Outbreak of Salmonella Bovismorbificans associated with the consumption of uncooked ham products, the Netherlands, 2016 to 2017.
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Authors
Brandwagt, Diederikvan den Wijngaard, Cees
Tulen, Anna Dolores
Mulder, Annemieke Christine
Hofhuis, Agnetha
Jacobs, Rianne
Heck, Max
Verbruggen, Anjo
van den Kerkhof, Hans
Slegers-Fitz-James, Ife
Mughini-Gras, Lapo
Franz, Eelco
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en
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Outbreak of Salmonella Bovismorbificans associated with the consumption of uncooked ham products, the Netherlands, 2016 to 2017.Published in
Euro Surveill 2018; 23(1)Publiekssamenvatting
In January 2017, an increase in reported Salmonellaenterica serotype Bovismorbificans cases in the Netherlands was observed since October 2016. We implemented a case-control study to identify the source, including all cases after December 2016. Adjusted odds ratios were calculated using logistic regression analysis. We traced back the distribution chain of suspected food items and sampled them for microbiological analysis. Human and food isolates were sequenced using whole genome sequencing (WGS). From October 2016 to March 2017, 54 S. Bovismorbificans cases were identified. Sequencing indicated that all were infected with identical strains. Twenty-four cases and 37 controls participated in the study. Cases were more likely to have consumed ham products than controls (aOR = 13; 95% CI: 2.0-77) and to have shopped at a supermarket chain (aOR = 7; 95% CI: 1.3-38). Trace-back investigations led to a Belgian meat processor: one retail ham sample originating from this processor tested positive for S. Bovismorbificans and matched the outbreak strain by WGS. All ham products related to the same batch were removed from the market to prevent further cases. This investigation illustrates the importance of laboratory surveillance for all Salmonella serotypes and the usefulness of WGS in an outbreak investigation.PMID
29317018ae974a485f413a2113503eed53cd6c53
10.2807/1560-7917.ES.2018.23.1.17-00335
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