Multiple outbreaks of Yersinia pseudotuberculosis infections in Finland

Katri Jalava1, S Hallanvuo, U-M Nakari

  • 1Communicable Disease Surveillance Centre, Health Protection Agency, 61 Colindale Ave., NW9 5EQ London, United Kingdom. katri.jalava@hpa.org.uk

Insights

In 2001, Finland reported 89 Yersinia pseudotuberculosis infections, primarily serotype O:1. Eating outside the home was identified as a significant risk factor for this bacterial infection.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Epidemiology

Background:

  • Yersinia pseudotuberculosis is a bacterial pathogen causing pseudotuberculosis in humans and animals.
  • Surveillance of Yersinia infections is crucial for public health, especially in identifying transmission routes.

Purpose of the Study:

  • To characterize the epidemiology and molecular profiles of Yersinia pseudotuberculosis infections in Finland during 2001.
  • To identify risk factors associated with Yersinia pseudotuberculosis infection through a case-control study.

Main Methods:

  • Culture-confirmed Yersinia pseudotuberculosis cases reported in Finland in 2001 were analyzed.
  • Serotyping was performed to determine the distribution of O:1 and O:3 serotypes.
  • Pulsed-field gel electrophoresis (PFGE) was used for molecular subtyping.
  • A case-control study compared 25 infected patients with 71 healthy controls.

Main Results:

  • A total of 89 Yersinia pseudotuberculosis cases were reported.
  • Serotype O:1 accounted for 62% of cases, and serotype O:3 for 38%.
  • Four distinct PFGE profiles were identified among the isolates.
  • Eating outside the home emerged as a significant risk factor (odds ratio not specified).

Conclusions:

  • Yersinia pseudotuberculosis infections in Finland in 2001 showed a predominance of serotype O:1.
  • Molecular typing revealed limited diversity in circulating strains.
  • Out-of-home dining represents a key environmental risk factor for acquiring Yersinia pseudotuberculosis infection, highlighting the need for food safety measures.

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