Serological studies in two outbreaks of Campylobacter jejuni infection

Two outbreaks of campylobacter enteritis in residential student populations are described. In the first outbreak, 34 of 240 students in one hall of residence became ill over the course of 4 or 5 days. A single serotype of C. jejuni was isolated from sample of faeces. Sera collected demonstrated that the students had little pre-existing antibody and antibody responses were demonstrated in those who were infected. About 30% of students with serological evidence for infection with C. jejuni did not have gastro-intestinal symptoms. In the second outbreak, 77 of 300 agricultural students developed symptoms over a period of 3 weeks. Unpasteurized milk was the source of infection. Two serotypes of C. jejuni were isolated from faeces. Antibody responses were detected to both these serotypes and to another serotype, suggesting the presence of at least 3 serotypes in the milk. Bactericidal antibody consistent with recent infection was found in all students with symptoms and in 63% of students in the absence of symptoms, indicating the possible development of immunity. The high prevalence of antibody in these students was correlated with the habitual consumption of unpasteurized milk.