Overview of basic epidemiological characteristics and descriptive analysis of the incidence of human yersiniosis in the Czech Republic in 2018–2020
Authors:
M. Špačková 1
; O. Daniel 2,3; P. Klimešová 2; Z. Ileninová 2
Authors place of work:
Oddělení epidemiologie infekčních nemocí, Centrum epidemiologie a mikrobiologie, Státní zdravotní ústav Praha
1; Oddělení stafylokokových a alimentárních bakteriálních infekcí, Centrum epidemiologie a mikrobiologie, Státní zdravotní ústav Praha
2; Univerzita Karlova, 2. lékařská fakulta, Praha
3
Published in the journal:
Epidemiol. Mikrobiol. Imunol. 71, 2022, č. 1, s. 32-39
Category:
Original Papers
Summary
Objective: The aim was to provide an overview of the basic epidemiological characteristics of human yersiniosis and to analyze the reported epidemiological data on the incidence of this disease in the Czech Republic (CZ) in 2018–2020.
Methods: A descriptive analysis was performed of cases of yersiniosis captured in the Infectious Disease Information System (ISIN) in the CZ in 2018–2020. MS Excel 2010 was used for data processing and sorting.
Results: In the CZ, a total of 1,686 cases of yersiniosis were reported in 2018–2020 (average annual incidence of 5/100,000 population). The highest average age-specific incidence was recorded in the age group 1–4 years (31.3/100,000), followed by 0-year-olds (26.9/100,000). In the study period, 942 cases were male and 744 cases were female, with the respective incidences of 6.0 /100,000 and 4.6/100,000. By administrative region, the highest average annual incidences were recorded in the South Moravian (9.1/100,000) and Moravian-Silesian (7.5/100,000) Regions. Hospital admission was required for 14.3% (n = 241) of reported cases. No death or outbreak was reported during the study period. A total of 31 cases were imported from usual recreational destinations. No seasonality was detected in the CZ; however, more cases always occur in January and in the second half of the year. Over the last three years, a stagnant trend in the incidence of the disease has been observed in the CZ.
Conclusions: In 2018 and 2019, yersiniosis (caused by Y. enterocolitica and rarely Y. pseudotuberculosis) was the fourth most commonly reported zoonosis in humans in the European Union (EU), with a stable trend in 2014–2019. The CZ reports an incidence up to three times higher but a 2.5 lower share of hospitalized patients compared to the EU average, which probably indicates that the CZ has an effective surveillance system in place. The trend in the incidence of the disease has stagnated in the CZ and the EU in recent years. The most common vehicle for transmission of yersiniosis to humans is contaminated food, especially undercooked pork, less often vegetables or water. Contamination of products from home slaughtered animals intended for private consumption is likely and would also explain the increased incidence of the disease, particularly in the winter months.
Keywords:
Czech Republic – Yersinia enterocolitica – Y. pseudotuberculosis – yersiniosis – waterborne and foodborne infections – diarrheal diseases
Zdroje
1. Galindo CL, Rosenzweig JA, Kirtley ML, et al. Pathogenesis of Y. enterocolitica and Y. pseudotuberculosis in Human Yersiniosis. J Pathog., 2011;182051.
2. Long C, Jones TF, Vugia DJ, et al. Yersinia pseudotuberculosis and Y. enterocolitica infections, FoodNet, 1996–2007. Emerg Infect Dis., 2010;16(3):566–567.
3. European Centre for Disease Prevention and Control. Yersiniosis. In: ECDC. Annual epidemiological report for 2019. Stockholm: ECDC; 2021.
4. European Centre for Disease Prevention and Control. The Surveillance Atlas of Infectious Diseases [online]. 2017 [cit. 2020-10-05]; Dostupné na www: https://www.ecdc.europa.eu/ en/surveillance-atlas-infectious-diseases.
5. Adeolu M, Alnajar S, Naushad S et al. Genome-based phylogeny and taxonomy of the ‚Enterobacteriales‘: proposal for Enterobacterales ord. nov. divided into the families Enterobacteriaceae, Erwiniaceae fam. nov., Pectobacteriaceae fam. nov., Yersiniaceae fam. nov., Hafniaceae fam. nov., Morganellaceae fam. nov., and Budviciaceae fam. nov. Int J Syst Evol Microbiol., 2016;66(12):5575–5599.
6. Le Guern A-S, Savin C, Angermeier H, et al. Yersinia artesiana sp. nov., Yersinia proxima sp. nov., Yersinia alsatica sp. nov., Yersina vastinensis sp. nov., Yersinia thracica sp. nov. and Yersinia occitanica sp. nov., isolated from humans and animals. Int J Syst Evol Microbiol., 2020;70(10):5363–5372.
