1887
  1. Home
  2. Eurosurveillance
  3. Volume 29, Issue 19, 09/May/2024
  4. Article
Outbreaks Open Access
Like 0
Download

Abstract

is a bacterium widely distributed in the environment. Listeriosis is a severe disease associated with high hospitalisation and mortality rates. In April 2019, listeriosis was diagnosed in two hospital patients in Finland. We conducted a descriptive study to identify the source of the infection and defined a case as a person with a laboratory-confirmed serogroup IIa sequence type (ST) 37. Six cases with ST 37 were notified to the Finnish Infectious Diseases Registry between 2015 and 2019. Patient interviews and hospital menus were used to target traceback investigation of the implicated foods. In 2021 and 2022, similar ST 37 was detected from samples of a ready-to-eat plant-based food product including fava beans. Inspections by the manufacturer and the local food control authority indicated that the food products were contaminated with after pasteurisation. Our investigation highlights the importance that companies producing plant-based food are subject to similar controls as those producing food of animal origin. Hospital menus can be a useful source of information that is not dependent on patient recall.

© Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2024.29.19.2300488
2024-05-09
2024-12-22
/content/10.2807/1560-7917.ES.2024.29.19.2300488
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/29/19/eurosurv-29-19_1.html?itemId=/content/10.2807/1560-7917.ES.2024.29.19.2300488&mimeType=html&fmt=ahah

References

  1. European Centre for Disease Prevention and Control (ECDC). Listeriosis. Stockholm: ECDC. [Accessed: 4 Apr 2023]. Available from: https://www.ecdc.europa.eu/en/listeriosis
  2. Swaminathan B, Gerner-Smidt P. The epidemiology of human listeriosis. Microbes Infect. 2007;9(10):1236-43.  https://doi.org/10.1016/j.micinf.2007.05.011  PMID: 17720602 
  3. Allerberger F, Wagner M. Listeriosis: a resurgent foodborne infection. Clin Microbiol Infect. 2010;16(1):16-23.  https://doi.org/10.1111/j.1469-0691.2009.03109.x  PMID: 20002687 
  4. European Food Safety AuthorityEuropean Centre for Disease Prevention and Control. The European Union One Health 2021 Zoonoses Report. EFSA J. 2022;20(12):e07666. PMID: 36524203 
  5. Silk BJ, McCoy MH, Iwamoto M, Griffin PM. Foodborne listeriosis acquired in hospitals. Clin Infect Dis. 2014;59(4):532-40.  https://doi.org/10.1093/cid/ciu365  PMID: 24846635 
  6. Lachmann R, Halbedel S, Adler M, Becker N, Allerberger F, Holzer A, et al. Nationwide outbreak of invasive listeriosis associated with consumption of meat products in health care facilities, Germany, 2014-2019. Clin Microbiol Infect. 2021;27(7):1035.e1-5.  https://doi.org/10.1016/j.cmi.2020.09.020  PMID: 32979571 
  7. Mazengia E, Kawakami V, Rietberg K, Kay M, Wyman P, Skilton C, et al. Hospital-acquired listeriosis linked to a persistently contaminated milkshake machine. Epidemiol Infect. 2017;145(5):857-63.  https://doi.org/10.1017/S0950268816003198  PMID: 28065212 
  8. Najjar Z, Gupta L, Sintchenko V, Shadbolt C, Wang Q, Bansal N. Listeriosis cluster in Sydney linked to hospital food. Med J Aust. 2015;202(8):448-9.  https://doi.org/10.5694/mja14.00913  PMID: 25929511 
  9. Jacks A, Pihlajasaari A, Vahe M, Myntti A, Kaukoranta SS, Elomaa N, et al. Outbreak of hospital-acquired gastroenteritis and invasive infection caused by Listeria monocytogenes, Finland, 2012. Epidemiol Infect. 2016;144(13):2732-42.  https://doi.org/10.1017/S0950268815002563  PMID: 26493730 
