title: Outbreaks of monophasic Salmonella enterica serovar 4,[5],12:i:- in Luxembourg, 2006.
abstract: A monophasic Salmonella enterica serovar 4,[5],12:i:- phage type DT193 emerged as the dominant serovar in Luxembourg in 2006, when it caused two major outbreaks involving 133 laboratory-confirmed human cases, 24 hospitalisations, and one death. The outbreak strain had an uncommon pulsed-field gel electrophoresis pattern STYMXB.0031 and antibiotic resistance profile ASSuT. A high proportion of cases were clustered in institutions for the elderly and in day-care centers. Strains identical to the outbreak strain were recovered from two control meals, a nappy changing table, retail sausages and caecal porcine samples at an abattoir. Locally produced pork meat is strongly suspected to have been the vehicle for the outbreaks, although the precise mechanisms remain unclear.
authors.affiliation: Microbiology Unit, Laboratoire National de Santé (National Health Laboratory, LNS) Luxembourg. Joel.Mossong@lns.etat.lu
authors.forename: J
authors.initials: J
authors.lastname: Mossong
authors.forename: P
authors.initials: P
authors.lastname: Marques
authors.forename: C
authors.initials: C
authors.lastname: Ragimbeau
authors.forename: P
authors.initials: P
authors.lastname: Huberty-Krau
authors.forename: S
authors.initials: S
authors.lastname: Losch
authors.forename: G
authors.initials: G
authors.lastname: Meyer
authors.forename: G
authors.initials: G
authors.lastname: Moris
authors.forename: C
authors.initials: C
authors.lastname: Strottner
authors.forename: W
authors.initials: W
authors.lastname: Rabsch
authors.forename: F
authors.initials: F
authors.lastname: Schneider
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005260:Female; D005506:Food Contamination / Q000706:statistics & numerical data*; D005759:Gastroenteritis / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D015994:Incidence; D008189:Luxembourg / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D012478:Salmonella Food Poisoning / Q000453:epidemiology* / Q000382:microbiology; D019779:Salmonella enterica / Q000302:isolation & purification*