7. Leibniz Institute DSMZ. LPSN – List of Prokaryotic names with Standing in Nomenclature. 2020 [cit. 2020-12-06]; Dostupné na www: https://lpsn.dsmz.de/genus/yersinia.
8. Bottone EJ. Yersinia enterocolitica: revisitation of an enduring human pathogen. Clin Microbiol Newsletter, 2015;37(1):1–8.
9. Aldová E. Standardní metody laboratorní diagnostiky nákaz vyvolaných druhem Yersinia enterocolitica. Acta hygienica, epidemiologica et microbiologica, 1981; Příloha č. 6/1981.
10. Keto-Timonen R, Pöntinen A, Aalto-Araneda M, et al. Growth of Yersinia pseudotuberculosis strains at different temperatures, pH values, and NaCl and ethanol concentrations. J Food Prot., 2018;81(1):142–149.
11. Guan TT, Holley RA. Pathogen survival in swine manure environments and transmission of human enteric illness – a review. J Environ Qual., 2003;32(2):383–392.
12. de W Blackburn C, McClure PJ. Characteristics of the genus Yersinia. In: Foodborne pathogens (second edition): hazards, risk analysis and control. Foodborne Pathogens Hazards, Risk Analysis and Control. Woodhead Publishing Series in Food Science, Technology and Nutrition. 2009, ISBN: 9781845696337.
13. Wauters G, Kandolo K, Janssens M. Revised biogrouping scheme of Yersinia enterocolitica. Contrib Microbiol Immunol., 1987;9:14–21.
14. Neubauer H, Hensel A, Aleksic S, et al. Identification of Yersinia enterocolitica within the genus Yersinia. Syst Appl Microbiol., 2000;23(1):58–62.
15. Fredriksson-Ahomaa M, Cernela N, Hächler H, et al. Yersinia enterocolitica strains associated with human infections in Switzerland 2001–2010. Eur J Clin Microbiol Infect Dis., 2012;31(7):1543– 1550.
16. Rastawicki W, Szych J, Gierczyński R, et al. A dramatic increase of Yersinia enterocolitica serogroup O:8 infections in Poland. Eur J Clin Microbiol Infect Dis., 2009;28(5):535–537.
17. Le Guern A-S, Martin L, Savin C, et al. Yersiniosis in France: overview and potential sources of infection. Int J Infect Dis., 2016;46:1–7.
18. Fredriksson‐Ahomaa M, Meyer C, Bonke R, et al. Characterization of Yersinia enterocolitica 4/O:3 isolates from tonsils of Bavarian slaughter pigs. Lett Appl Microbiol., 2010;50(4):412–418.
19. von Altrock A, Roesler U, Waldmann K-H. Herd factors associated with the serological Yersinia prevalence in fattening pig herds. Foodborne Pathog Dis., 2011;8(12):1249–1255.
20. Kingry LC, Tarr CL, Petersen JM. Yersinia In: Manual of Clinical Microbiology, K.C. Carroll and M.A. Pfaller, Editors. Washington: ASM Press; 2019. ISBN: 978-1-555-81983-5.
21. Fredriksson-Ahomaa M. Isolation of enteropathogenic Yersinia from non-human sources. Adv Exp Med Biol., 2012;954:97–105.
22. Bari M, Hossain MA, Isshiki K, et al. Behavior of Yersinia enterocolitica in Foods. J Pathog., 2011;42073223.
23. Felin E, Hälli O, Heinonen M, et al. Assessment of the feasibility of serological monitoring and on-farm information about health status for the future meat inspection of fattening pigs. Prev Vet Med., 2019;162:76–82.
24. Toivanen P, Olkkonen L, Toivanen A, et al. Hospital outbreak of Yersinia enterocolitica infection. Lancet, 1973;1(7807):801–803.
25. Frati P, Busardò FP, Di Stefano MA, et al. A fatal case of post-transfusion sepsis caused by Yersinia enterocolitica after delivery. Blood Transfus., 2015;13(3):528–531.
26. Guinet F, Carniel E, Leclercq A. Transfusion-transmitted Yersinia enterocolitica sepsis. Clin Infect Dis., 2011;53(6):583–591.
27. Wunderink HF, Oostvogel PM, Frénay IH, et al. Difficulties in diagnosing terminal ileitis due to Yersinia pseudotuberculosis. Eur J Clin Microbiol Infect Dis., 2014;33(2):197–200.
