Tweet
Euro Surveill. Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008
Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008 (Euro Surveill., abstract, edited)
[Source: Eurosurveillance, full text: <cite cite="http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19838">Eurosurveillance - View Article</cite>. Abstract, edited.]
Eurosurveillance, Volume 16, Issue 14, 07 April 2011
Surveillance and outbreak reports
Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008
K De Schrijver 1,2, S Bertrand 3,4, I Guti?rrez Garitano 5,6, D Van den Branden 1, J Van Schaeren 7
1. Department of Infectious Disease Control, Antwerp, Belgium
2. Department of Epidemiology and Social Medicine, University of Antwerp, Belgium
3. National Reference Centre for Salmonella and Shigella, Scientific Institute of Public Health, Brussels, Belgium
4. Operational Direction for Transmissible and Infectious Diseases, Scientific Institute of Public Health, Brussels, Belgium
5. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, Stockholm, Sweden
6. Operational Direction for Surveillance and Public Health, Scientific Institute of Public Health, Brussels, Belgium
7. Laboratory of Microbiology Sint Vincentius, Antwerp, Belgium
Citation style for this article: De Schrijver K, Bertrand S, Guti?rrez Garitano I, Van den Branden D, Van Schaeren J. Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008. Euro Surveill. 2011;16(14):pii=19838. Available online: http://www.eurosurveillance.org/View...rticleId=19838
Date of submission: 29 October 2010
In the beginning of April 2008 three cases of Shigella sonnei infection were identified among the Orthodox Jewish community of Antwerp, Belgium. We conducted a descriptive study and a household cohort study to identify potential risk factors. Stool samples were cultured and antibiotic susceptibility of the isolates was determined. Between April and August 2008, 42 cases were registered. All characterised isolates (n=20) shared an identical pulsed-field gel electrophoresis profile and were indistinguishable from one of the twelve main strains detected in Israel in 2008, where the index case's father had stayed before the outbreak. The secondary attack rate in households was 8.5% (95% confidence interval (CI): 4.3?12.7). Multivariate analysis identified the following risk factors for secondary spread: households with more than three children (adjusted relative risk (RR): 9.17; 95% CI: 1.21?69.13), children younger than five years (adjusted RR: 5.45; 95% CI: 2.44?12.62), and children younger than 12 years assisting in washing younger siblings (adjusted RR: 5.45; 95% CI: 2.44?12.17). Rigorous hand washing, use of disposable towels, information for parents and caregivers, and exclusion of symptomatic children from day care, preschool and school for a minimum of 48 hours were implemented.
-
------<cite cite="http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19838"></cite>
[Source: Eurosurveillance, full text: <cite cite="http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19838">Eurosurveillance - View Article</cite>. Abstract, edited.]
Eurosurveillance, Volume 16, Issue 14, 07 April 2011
Surveillance and outbreak reports
Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008
K De Schrijver 1,2, S Bertrand 3,4, I Guti?rrez Garitano 5,6, D Van den Branden 1, J Van Schaeren 7
1. Department of Infectious Disease Control, Antwerp, Belgium
2. Department of Epidemiology and Social Medicine, University of Antwerp, Belgium
3. National Reference Centre for Salmonella and Shigella, Scientific Institute of Public Health, Brussels, Belgium
4. Operational Direction for Transmissible and Infectious Diseases, Scientific Institute of Public Health, Brussels, Belgium
5. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, Stockholm, Sweden
6. Operational Direction for Surveillance and Public Health, Scientific Institute of Public Health, Brussels, Belgium
7. Laboratory of Microbiology Sint Vincentius, Antwerp, Belgium
Citation style for this article: De Schrijver K, Bertrand S, Guti?rrez Garitano I, Van den Branden D, Van Schaeren J. Outbreak of Shigella sonnei infections in the Orthodox Jewish community of Antwerp, Belgium, April to August 2008. Euro Surveill. 2011;16(14):pii=19838. Available online: http://www.eurosurveillance.org/View...rticleId=19838
Date of submission: 29 October 2010
In the beginning of April 2008 three cases of Shigella sonnei infection were identified among the Orthodox Jewish community of Antwerp, Belgium. We conducted a descriptive study and a household cohort study to identify potential risk factors. Stool samples were cultured and antibiotic susceptibility of the isolates was determined. Between April and August 2008, 42 cases were registered. All characterised isolates (n=20) shared an identical pulsed-field gel electrophoresis profile and were indistinguishable from one of the twelve main strains detected in Israel in 2008, where the index case's father had stayed before the outbreak. The secondary attack rate in households was 8.5% (95% confidence interval (CI): 4.3?12.7). Multivariate analysis identified the following risk factors for secondary spread: households with more than three children (adjusted relative risk (RR): 9.17; 95% CI: 1.21?69.13), children younger than five years (adjusted RR: 5.45; 95% CI: 2.44?12.62), and children younger than 12 years assisting in washing younger siblings (adjusted RR: 5.45; 95% CI: 2.44?12.17). Rigorous hand washing, use of disposable towels, information for parents and caregivers, and exclusion of symptomatic children from day care, preschool and school for a minimum of 48 hours were implemented.
-
------<cite cite="http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19838"></cite>