Document Detail

A food-borne streptococcal sore throat outbreak in a small community.
MedLine Citation:
PMID:  17148066     Owner:  NLM     Status:  MEDLINE    
Beta-haemolytic group A streptococci (GAS) is a common cause of sore throat, usually spread person-to-person. Outbreaks related to infected food have more seldom been reported. The bacteria may originate from the throat or from wounds on the hands of persons handling the food. An outbreak in Sätila, Sweden, in April/May 2003 involving 153 individuals who fell ill after eating contaminated 'sandwich-layer cakes' was investigated in a descriptive, retrospective cohort study. Questionnaires were distributed, one immediately after the outbreak and one 3 months later. The average attack rate was 72%. 143 individuals sought medical care and 137 were treated with antibiotics. 76 individuals were ill for more than 4 days. GAS isolates of identical T-type were obtained from the throats of the patients, wounds on the caterer's fingers and also from the cakes. PFGE banding patterns of 14 representative isolates were identical, as well as the emm-sequence type, emm 89, of 3 chosen isolates. The study shows that GAS from a small wound on a finger can cause illness in a large number of individuals. To prevent further outbreaks, it is important to increase public awareness of this type of transmission.
Inger Asteberg; Yvonne Andersson; Leif Dotevall; Monika Ericsson; Jessica Darenberg; Birgitta Henriques-Nordmark; Ann Söderström
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of infectious diseases     Volume:  38     ISSN:  0036-5548     ISO Abbreviation:  Scand. J. Infect. Dis.     Publication Date:  2006  
Date Detail:
Created Date:  2006-12-06     Completed Date:  2007-01-30     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0215333     Medline TA:  Scand J Infect Dis     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  988-94     Citation Subset:  IM    
Unit for Communicable Disease Control, Västra Götalandsregionen, Stockholm, Sweden.
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MeSH Terms
Cohort Studies
Disease Outbreaks*
Electrophoresis, Gel, Pulsed-Field
Food Handling / methods*
Food Microbiology
Foodborne Diseases / etiology*
Pharyngitis / drug therapy,  epidemiology*,  microbiology
Retrospective Studies
Streptococcal Infections / drug therapy,  epidemiology*,  transmission
Streptococcus pyogenes / isolation & purification*
Sweden / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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