Evidence map›Paper›PMID 32102705›Full record

ArticleEpidemiology and infection2020

Outbreak of

Alex Bhattacharya, Saran Shantikumar, Damon Beaufoy, Adrian Allman, Deborah Fenelon, Karen Reynolds, Andrea Normington, Musarrat Afza, Dan Todkill

Abstract read
In one paragraph

Article in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. A novel broad-spectrum phage lysin CP02 for biocontrol ofCurrent research in food science · 2026
    Article
  2. Review
  3. Methods of Controlling Microbial Contamination of Food.Pathogens (Basel, Switzerland) · 2025
    Review
  4. Unveiling the pathogenic mechanisms ofEmerging microbes & infections · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. 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

9 authors.

Alex BhattacharyaField Epidemiology Training Fellow, North West Field Service, Public Health England, London, UK.ORCID 0000-0003-3000-2771
Saran ShantikumarSpecialist Registrar, FS West Midlands, Public Health England, London, UK.ORCID 0000-0002-8565-5385
Damon BeaufoyEnvironmental Health Practitioner, Shropshire Council, Shropshire, UK.ORCID 0000-0003-1924-2483
Adrian AllmanChartered Environmental Health Practitioner, Shropshire Council, Shropshire, UK.ORCID 0000-0002-4387-4117
Deborah FenelonOut-posted Scientist, Food Water & Environmental Microbiology Services, West Midlands, Public Health England, London, UK.ORCID 0000-0002-3392-6657
Karen ReynoldsPublic Health Services Manager, Public Health Laboratory Birmingham, Heart of England NHS Foundation Trust, London, UK.
Andrea NormingtonHealth Protection Nurse, West Midlands Health Protection Team, Public Health England, London, UK.ORCID 0000-0002-7088-8549
Musarrat AfzaConsultant in Communicable Disease Control, West Midlands Health Protection Team, Public Health England, London, UK.ORCID 0000-0001-9755-9203
Dan TodkillConsultant Epidemiologist, FS West Midlands, Public Health England, London, UK.ORCID 0000-0002-4325-4786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between 11-13 December 2018, local public health authorities in the West Midlands, England were alerted to 34 reports of diarrhoea with abdominal cramps. Symptom onset was ~10 h after diners ate Christmas meals at a restaurant between 7-9 December 2018. A retrospective case-control study, environmental and microbiological investigations were undertaken to determine the source and control the outbreak. An analytical study was undertaken with odds ratios (OR) and 95% confidence intervals (CI). Forty persons were recruited to the analytical study (28/40 cases). Multivariable analysis found that leeks in cheese sauce was the only item associated with illness (aOR 51.1; 95% CI 4.13-2492.1). Environmental investigations identified significant lapses in food safety, including lapses in temperature control during cooking and hot holding, likely cross-contamination between raw and cooked foods and the reuse of leftover cheese sauce for the next day's service. No food samples were taken during the exposure period. Two faecal samples were positive for Clostridium perfringens with one confirming the enterotoxigenic gene. Cheese sauce is an unusual vehicle for the organism and the first time this has been reported in England.

Indexed as

Disease OutbreaksAdolescentAdultAgedAged, 80 and overCase-Control StudiesChildChild, PreschoolClostridium perfringensEnglandFecesFemaleFoodborne DiseasesFood MicrobiologyHumansMaleCheeseClostridium perfringensleeksoutbreak

Identifiers

PMID32102705
PMCPMC7058653

What OpenQuestion holds

Textmetadata
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.