[Food poisoning outbreak caused by Salmonella Enteritidis in the northwest of São Paulo State, Brazil].
A foodborne outbreak which affected 211 persons occurred, in a School, in 1993. The epidemiological data obtained by interviewing the affected and non affected persons sampled showed as predominant symptoms: diarrhoea, fever (77.7%), abdominal cramps (67.7%), vomiting (65.8%), hot-and-cold sensations (54.5%) and headache (44.5%). The median incubation period was of 17 hours, the limits being 3 and 29 hours. The disease period was of from 3 to 4 days. The food concerned was a kind of paté, a mayonnaise mixture prepared with fresh eggs with boiled potatoes that was consumed with bread. The biological material analysis-3 coprocultures, and leftovers of the food revealed the presence of one and the same organism: Salmonella Enteritidis. In the food, the numbers of this bacterium per gram were sufficient to account for the manifestation of the disease (10(4) and 10(5)g). The antibiogram of all th isolates showed the same sensibility pattern. The preparation related to this outbreak suggests the endogenous contamination of the eggs; the cross contamination-the outbreak affected three school periods, as the food was prepared separately for each school period; and the conditions under which the food was kept during the time from preparation to consumption. The observation of the 3 food handlers, by successive coprocultures, for one week, indicates that they were not asymptomatic carriers nor were they affected as a result of this outbreak by the causal bacteria.
Instituto Adolfo Lutz, São José do Rio Preto, Brasil.
M
M
Kaku
J T
JT
Peresi
A T
AT
Tavechio
S A
SA
Fernandes
A B
AB
Batista
I A
IA
Castanheira
G M
GM
Garcia
K
K
Irino
D S
DS
Gelli
D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D001939:Bread / Q000382:microbiology; D002648:Child; D004196:Disease Outbreaks; D004531:Eggs / Q000382:microbiology; D005243:Feces / Q000382:microbiology; D005260:Female; D005506:Food Contamination; D005516:Food Microbiology; D006801:Humans; D008297:Male; D012478:Salmonella Food Poisoning / Q000453:epidemiology*; D012477:Salmonella enteritidis / Q000302:isolation & purification*
Surto alimentar por Salmonella Enteritidis no Noroeste do Estado de São Paulo, Brasil.