A Waterborne Gastroenteritis Outbreak Caused by a GII Norovirus in a Holiday Camp in Catalonia (Spain), 2017
Abstract
:1. Introduction
2. Methods
3. Case Reporting by the School Director
4. Epidemiological, Microbiological and Clinical Data
5. Microbiological Study
6. Statistical Analysis
7. Results
7.1. Epidemiological Investigation
7.2. Environmental and Microbiological Investigations
8. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Characteristic | Case | No Case | Relative Risk (Unadjusted) | p Value | Relative Risk (Adjusted) | p Value |
---|---|---|---|---|---|---|
Monday 30 January 2017 | ||||||
Dry-cured ham with bread | 25 (75.8%) | 17 (81.0%) | 0.89 (0.56–1.43) | 0.65 | ||
Bread with sausage | 28 (84.8%) | 16 (76.2%) | 1.27 (0.66–2.46) | 0.42 | ||
Bread with chocolate | 29 (87.9%) | 15 (71.4%) | 1.65 (0.75–3.62) | 0.16 | ||
Spaghetti | 31 (91.2%) | 21 (100%) | 0.60 (0.18–1.95) | 0.28 | ||
Water from natural fountain near the Sanctuary | 25 (73.5%) | 9 (42.9%) | 1.72 (1.01–2.92) | 0.02 | 1.88 (1.03–3.56) | 0.03 |
Cod Nuggets | 28 (82.4%) | 19 (90.5%) | 0.79 (0.50–1.26) | 0.70 | ||
Potatoes with mushrooms | 32 (94.1%) | 18 (85.7%) | 1.60 (0.54–4.78) | 0.36 | ||
Fruit | 24 (70.6%) | 16 (76.2%) | 0.90 (0.58–1.39) | 0.65 | ||
Tuesday 31 January 2017 | ||||||
Chocolate milk | 25 (73.5%) | 16 (76.2%) | 0.95 (0.60–1.50) | 0.83 | ||
Biscuits | 24 (72.7%) | 13 (61.9%) | 1.23 (0.74–2.03) | 0.40 | ||
Bread, butter and jam | 23 (69.7%) | 11 (52.4%) | 1.35 (0.82–2.22) | 0.20 | ||
Lentils | 32 (91.4%) | 21 (100%) | 0.60 (0.18–1.97) | 0.28 | ||
Pork tenderloin | 33 (94.3%) | 21 (100%) | 0.61 (0.15–2.55) | 0.52 | ||
Yogurt | 29 (85.3%) | 19 (90.5%) | 0.85 (0.50–1.42) | 0.70 | ||
Bread with cheese | 25 (71.4%) | 10 (47.6%) | 1.50 (0.91–2.46) | 0.08 | 1.54 (0.82–2.92) | 0.18 |
Beans | 27 (79.4%) | 18 (85.7%) | 0.86 (0.54–1.37) | 0.72 | ||
Battered fish | 26 (76.5%) | 15 (71.4%) | 1.11 (0.67–1.85) | 0.68 | ||
Aubergine | 21 (61.8%) | 18 (85.7%) | 0.66 (0.46–0.96) | 0.05 | 0.38 (0.14–1.05) | 0.06 |
Fruit | 24 (72.7%) | 14 (66.7%) | 1.12 (0.68–1.84) | 0.63 |
Parameter/Analysis | Results | Method | Limit Parametric Value |
---|---|---|---|
Turbidity | <0.20 FNU a | MA/2/30504 | 1 FNU |
Nitrates | <0.100 mg/L | MA/2/02002 | 50 mg/L |
Ammonium | <0.100 mg/L | MA/2/02006 | 0.50 mg/L |
Permanganate Oxidability | 0.6 ± 0.1 mg O2/L | MA/2/30400 mi | 5 mg O2/L |
Microorganisms at 22 °C (total count) | 5.3 × 102 NMP/100 mL b | ISO 6222:1999 | - |
Coliforms (total count) | 4.1 × 101 NMP/100 mL | ISO 9308-2:2012 | 0 CFU |
Escherichia coli (total count) | 2.0 NMP/100 mL | ISO 9308-2:2012 | 0 CFU |
Clostridium perfringens | <1 CFU/100 mL c | Environmental Agency Blue Book 230 (2010) | 0 CFU |
Enterococci | <1 CFU/100 mL | ISO 9308-2:2012 | 0 CFU |
NoV GII | <100 copies/L | ISO/TS 15216-1:2013 | 0 copies/L |
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Carol, M.; Guadalupe-Fernández, V.; Rius, C.; Soldevila, N.; Razquin, E.; Guix, S.; Dominguez, A.; on behalf of the Working Group for the Study of Outbreaks of Acute Gastroenteritis in Catalonia. A Waterborne Gastroenteritis Outbreak Caused by a GII Norovirus in a Holiday Camp in Catalonia (Spain), 2017. Viruses 2021, 13, 1792. https://doi.org/10.3390/v13091792
Carol M, Guadalupe-Fernández V, Rius C, Soldevila N, Razquin E, Guix S, Dominguez A, on behalf of the Working Group for the Study of Outbreaks of Acute Gastroenteritis in Catalonia. A Waterborne Gastroenteritis Outbreak Caused by a GII Norovirus in a Holiday Camp in Catalonia (Spain), 2017. Viruses. 2021; 13(9):1792. https://doi.org/10.3390/v13091792
Chicago/Turabian StyleCarol, Mònica, Víctor Guadalupe-Fernández, Cristina Rius, Nuria Soldevila, Efrén Razquin, Susana Guix, Angela Dominguez, and on behalf of the Working Group for the Study of Outbreaks of Acute Gastroenteritis in Catalonia. 2021. "A Waterborne Gastroenteritis Outbreak Caused by a GII Norovirus in a Holiday Camp in Catalonia (Spain), 2017" Viruses 13, no. 9: 1792. https://doi.org/10.3390/v13091792
APA StyleCarol, M., Guadalupe-Fernández, V., Rius, C., Soldevila, N., Razquin, E., Guix, S., Dominguez, A., & on behalf of the Working Group for the Study of Outbreaks of Acute Gastroenteritis in Catalonia. (2021). A Waterborne Gastroenteritis Outbreak Caused by a GII Norovirus in a Holiday Camp in Catalonia (Spain), 2017. Viruses, 13(9), 1792. https://doi.org/10.3390/v13091792