28. Stephan R, Cernela N, Ziegler D, et al. Rapid species specific identification and subtyping of Yersinia enterocolitica by MALDI-TOF mass spectrometry. J Microbiol Methods, 2011;87(2):150–153.
29. Garzetti D, Susen R, Fruth A, et al. A molecular scheme for Yersinia enterocolitica patho-serotyping derived from genome-wide analysis. Int J Med Microbiol., 2014;304(3-4):275–283.
30. European Centre for Disease Prevention and Control. Yersiniosis. In: ECDC. Annual epidemiological report for 2018. Stockholm: ECDC; 2019.
31. Šrédl K, Prášilová M, Severová L, et al. Social and economic aspects of sustainable development of livestock production and meat consumption in the Czech Republic. Agriculture, 2021;11(2):102.
32. Martinez PO, Fredriksson-Ahomaa M, Pallotti A, et al. Variation in the prevalence of enteropathogenic Yersinia in slaughter pigs from Belgium, Italy, and Spain. Foodborne Pathog Dis., 2011;8(3):445–450.
33. Proroková Z. Mikrobiologická (ne)bezpečnost zvěřiny [online]. Pardubice, 2020 [cit. 2021-09-15]. Dostupné na www: https://theses. cz/id/nk7ck5/. Bakalářská práce. Univerzita Pardubice, Fakulta chemicko-technologická. Vedoucí práce Ing. David Šilha, Ph.D.
34. Tan LK, Ooi PT, Thong KL. Prevalence of Yersinia enterocolitica from food and pigs in selected states of Malaysia. Food control, 2014;35(1):94–100.
35. Tauxe RV. Salad and pseudoappendicitis: Yersinia pseudotuberculosis as a foodborne pathogen. J Infect Dis., 2004;189(5):761–763.
36. Vasala M, Hallanvuo S, Ruuska P, et al. High frequency of reactive arthritis in adults after Yersinia pseudotuberculosis O: 1 outbreak caused by contaminated grated carrots. Ann Rheum Dis., 2014;73(10):1793–1796.
37. Boelaert F, Stoicescu A, Amore G, et al. The European Union One Health 2019 Zoonoses Report. EFSA J, 2021;19(2).
38. European Food Safety Authority, European Centre for Disease Prevention Control. The European Union one health 2018 zoonoses report. EFSA J, 2019;17(12):e05926.
39. Espenhain L, Riess M, Müller L, et al. Cross-border outbreak of Yersinia enterocolitica O3 associated with imported fresh spinach, Sweden and Denmark, March 2019. Euro Surveill., 2019;24(24):1900368.
40. Huovinen E, Sihvonen LM, Virtanen MJ, et al. Symptoms and sources of Yersinia enterocolitica-infection: a case-control study. BMC Infect Dis., 2010;10(1):1–9.
41. Parůžková P. Enteropatogenní Yersinia spp. – detekce, charakterizace a zdroje pro člověka [online]. Brno, 2014 [cit. 2021-09-15]. Dostupné na www: https://is.muni.cz/th/ywz27/. Bakalářská práce. Masarykova univerzita, Přírodovědecká fakulta. Vedoucí práce Alena Lorencová.
42. Lorencová A, Verbíková V, Michná V, et al. Výskyt enteropatogenních yersinií u prasat divokých v České republice. Maso, 2015(4).
43. Lorencova A, Babak V, Lamka J. Serological prevalence of enteropathogenic Yersinia spp. in pigs and wild boars from different production systems in the Moravian region, Czech Republic. Foodborne Pathog Dis., 2016;13(5):275–279.
44. Syczyło K, Platt-Samoraj A, Bancerz-Kisiel A, et al. The prevalence of Yersinia enterocolitica in game animals in Poland. PLoS One, 2018;13(3):e0195136.
45. Bancerz-Kisiel A, Szweda W. Yersiniosis-a zoonotic foodborne disease of relevance to public health. Ann Agric Environ Med., 2015;22(3).
Štítky
Hygiene and epidemiology Medical virology Clinical microbiologyČlánok vyšiel v časopise
Epidemiology, Microbiology, Immunology
2022 Číslo 1
Najčítanejšie v tomto čísle
- Next generation probiotics: an overview of the most promising candidates
- Overview of basic epidemiological characteristics and descriptive analysis of the incidence of human yersiniosis in the Czech Republic in 2018–2020
- Decreasing neutralization antibody levels following vaccination against SARS-CoV-2 in the elderly: an observational study in Southern Moravia, Czech Republic
- Prevalence of SARS-COV-2 antibodies in the Thomayer University Hospital staff after the first wave of COVID-19