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Abstract

Background

Vibriosis cases in Northern European countries and countries bordering the Baltic Sea increased during heatwaves in 2014 and 2018.

Aim

We describe the epidemiology of vibriosis and the genetic diversity of spp. isolates from Norway, Sweden, Denmark, Finland, Poland and Estonia in 2018, a year with an exceptionally warm summer.

Methods

In a retrospective study, we analysed demographics, geographical distribution, seasonality, causative species and severity of non-travel-related vibriosis cases in 2018. Data sources included surveillance systems, national laboratory notification databases and/or nationwide surveys to public health microbiology laboratories. Moreover, we performed whole genome sequencing and multilocus sequence typing of available isolates from 2014 to 2018 to map their genetic diversity.

Results

In 2018, we identified 445 non-travel-related vibriosis cases in the study countries, considerably more than the median of 126 cases between 2014 and 2017 (range: 87–272). The main reported mode of transmission was exposure to seawater. We observed a species-specific geographical disparity of vibriosis cases across the Nordic-Baltic region. Severe vibriosis was associated with infections caused by (adjOR: 17.2; 95% CI: 3.3–90.5) or (adjOR: 2.1; 95% CI: 1.0–4.5), age ≥ 65 years (65–79 years: adjOR: 3.9; 95% CI: 1.7–8.7; ≥ 80 years: adjOR: 15.5; 95% CI: 4.4–54.3) or acquiring infections during summer (adjOR: 5.1; 95% CI: 2.4–10.9). Although phylogenetic analysis revealed diversity between spp. isolates, two clusters were identified.

Conclusion

Shared sentinel surveillance for vibriosis during summer may be valuable to monitor this emerging public health issue.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
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2022-07-14
2024-11-24
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2022.27.28.2101088
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Epidemiological and microbiological investigation of a large increase in vibriosis, northern Europe, 2018
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Ettore+Amato&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Amato Ettore</a>, <a href="/search?value1=Maximilian+Riess&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Riess Maximilian</a>, <a href="/search?value1=Daniel+Thomas-Lopez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Thomas-Lopez Daniel</a>, <a href="/search?value1=Marius+Linkevicius&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Linkevicius Marius</a>, <a href="/search?value1=Tarja+Pitk%C3%A4nen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pitkänen Tarja</a>, <a href="/search?value1=Tomasz+Wo%C5%82kowicz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wołkowicz Tomasz</a>, <a href="/search?value1=Jelena+Rjabinina&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rjabinina Jelena</a>, <a href="/search?value1=Cecilia+Jernberg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jernberg Cecilia</a>, <a href="/search?value1=Marika+Hjertqvist&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hjertqvist Marika</a>, <a href="/search?value1=Emily+MacDonald&option1=author&noRedirect=true" class="nonDisambigAuthorLink">MacDonald Emily</a>, <a href="/search?value1=Jeevan+Karloss+Antony-Samy&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Antony-Samy Jeevan Karloss</a>, <a href="/search?value1=Karsten+Dalsgaard+Bjerre&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Dalsgaard Bjerre Karsten</a>, <a href="/search?value1=Saara+Salmenlinna&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Salmenlinna Saara</a>, <a href="/search?value1=Kurt+Fuursted&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Fuursted Kurt</a>, <a href="/search?value1=Anette+Hansen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hansen Anette</a>, <a href="/search?value1=Umaer+Naseer&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Naseer Umaer</a></span>. Epidemiological and microbiological investigation of a large increase in vibriosis, northern Europe, 2018. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(28):pii=2101088. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.28.2101088" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.28.2101088</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 22 Nov 2021;&nbsp;&nbsp; <span class="generated">Accepted</span>: 28 Mar 2022 </span> </p>
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