Evidence map›Paper›PMID 28494842›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2017

Two consecutive large outbreaks of Salmonella Muenchen linked to pig farming in Germany, 2013 to 2014: Is something missing in our regulatory framework?

Anika Schielke, Wolfgang Rabsch, Rita Prager, Sandra Simon, Angelika Fruth, Rüdiger Helling, Martin Schnabel, Claudia Siffczyk, Sina Wieczorek, Sabine Schroeder and 11 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Worldwide Epidemiology ofApplied and environmental microbiology · 2019
    Pooled it
  2. Large outbreak ofEpidemiology and infection · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Whole-Genome Investigation ofMicroorganisms · 2022
    Article
  8. Healthcare-associated foodborne outbreaks in high-income countries: a literature review and surveillance study, 16 OECD countries, 2001 to 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021
    Review
  9. Toward an Integrated Genome-Based Surveillance ofFrontiers in microbiology · 2021
    Article
  10. Article
  11. Non-typhoidalPathogens (Basel, Switzerland) · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Anika SchielkeRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Wolfgang RabschRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Rita PragerRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Sandra SimonRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Angelika FruthRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Rüdiger HellingSaxon State Ministry of Social Affairs and Consumer Protection, Dresden, Germany.
Martin SchnabelSaxon State Ministry of Social Affairs and Consumer Protection, Dresden, Germany.
Claudia SiffczykBrandenburg State Office of Occupational Safety, Consumer Protection and Health, Potsdam, Germany.
Sina WieczorekBrandenburg State Office of Occupational Safety, Consumer Protection and Health, Potsdam, Germany.
Sabine SchroederThuringian State Authority for Consumer Protection, Bad Langensalza, Germany.
Beate AhrensThuringian State Authority for Consumer Protection, Bad Langensalza, Germany.
Hanna OppermannAgency for Consumer Protection of the Federal State of Saxony-Anhalt, Magdeburg, Germany.
Stefan PfeifferMinistry of Labour and Social Affairs Saxony-Anhalt, Magdeburg, Germany.
Sophie Susann MerbecksState Health Authority Saxony, Chemnitz, Germany.
Bettina RosnerRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Christina FrankRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Armin A WeiserThe Federal Institute for Risk Assessment, Berlin, Germany.
Petra LuberFederal Office of Consumer Protection and Food Safety, Berlin, Germany.
Andreas GilsdorfRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Klaus StarkRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.
Dirk WerberRobert Koch Institute (RKI), Berlin and Wernigerode, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2013, raw pork was the suspected vehicle of a large outbreak (n = 203 cases) of Salmonella Muenchen in the German federal state of Saxony. In 2014, we investigated an outbreak (n = 247 cases) caused by the same serovar affecting Saxony and three further federal states in the eastern part of Germany. Evidence from epidemiological, microbiological and trace-back investigations strongly implicated different raw pork products as outbreak vehicles. Trace-back analysis of S. Muenchen-contaminated raw pork sausages narrowed the possible source down to 54 pig farms, and S. Muenchen was detected in three of them, which traded animals with each other. One of these farms had already been the suspected source of the 2013 outbreak. S. Muenchen isolates from stool of patients in 2013 and 2014 as well as from food and environmental surface swabs of the three pig farms shared indistinguishable pulsed-field gel electrophoresis patterns. Our results indicate a common source of both outbreaks in the primary production of pigs. Current European regulations do not make provisions for Salmonella control measures on pig farms that have been involved in human disease outbreaks. In order to prevent future outbreaks, legislators should consider tightening regulations for Salmonella control in causative primary production settings.

Indexed as

AgricultureDisease OutbreaksSus scrofaAnimalsElectrophoresis, Gel, Pulsed-FieldFecesGermanyHumansMaleMeatSalmonellaSalmonella Infectionsfood-borne infectionsoutbreakspigporkSalmonellatracing

Identifiers

PMID28494842
PMCPMC5434879

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.