  10. Little CL, Amar CFL, Awofisayo A, Grant KA. Hospital-acquired listeriosis associated with sandwiches in the UK: a cause for concern. J Hosp Infect. 2012;82(1):13-8.  https://doi.org/10.1016/j.jhin.2012.06.011  PMID: 22868087 
  11. Winter CH, Brockmann SO, Sonnentag SR, Schaupp T, Prager R, Hof H, et al. Prolonged hospital and community-based listeriosis outbreak caused by ready-to-eat scalded sausages. J Hosp Infect. 2009;73(2):121-8.  https://doi.org/10.1016/j.jhin.2009.06.011  PMID: 19716628 
  12. Lyytikäinen O, Autio T, Maijala R, Ruutu P, Honkanen-Buzalski T, Miettinen M, et al. An outbreak of Listeria monocytogenes serotype 3a infections from butter in Finland. J Infect Dis. 2000;181(5):1838-41.  https://doi.org/10.1086/315453  PMID: 10823797 
  13. Suominen K, Jaakola S, Salmenlinna S, Simola M, Wallgren S, Hakkinen M, et al. Invasive listeriosis in Finland: surveillance and cluster investigations, 2011-2021. Epidemiol Infect. 2023;151:e118.  https://doi.org/10.1017/S0950268823001073  PMID: 37424309 
  14. European Parliament. Regulation (EU) 2017/625 of the European Parliament and of the Council of 15 March 2017 on official controls and other official activities performed to ensure the application of food and feed law, rules on animal health and welfare, plant health and plant protection products, amending Regulations (EC) No 999/2001, (EC) No 396/2005, (EC) No 1069/2009, (EC) No 1107/2009, (EU) No 1151/2012, (EU) No 652/2014, (EU) 2016/429 and (EU) 2016/2031 of the European Parliament and of the Council, Council Regulations (EC) No 1/2005 and (EC) No 1099/2009 and Council Directives 98/58/EC, 1999/74/EC, 2007/43/EC, 2008/119/EC and 2008/120/EC, and repealing Regulations (EC) No 854/2004 and (EC) No 882/2004 of the European Parliament and of the Council, Council Directives 89/608/EEC, 89/662/EEC, 90/425/EEC, 91/496/EEC, 96/23/EC, 96/93/EC and 97/78/ EC and Council Decision 92/438/EEC (Official Controls Regulation). Official Journal of the European Union. Luxembourg: Publications Office of the European Union, 7.4. 2017:L 95. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32017R0625
  15. European Commission (EC). Commission regulation (EC) No 2073/2005 of 15 November 2005 on microbiological criteria for foodstuffs. Official Journal of the European Union. Luxembourg: Publications Office of the European Union, 22.12.2005: L 338. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=OJ:L:2005:338:FULL
  16. Finnish Food Authority (FFA). Laboratories designated by Finnish Food Authority. Helsinki: FFA; 5 Nov 2023. Available from: https://www.ruokavirasto.fi/en/laboratory-services/designated-laboratories/#about-designated-official-laboratories
  17. Liu Z, Shaposhnikov M, Zhuang S, Tu T, Wang H, Wang L. Growth and survival of common spoilage and pathogenic bacteria in ground beef and plant-based meat analogues. Food Res Int. 2023;164:112408.  https://doi.org/10.1016/j.foodres.2022.112408  PMID: 36737989 
  18. Elsner HA, Tenschert W, Fischer L, Kaulfers PM. Nosocomial infections by Listeria monocytogenes: analysis of a cluster of septicemias in immunocompromised patients. Infection. 1997;25(3):135-9.  https://doi.org/10.1007/BF02113599  PMID: 9181378 
  19. Lamarche C, Iliuta IA, Kitzler T. Infectious disease risk in dialysis patients: a transdisciplinary approach. Can J Kidney Health Dis. 2019;6:2054358119839080.  https://doi.org/10.1177/2054358119839080  PMID: 31065378 
