Investigation of an international outbreak of multidrug-resistant monophasic Salmonella Typhimurium associated with chocolate products, EU/EEA and United Kingdom, February to April 2022Sante Publique France, Direction des Maladies Infectieuses Unité EAZ, Paris, France.
Sante Publique France, Direction des Maladies Infectieuses Unité EAZ, Paris, France.
Clinical and Protecting Health Directorate, Public Health Scotland, Glasgow, United Kingdom.
Robert Koch Institute, Department of Infectious Disease Epidemiology FG 35 - Gastrointestinal Infections, Zoonoses and Tropical Infections, Berlin, Germany.
Robert Koch Institute, Department of Infectious Diseases, Unit for Enteropathogenic Bacteria and Legionella / National Reference Centre for Salmonella and other Bacterial Enterics, Wernigerode, Germany.
Robert Koch Institute, Department of Infectious Disease Epidemiology FG 35 - Gastrointestinal Infections, Zoonoses and Tropical Infections, Berlin, Germany.
Public Health Agency of Sweden, Unit for Zoonoses and Antibiotic Resistance, Stockholm, Sweden.
Public Health Agency of Sweden, Unit for laboratory surveillance of bacterial pathogens, Stockholm, Sweden.
Epidemiology of infectious diseases, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium.
Epidemiology of infectious diseases, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
National Reference Centre for Salmonella and Shigella, Sciensano, Brussels, Belgium.
National Institute for Public Health and the Environment (RIVM), Centre for Infectious Disease Control, Bilthoven, Netherlands.
National Institute for Public Health and the Environment (RIVM), Centre for Infectious Disease Control, Bilthoven, Netherlands.
Health Inspection, Health Directorate, Luxembourg.
Laboratoire National de Santé, Epidemiology and Microbial Genomics, Dudelange, Luxembourg.
Health Inspection, Health Directorate, Luxembourg.
Department of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, Norway.
Department of Infection Control and Preparedness, Norwegian Institute of Public Health, Oslo, Norway.
HSE -Health Protection Surveillance Centre, Dublin, Ireland.
HSE -Health Protection Surveillance Centre, Dublin, Ireland; ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Instituto de Salud Carlos III. Centro Nacional de Microbiología, Madrid, Spain.
Instituto de Salud Carlos III. CIBER epidemiología y salud pública. Madrid, Spain.
Specialist Scientific Reference Service (Salmonella), Gastrointestinal Bacteria Reference Unit, UK Health Security Agency, London, United Kingdom.
Institut Pasteur, Université Paris Cité, Centre National de Référence des E. coli, Shigella et Salmonella, Unité des Bactéries pathogènes entériques, Paris, France.
Scottish Microbiology Reference Laboratories, Glasgow, United Kingdom.
HSE -Health Protection Surveillance Centre, Dublin, Ireland.
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2022 (English)In: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 27, no 15, article id 2200314Article in journal (Refereed) Published
Abstract [en]
An extensive multi-country outbreak of multidrug-resistant monophasic Salmonella Typhimurium infection in 10 countries with 150 reported cases, predominantly affecting young children, has been linked to chocolate products produced by a large multinational company. Extensive withdrawals and recalls of multiple product lines have been undertaken. With Easter approaching, widespread product distribution and the vulnerability of the affected population, early and effective real-time sharing of microbiological and epidemiological information has been of critical importance in effectively managing this serious food-borne incident.
Place, publisher, year, edition, pages
European Centre for Disease Prevention and Control , 2022. Vol. 27, no 15, article id 2200314
Keywords [en]
Monophasic Salmonella Typhimurium, antimicrobial resistance profile, chocolate products, core-genome multi locus sequence typing, descriptive epidemiological evidence, multi-country collaboration, outbreak, whole genome sequencing
National Category
Food Science Microbiology
Identifiers
URN: urn:nbn:se:oru:diva-107641DOI: 10.2807/1560-7917.ES.2022.27.15.2200314ISI: 000795038000002PubMedID: 35426359Scopus ID: 2-s2.0-85128259696OAI: oai:DiVA.org:oru-107641DiVA, id: diva2:1788367
2023-08-162023-08-162023-12-29Bibliographically approved