority of Ireland, Dublin, Ireland
| | - A Flack
- Irish Department of Agriculture, Food and the Marine, Dublin, Ireland
| | - S Barron
- Irish Department of Agriculture, Food and the Marine, Dublin, Ireland
| | - N De Lappe
- National Salmonella, Shigella and Listeria Reference Laboratory, Medical Microbiology Department, University Hospital Galway, Galway, Ireland
| | - J Buckley
- Veterinary Department, Cork County Council, Cork, Ireland
| | - C Cosgrove
- Health Service Executive, Communicable Disease Unit of the Environmental Health Service, Blanchardstown Dublin, Ireland
| | - D Molloy
- Health Service Executive, Communicable Disease Unit of the Environmental Health Service, Blanchardstown Dublin, Ireland
| | - J O’Connor
- National Salmonella, Shigella and Listeria Reference Laboratory, Medical Microbiology Department, University Hospital Galway, Galway, Ireland
| | - P O’Sullivan
- Department of Public Health, Health Service Executive Mid-West, Department of Public Health, HSE West, Limerick, Ireland
| | - J Matthews
- Food Safety Authority of Ireland, Dublin, Ireland
| | - M Ward
- Department of Public Health, Health Service Executive East, Dr Steeven's Hospital, Dublin, Irelan
| | - A Breslin
- Department of Public Health Medicine, Health Service Executive North West, Sligo, Ireland
| | - M B O’Sullivan
- Department of Public Health, Health Service Executive South, Wilton, Cork, Ireland
| | - K Kelleher
- National Office for Health Protection, Health Service Executive Offices, Limerick, Ireland
| | - A McNamara
- Department of Public Health, Health Service Executive Dublin/Mid-Leinster, Tullamore Co. Offaly, Ireland
| | | | - H Pelly
- Department of Public Health, Health Service Executive West, Merlin Park Hospital, Galway, Ireland
| | - F Cloak
- Health Protection Surveillance Centre, Dublin, Ireland
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Morris D, Pelly H, O'Connell E, Hanahoe B, Chambers C, Biernacka K, Gray S, Cormican M. Outbreak of extended spectrum beta-lactamase producing Escherichia coli in a long stay facility in Ireland. J Infect 2007. [DOI: 10.1016/j.jinf.2007.04.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pelly H, Morris D, O'Connell E, Hanahoe B, Chambers C, Biernacka K, Gray S, Cormican M. Outbreak of extended spectrum beta-lactamase producing E. coli in a nursing home in Ireland, May 2006. ACTA ACUST UNITED AC 2006; 11:E060831.1. [PMID: 16966793 DOI: 10.2807/esw.11.35.03036-en] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
In May 2006, a consultant microbiologist noted two isolates of extended spectrum beta-lactamase (ESBL)-producing Escherichia coli associated with urinary tract infections in a single week in two residents in a nursing home in Ireland
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Affiliation(s)
- H Pelly
- Department Public Health, Merlin Park Hospital, Galway, Ireland.
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Abstract
The objective of this survey was to obtain an indication of the size of the methicillin-resistant Staphylococcus aureus (MRSA) problem in Ireland prior to introducing national MRSA control guidelines. A survey of all microbiology laboratories in Ireland was carried out over two weeks in Spring 1995. For patients from whom MRSA was isolated during the study period standard demographic and clinical data were requested and period prevalence/1000 discharges was calculated. All 45 microbiology laboratories surveyed responded. MRSA was isolated from 448 patients during the two-week period. The period prevalence of MRSA was 16.5/1000 discharges. Males aged > or = 65 had the highest rate (50/1000 discharges). Half of all isolates were from patients in surgical or medical wards, but 4% were from community-based sources such as GPs, nursing homes and hospices. Thirty-two percent of MRSA patients were infected rather than colonized. MRSA is clearly a significant problem in Ireland. While it is largely a hospital problem at present, the increasing trend towards day procedures and shorter hospital stay means that infection will increase in the community.
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Affiliation(s)
- Z Johnson
- Health Information Unit, Eastern Health Board, Dublin, Ireland
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