  20. Finnish Food Authority (FFA). General instructions on safe use of foodstuffs. Helsinki: FFA; Aug 2022. Available from: https://www.ruokavirasto.fi/globalassets/henkiloasiakkaat/tietoa-elintarvikkeista/turvallisen-kayton-ohjeet/valmis-26.8.2022_turvallisen-kayton-ohjeet_ruokavirasto-englanti.pdf
  21. Kljujev I, Raicevic V, Jovicic-Petrovic J, Vujovic B, Mirkovic M, Rothballer M. Listeria monocytogenes - Danger for health safety vegetable production. Microb Pathog. 2018;120:23-31.  https://doi.org/10.1016/j.micpath.2018.04.034  PMID: 29684542 
  22. Guan H, Sun Y, Hou W, Zhao W, Wang P, Zhao S, et al. Infection behavior of Listeria monocytogenes on iceberg lettuce (Lactuca sativa var. capitata). Food Res Int. 2023;165:112487.  https://doi.org/10.1016/j.foodres.2023.112487  PMID: 36869448 
  23. Dechet AM, Herman KM, Chen Parker C, Taormina P, Johanson J, Tauxe RV, et al. Outbreaks caused by sprouts, United States, 1998-2010: lessons learned and solutions needed. Foodborne Pathog Dis. 2014;11(8):635-44.  https://doi.org/10.1089/fpd.2013.1705  PMID: 25076040 
  24. Ntshanka Z, Ekundayo TC, du Plessis EM, Korsten L, Okoh AI. Occurrence and molecular characterization of multidrug-resistant vegetable-borne Listeria monocytogenes isolates. Antibiotics (Basel). 2022;11(10):1353.  https://doi.org/10.3390/antibiotics11101353  PMID: 36290011 
  25. EFSA Panel on Biological Hazards (BIOHAZ)Ricci A, Allende A, Bolton D, Chemaly M, Davies R, et al. Listeria monocytogenes contamination of ready-to-eat foods and the risk for human health in the EU. EFSA J. 2018;16(1):e05134. https://doi.org/10.2903/j.efsa.2018.5134  PMID: 32760461 
  26. Finnish Food Authority (FFA). Elintarvikkeiden mikrobiologiset vaatimukset - Ohje elintarvikealan toimijoille. [Microbiological requirements of foodstuffs - Guide for food business operators]. Helsinki: FFA; 2 Jan 2024. Finnish. Available from: https://www.ruokavirasto.fi/elintarvikkeet/oppaat/elintarvikkeiden-mikrobiologiset-vaatimukset---ohje-elintarvikealan-toimijoille/elintarvikkeiden-mikrobiologiset-vaatimukset---ohje-elintarvikealan-toimijoille/
  27. Maijala R, Lyytikäinen O, Autio T, Aalto T, Haavisto L, Honkanen-Buzalski T. Exposure of Listeria monocytogenes within an epidemic caused by butter in Finland. Int J Food Microbiol. 2001;70(1-2):97-109.  https://doi.org/10.1016/S0168-1605(01)00532-3  PMID: 11759767 
  28. Pouillot R, Klontz KC, Chen Y, Burall LS, Macarisin D, Doyle M, et al. Infectious dose of Listeria monocytogenes in outbreak linked to ice cream, United States, 2015. Emerg Infect Dis. 2016;22(12):2113-9.  https://doi.org/10.3201/eid2212.160165  PMID: 27869595 
  29. Food and Agriculture Organization (FAO). Guidelines on the application of general principles of food hygiene to the control of Listeria monocytogenes in foods. Rome: FAO; 2007. Available from: https://www.fao.org/fao-who-codexalimentarius/codex-texts/guidelines/en/
  30. Health Canada. Policy on Listeria monocytogenes in ready-to-eat foods (2023): Overview. Ottawa: Health Canada; 16 Nov 2023. Available from: https://www.canada.ca/en/health-canada/services/food-nutrition/legislation-guidelines/policies/listeria-monocytogenes-ready-eat-foods.html
  31. Shank FR, Elliot EL, Wachsmuth IK, Losikoff ME. US position on Listeria monocytogenes in foods. Food Control. 1996;7(4-5):229-34.  https://doi.org/10.1016/S0956-7135(96)00041-2 
  32. Statens Serum Institut (SSI). Listeria 2019-2022. Copenhagen: SSI; 26 Sep 2023. Available from: https://en.ssi.dk/surveillance-and-preparedness/surveillance-in-denmark/annual-reports-on-disease-incidence/listeria-2019-2022
