Healthcare-associated foodborne outbreaks in high-income countries: a literature review and surveillance study, 16 OEDC countries, 2001 to 2019
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Healthcare-associated foodborne outbreaks in high-income countries : a literature review and surveillance study, 16 OEDC countries, 2001 to 2019. / Boone, Idesbald; Rosner, Bettina; Lachmann, Raskit; D'Errico, Michele Luca; Iannetti, Luigi; Van der Stede, Yves; Boelaert, Frank; Ethelberg, Steen; Eckmanns, Tim; Stark, Klaus; Haller, Sebastian; Wilking, Hendrik.
I: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, Bind 26, Nr. 41, 2021.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Healthcare-associated foodborne outbreaks in high-income countries
T2 - a literature review and surveillance study, 16 OEDC countries, 2001 to 2019
AU - Boone, Idesbald
AU - Rosner, Bettina
AU - Lachmann, Raskit
AU - D'Errico, Michele Luca
AU - Iannetti, Luigi
AU - Van der Stede, Yves
AU - Boelaert, Frank
AU - Ethelberg, Steen
AU - Eckmanns, Tim
AU - Stark, Klaus
AU - Haller, Sebastian
AU - Wilking, Hendrik
PY - 2021
Y1 - 2021
N2 - BackgroundHealthcare-associated foodborne outbreaks (HA-FBO) may have severe consequences, especially in vulnerable groups.AimThe aim was to describe the current state of HA-FBO and propose public health recommendations for prevention.MethodsWe searched PubMed, the Outbreak Database (Charité, University Medicine Berlin), and hand-searched reference lists for HA-FBO with outbreak onset between 2001 and 2018 from Organisation for Economic Co-operation and Development (OECD) countries and HA-FBO (2012-2018) from the German surveillance system. Additionally, data from the European Food Safety Authority were analysed.ResultsThe literature search retrieved 57 HA-FBO from 16 OECD countries, primarily in the US (n = 11), Germany (n = 11) and the United Kingdom (n = 9). In addition, 28 HA-FBO were retrieved from the German surveillance system. Based on the number of outbreaks, the top three pathogens associated with the overall 85 HA-FBO were Salmonella (n = 24), norovirus (n = 22) and Listeria monocytogenes (n = 19). Based on the number of deaths, L. monocytogenes was the main pathogen causing HA-FBO. Frequently reported implicated foods were 'mixed foods' (n = 16), 'vegetables and fruits' (n = 15) and 'meat and meat products' (n = 10). Consumption of high-risk food by vulnerable patients, inadequate time-temperature control, insufficient kitchen hygiene and food hygiene and carriers of pathogens among food handlers were reported as reasons for HA-FBO.ConclusionTo prevent HA-FBO, the supply of high-risk food to vulnerable people should be avoided. Well working outbreak surveillance facilitates early detection and requires close interdisciplinary collaboration and exchange of information between hospitals, food safety and public health authorities.
AB - BackgroundHealthcare-associated foodborne outbreaks (HA-FBO) may have severe consequences, especially in vulnerable groups.AimThe aim was to describe the current state of HA-FBO and propose public health recommendations for prevention.MethodsWe searched PubMed, the Outbreak Database (Charité, University Medicine Berlin), and hand-searched reference lists for HA-FBO with outbreak onset between 2001 and 2018 from Organisation for Economic Co-operation and Development (OECD) countries and HA-FBO (2012-2018) from the German surveillance system. Additionally, data from the European Food Safety Authority were analysed.ResultsThe literature search retrieved 57 HA-FBO from 16 OECD countries, primarily in the US (n = 11), Germany (n = 11) and the United Kingdom (n = 9). In addition, 28 HA-FBO were retrieved from the German surveillance system. Based on the number of outbreaks, the top three pathogens associated with the overall 85 HA-FBO were Salmonella (n = 24), norovirus (n = 22) and Listeria monocytogenes (n = 19). Based on the number of deaths, L. monocytogenes was the main pathogen causing HA-FBO. Frequently reported implicated foods were 'mixed foods' (n = 16), 'vegetables and fruits' (n = 15) and 'meat and meat products' (n = 10). Consumption of high-risk food by vulnerable patients, inadequate time-temperature control, insufficient kitchen hygiene and food hygiene and carriers of pathogens among food handlers were reported as reasons for HA-FBO.ConclusionTo prevent HA-FBO, the supply of high-risk food to vulnerable people should be avoided. Well working outbreak surveillance facilitates early detection and requires close interdisciplinary collaboration and exchange of information between hospitals, food safety and public health authorities.
KW - food hygiene
KW - foodborne outbreaks
KW - healthcare-associated infections
KW - Listeria monocytogenes
KW - Norovirus
KW - Salmonella
U2 - 10.2807/1560-7917.ES.2021.26.41.2001278
DO - 10.2807/1560-7917.ES.2021.26.41.2001278
M3 - Review
C2 - 34651575
AN - SCOPUS:85118520886
VL - 26
JO - Eurosurveillance
JF - Eurosurveillance
SN - 1025-496X
IS - 41
ER -
ID: 286496422