ESTÜDAM Halk Sağlığı Dergisi

Yazarlar: Demet Börekçi, Gürcan Paracıklı, Serap Çetin Çoban, Fehminaz Temel

Konular:Tıp

DOI:10.35232/estudamhsd.486751

Anahtar Kelimeler:Foodborne Diseases,Staphylococcus aureus,Bacillus cereus,Outbreaks

Özet: On 13–14 November 2014 an outbreak associated with consumption of dinner prepared in the same kitchen resulted in intoxication of 121 persons out of 310 in three dormitories in Kayseri Province, Turkey.  We conducted a retrospective cohort investigation to identify the cause and to implement the control measures. Probable case was “Onset on 13 November 2014 of ≥1 of the symptoms of nausea, vomiting, abdominal pain, and diarrhoea among persons who ate dinner in three dormitories. We conducted face-to-face interviews with 285 persons. Nasal swabs from food handlers, drinking water samples and food samples were tested for pathogens. Males were affected two times more than females (RR=1.6, 95%CI:1.3–2.1). We  analyzed data by  logistic regression in a model controlling chicken drumstick consumption and sex. People who ate full serve of mashed potatoes developed illness four times more  (ORadj=3.6; 95% CI:1.6–7.8);  and who ate half serve of mashed potatoes developed illness three times more than non-exposed (ORadj=3.4; 95% CI:1.3–8.7). Staphylococcus aureus enterotoxin and Bacillus cereus was identified from the leftover mashed potatoes. In conclusion this outbreak was likely due to contaminated mashed potatoes. This outbreak is caused by mashed potatoes contaminated with Staphylococcal enterotoxin and Bacillus cereus. As public health actions arrangements in kitchen were done according to the regulations. Money penalty was given to dormitory. Food handlers were trained on certificate of hygiene.

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