  33. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2017. EFSA J. 2018;16(12):e05500. https://doi.org/10.2903/j.efsa.2018.5500  PMID: 32625785 
  34. Nakari UM, Rantala L, Pihlajasaari A, Toikkanen S, Johansson T, Hellsten C, et al. Investigation of increased listeriosis revealed two fishery production plants with persistent Listeria contamination in Finland in 2010. Epidemiol Infect. 2014;142(11):2261-9.  https://doi.org/10.1017/S095026881300349X  PMID: 24476659 
  35. Finlex. Elintarvikelaki 297/2021. [Food Law 297/2021]. Helsinki: Finlex; 21 Apr 2021. Finnish. Available from: https://www.finlex.fi/fi/laki/smur/2021/20210297
  36. The Pew Charitable Trusts. A guide for conducting a food safety root cause analysis. Pennsylvania: The Pew Charitable Trusts; Mar 2020. Available from: https://www.pewtrusts.org/-/media/assets/2020/03/guide_for_conducting_food_safety_root_cause_analysis_report.pdf
  37. Finnish Food Authority (FFA) and Finnish Institute for Health and Welfare. (THL). Listeriaohje suurkeittiöille. [Guidance on listeria for institutional kitchens]. Helsinki: FFA, 15 Jul 2020. Finnish. Available from: https://www.ruokavirasto.fi/globalassets/henkiloasiakkaat/tietoa-elintarvikkeista/2020_07_listeriaohje_suurkeittioille_fi.pdf
  38. Cokes C, France AM, Reddy V, Hanson H, Lee L, Kornstein L, et al. Serving high-risk foods in a high-risk setting: survey of hospital food service practices after an outbreak of listeriosis in a hospital. Infect Control Hosp Epidemiol. 2011;32(4):380-6.  https://doi.org/10.1086/658943  PMID: 21460490 
Outbreak of Listeria monocytogenes in hospital linked to a fava bean product, Finland, 2015 to 2019
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Eveline++Otte+im+Kampe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Otte im Kampe Eveline </a>, <a href="/search?value1=Saara+Salmenlinna&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Salmenlinna Saara</a>, <a href="/search?value1=Riikka+%C3%85berg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Åberg Riikka</a>, <a href="/search?value1=Suvi+Wallgren&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wallgren Suvi</a>, <a href="/search?value1=Maria+Hautaniemi&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Hautaniemi Maria</a>, <a href="/search?value1=Satu+Keronen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Keronen Satu</a>, <a href="/search?value1=Elina+Leinonen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Leinonen Elina</a>, <a href="/search?value1=Annika+Pihlajasaari&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pihlajasaari Annika</a>, <a href="/search?value1=Eeva+Ruotsalainen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ruotsalainen Eeva</a>, <a href="/search?value1=Anna+Sarvela&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sarvela Anna</a>, <a href="/search?value1=Ruska+Rimhanen-Finne&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rimhanen-Finne Ruska</a></span>. Outbreak of Listeria monocytogenes in hospital linked to a fava bean product, Finland, 2015 to 2019. <a href="/content/ecdc">Euro Surveill.</a> 2024;29(19):pii=2300488. <a href="https://doi.org/10.2807/1560-7917.ES.2024.29.19.2300488" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2024.29.19.2300488</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 08 Sept 2023;&nbsp;&nbsp; <span class="generated">Accepted</span>: 26 Feb 2024 </span> </p>
/content/10.2807/1560-7917.ES.2024.29.19.2300488
/content/10.2807/1560-7917.ES.2024.29.19.2300488
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error