Food poisoning outbreak caused by diarrhoeal Bacillus Cereus: a retrospective study

https://doi.org/10.22146/bkm.53889

Kornelius Langga Son(1*), Andri SD Nugroho(2), Baning Rahayujati(3), La K Gozali(4)

(1) Field Epidemiology Training Program, Universitas Gadjah Mada
(2) Health Office of Special Region Of Yogyakarta
(3) Health Office of Kulon Progo District
(4) Health Office of Special Region Of Yogyakarta
(*) Corresponding Author

Abstract


Purpose: This study aimed to investigate the causative agents, source of food poisoning, and mode of food poisoning transmission in Tegalkenongo Village.

Method: A retrospective cohort study was used in the epidemiological investigation for one week from 13 May 2019 – 20 May 2019.

Results: Based on the investigation, Of the 303 villagers involved in the event, 188 villagers were ill with the median age of cases was 38 years old, the average incubation period was 8 hours, and the predominant symptoms were diarrhea (93.62%), nausea (84.57%), and abdominal cramps (64.89%). The contaminated chicken satay was determined as the source of contamination with an adjusted Risk Ratio (aRR) was 4.36; 95% CI 1.1538, 16.5285. Initial epidemiological features and cultures from food items served in the event and stool sample of one patient suggested that the causative agent was Bacillus Cereus which was supported by Klebsiella Pneumoniae.

Conclusion: Based on the field investigation result related to symptoms and incubation period and laboratory identification, we conclude that the causative agent was diarrhoeal B. cereus.


Keywords


food poisoning; Bacillus cereus; Klebsiella Pneumoniae

Full Text:

PDF


References

  1. Arnesen LPS, Fagerlund A, Granum PE. From soil to gut : Bacillus cereus and its food poisoning toxins. 2008; Available from: https://www.ncbi.nlm.nih.gov/pubmed/18422617
  2. Glasset B, Herbin S, Guillier L, Vignaud M, Grout J, Pairaud S, et al. Bacillus cereus -induced food-borne outbreaks in France , 2007 to 2014 : epidemiology and genetic characterisation. 2016; Available from: https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2016.21.48.30413
  3. Tewari A, Abdullah S. Bacillus cereus food poisoning : international and Indian perspective. 2015;52(May):2500–11. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25892750
  4. Adriana S, Lentz M. Bacillus cereus as the main casual agent of foodborne outbreaks in Southern Brazil : data from 11 years Bacillus cereus como principal agente etiológico em surtos de intoxicação alimentar no Sul do Brasil : dados de 11 anos Bacillus cereus como el princip. 2018;34(4):1–9. Available from: http://www.scielo.br/scielo.php?pid=S0102-311X2018000406001&script=sci_abstract
  5. WHO. Food Safety [Internet]. 2019. p. 1–6. Available from: https://www.who.int/health-topics/food-safety/
  6. Ministry of Health. Health Profile of Indonesia [Internet]. 2019. Available from: https://pusdatin.kemkes.go.id/
  7. Health Department. Health Profile of Special Region of Yogyakarta Province 2017 [Internet]. 2017. Available from: http://www.dinkes.jogjaprov.go.id/
  8. Fernández MAL, Truyols AG, Guibert DH, Cerdá GA, Gayá FS. Surveillance and outbreak reports study of an outbreak of viral gastro enteritis in a nursing home for elderly, Majorca, Spain, February 2008. 2008;1–7. Available from: https://www.eurosurveillance.org/content/10.2807/ese.13.51.19070-en
  9. Ministry of Health. Guidelines for Investigation of Infectious Diseases Control and Food Poisoning [Internet]. 2nd ed. Jakarta; 2017. Available from: http://ppid.kemendagri.go.id/
  10. OSHPL. Oregon health services compendium of acute food-borne diseases. In Oregon: Oregon State Public Health Laboratory, 10th avenue, Portland; 2003. Available from: https://www.oregon.gov/OHA/PH/DiseasesConditions/CommunicableDisease/Outbreaks/Documents/compend.pdf
  11. Schneider KR, Schneider RG, Silverberg R, Kurdmongkoltham P. Preventing Foodborne Illness : Bacillus cereus 1 Transmission of Foodborne Illness. 2017;1–5. Available from: https://edis.ifas.ufl.edu/pdffiles/FS/FS10300.pdf
  12. Bundesinstitut für Risikobewertung. Bacillus cereus [Internet]. 2019. p. 54345. Available from: https://www.bfr.bund.de/de/bacillus_cereus-54344.html
  13. Parry JM, Gilbert RJ. Studies on the heat resistance of Bacillus cereus spores and growth of the organism in boiled rice. J Hyg (Lond) [Internet]. 1980;84(1):77–82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2133840/
  14. Kassahun M, Wongiel S. Food poisoning outbreak investigation in Dewachefa woreda , Oromia Zone , Amhara. BMC Res Notes [Internet]. 2019;1–6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31266539
  15. Food Safety Knowledge Centre. Cross-contamination [Internet]. 2015. Available from: https://www.gov.mb.ca/agriculture/food-safety/at-the-food-processor/food-safety-program/pubs/fs_7.pdf
  16. Jacobsen GS, Newton B. The middleton outbreak: 125 cases of foodborne salmonellosis resulting from cross-contaminated food items served at a picnic and a smorgasbord. 1975;101(6):502–11. Available from: https://www.ncbi.nlm.nih.gov/pubmed/1171616
  17. Qureshi S; MSB. Klebsiella Infections. 2019;219907. Available from: https://emedicine.medscape.com/article/219907-overview
  18. Nunez K. What You Need to Know About a Klebsiella Pneumoniae Infection [Internet]. 2019. p. 1–16. Available from: https://www.healthline.com/health/klebsiella-pneumonia
  19. Monistrol O, Xercavins M, Nicola C, Calbo E, Sala MR, Vila J, et al. Foodborne Nosocomial Outbreak of SHV1 and CTX-M-15 – producing Klebsiella pneumoniae : Epidemiology and Control. 2011;52:743–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21367727
  20. Rennie RP, Anderson CM, Wensley BG, Albrittonl WL, Mahony DE. Klebsiella pneumoniae Gastroenteritis Masked by Clostridium perfringens. 1990;28(2):216–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/2179254



DOI: https://doi.org/10.22146/bkm.53889

Article Metrics

Abstract views : 1250 | views : 884

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2020 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter