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In September 2014, an outbreak of gastroenteritis was reported to the Public Health Institute of Šibenik and Knin County in Croatia. The outbreak occurred in the County center of Šibenik, a town with 50,000 inhabitants, and it lasted for 12days. An epidemiological investigation suggested a nearby water spring as the source of the outbreak. Due to the temporary closure of the public water supply system, the inhabitants started to use untreated water from a nearby spring. Microbiological analysis revealed that the outbreak was caused by Salmonella enterica subsp. enterica serovar Enteritidis that was isolated from stool samples of the patients and ground water. The isolates were further analysed with pulsed-field gel electrophoresis using XbaI, which revealed an identical macrorestriction profile. Although 68 cases were reported, it was estimated that the actual number of affected persons was more than several hundred. In order to prevent further spread of disease, public advice was released immediately after the first epidemiological indication and a warning sign was placed at the incriminated water source, after microbiological confirmation. It is necessary to regularly monitor microbiological quality of ground water especially in urban areas and provide adequate education and awareness to the inhabitants regarding the risk of using untreated ground water.

Titel:	Ground water as the source of an outbreak of Salmonella Enteritidis.
Autor/in / Beteiligte Person:	Kovačić, A ; Huljev, Ž ; Sušić, E
Link:	Zum Volltext
Zeitschrift:	Journal of epidemiology and global health, Jg. 7 (2017-09-01), Heft 3, S. 181
Veröffentlichung:	2021- : [Cham] : Springer ; <i>Original Publication</i>: Amsterdam : Elsevier, [2011]-, 2017
Medientyp:	academicJournal
ISSN:	2210-6014 (electronic)
DOI:	10.1016/j.jegh.2017.05.001
Schlagwort:	Adult Croatia epidemiology Electrophoresis, Gel, Pulsed-Field methods Female Humans Male Water Quality standards Water Supply methods Water Supply standards Disease Outbreaks prevention & control Environmental Monitoring methods Gastroenteritis diagnosis Gastroenteritis epidemiology Gastroenteritis microbiology Gastroenteritis prevention & control Groundwater analysis Groundwater microbiology Salmonella Infections diagnosis Salmonella Infections epidemiology Salmonella Infections etiology Salmonella Infections prevention & control Salmonella enteritidis isolation & purification
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Epidemiol Glob Health] 2017 Sep; Vol. 7 (3), pp. 181-184. <i>Date of Electronic Publication: </i>2017 May 22. MeSH Terms: Gastroenteritis* / diagnosis ; Gastroenteritis* / epidemiology ; Gastroenteritis* / microbiology ; Gastroenteritis* / prevention & control ; Groundwater* / analysis ; Groundwater* / microbiology ; Salmonella Infections* / diagnosis ; Salmonella Infections* / epidemiology ; Salmonella Infections* / etiology ; Salmonella Infections* / prevention & control ; Disease Outbreaks / prevention & control ; Environmental Monitoring / methods ; Salmonella enteritidis / *isolation & purification ; Adult ; Croatia / epidemiology ; Electrophoresis, Gel, Pulsed-Field / methods ; Female ; Humans ; Male ; Water Quality / standards ; Water Supply / methods ; Water Supply / standards References: Epidemiol Infect. 2006 Dec;134(6):1141-9. (PMID: 16690002) ; MMWR Morb Mortal Wkly Rep. 2015 Aug 14;64(31):842-8. (PMID: 26270059) ; Foodborne Pathog Dis. 2016 Oct;13(10):551-558. (PMID: 27400147) ; Int J Environ Health Res. 2005 Aug;15(4):243-62. (PMID: 16175741) ; Foodborne Pathog Dis. 2006 Spring;3(1):59-67. (PMID: 16602980) ; Toxicology. 2004 May 20;198(1-3):229-38. (PMID: 15138046) ; Appl Environ Microbiol. 2013 Jul;79(14):4199-209. (PMID: 23624479) ; Int J Hyg Environ Health. 2011 Jun;214(3):258-64. (PMID: 21316302) ; J Appl Microbiol. 2003;94 Suppl:37S-46S. (PMID: 12675935) ; Epidemiol Infect. 2009 Mar;137(3):434-40. (PMID: 18687158) ; J Prev Med Public Health. 2012 Jan;45(1):1-7. (PMID: 22389752) ; Crit Rev Microbiol. 2002;28(4):371-409. (PMID: 12546197) ; Int J Environ Health Res. 2012;22(2):150-5. (PMID: 21916661) ; Appl Environ Microbiol. 2011 Apr;77(8):2734-48. (PMID: 21378057) Contributed Indexing: Keywords: Genotyping; Ground water; Pulsed-field gel electrophoresis; Salmonella Enteritidis; Water contamination Entry Date(s): Date Created: 20170801 Date Completed: 20180507 Latest Revision: 20200729 Update Code: 20231215 PubMed Central ID: PMC7320451

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Ground water as the source of an outbreak of Salmonella Enteritidis.