Investigation of a staphylococcal food poisoning outbreak combining case–control, traditional typing and whole genome sequencing methods, Luxembourg, June 2014

In June 2014, a staphylococcal food poisoning outbreak occurred at an international equine sports event in Luxembourg requiring the hospitalisation of 31 persons. We conducted a microbiological investigation of patients and buffet items, a case-control study and a carriage study of catering staff. Isolates of Staphylococcus aureus from patients, food and catering staff were characterised and compared using traditional typing methods and whole genome sequencing. Genotypically identical strains (sequence type ST8, spa-type t024, MLVA-type 4698, enterotoxin A FRI100) were isolated in 10 patients,... Mehr ...

Verfasser: Mossong, Joël
DeCruyenaere, Frédéric
Moris, Gilbert
Ragimbeau, Catherine
Olinger, Christophe
Johler, Sophia
Perrin, Monique
Hau, Patrick
Weicherding, Pierre
Dokumenttyp: Journal article
Erscheinungsdatum: 2015
Verlag/Hrsg.: Centre Europeen pour la Surveillance Epidemiologique du SIDA
Schlagwörter: Institute of Food Safety and Hygiene / 570 Life sciences / biology / 610 Medicine & health / Luxembourg / Staphylococcus aureus / Whole genome sequencing / case–control study / colonisation / food poisoning
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29099108
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://www.zora.uzh.ch/id/eprint/122083/

In June 2014, a staphylococcal food poisoning outbreak occurred at an international equine sports event in Luxembourg requiring the hospitalisation of 31 persons. We conducted a microbiological investigation of patients and buffet items, a case-control study and a carriage study of catering staff. Isolates of Staphylococcus aureus from patients, food and catering staff were characterised and compared using traditional typing methods and whole genome sequencing. Genotypically identical strains (sequence type ST8, spa-type t024, MLVA-type 4698, enterotoxin A FRI100) were isolated in 10 patients, shiitake mushrooms, cured ham, and in three members of staff. The case-control study strongly suggested pasta salad with pesto as the vehicle of infection (p<0.001), but this food item could not be tested, because there were no leftovers. Additional enterotoxigenic strains genetically unrelated to the outbreak strain were found in four members of staff. Non-enterotoxigenic strains with livestock-associated sequence type ST398 were isolated from three food items and two members of staff. The main cause of the outbreak is likely to have been not maintaining the cold chain after food preparation. Whole genome sequencing resulted in phylogenetic clustering which concurred with traditional typing while simultaneously characterising virulence and resistance traits.