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Detection and Isolation of Campylobacter spp. from Raw Meat
Published on: February 23, 2024
An outbreak of Salmonella München in Germany associated with raw pork meat
U Buchholz1, B Brodhun, S O Brockmann
1Department for Infectious Disease Epidemiology, Robert Koch-Institute, Seestrasse 10, 13353 Berlin, Germany. buchholzu@who.int
Abstract:
In summer 2001, an outbreak of Salmonella München occurred in Germany. We conducted descriptive epidemiology and hypothesis-generating interviews among case patients, two retrospective cohort studies, and a case-control study of suboutbreaks. We performed pulsed-field gel electrophoresis (PFGE) from selected patient isolates and a limited trace-back investigation for analytical purposes. Four states were consecutively affected: Saxonia (SX), Brandenburg (BB), Berlin (BE), and Baden-Württemberg (BW). Although hypothesis-generating interviews failed to identify a plausible food item, descriptive data and investigations of the suboutbreaks suggested pork meat as a probable source in three states (SX, BB, and BE) but not in BW. The PFGE profiles from isolates of case patients in the first three states were indistinguishable but differed from PFGE profiles of case patients in BW. Trace-back investigation suggested that contamination of pork meat occurred early in the rearing-production chain. This outbreak demonstrates how contamination early in the production process that can yield different end products may complicate multistate outbreaks. Investigation of suboutbreaks and use of the trace-back method as investigational tools may be useful adjuncts in solving the problem of multistate outbreaks.
Insights
A 2001 Salmonella München outbreak in Germany was linked to pork meat contamination early in the production chain. Different PFGE profiles in one state suggest distinct contamination events complicated this multistate foodborne illness outbreak.
Area of Science:
- Foodborne illness epidemiology
- Microbial source tracking
- Public health surveillance
Background:
- An outbreak of Salmonella München occurred in Germany during the summer of 2001, affecting multiple states.
- Initial investigations faced challenges in identifying a specific food source.
Purpose of the Study:
- To investigate the epidemiology of the Salmonella München outbreak.
- To identify the source and transmission routes of the outbreak.
- To analyze the complexities of multistate foodborne outbreaks.
Main Methods:
- Descriptive epidemiology and hypothesis-generating interviews.
- Retrospective cohort studies and a case-control study of suboutbreaks.
- Pulsed-field gel electrophoresis (PFGE) for isolate typing and trace-back investigations.
Main Results:
- Four German states were consecutively affected: Saxonia, Brandenburg, Berlin, and Baden-Württemberg.
- Pork meat was identified as a probable source in three states (Saxonia, Brandenburg, Berlin), but not in Baden-Württemberg.
- PFGE profiles indicated distinct contamination events, with isolates from Baden-Württemberg differing from those in the other three states.
Conclusions:
- Contamination early in the pork production chain likely caused the outbreak.
- Multistate outbreaks can be complicated by contamination events yielding different end products.
- Investigating suboutbreaks and employing trace-back methods are valuable for solving complex multistate outbreaks.
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