A Clostridium perfringens Related Foodborne Diarrhea Outbreak in an Elderly Care Center - Beijing Municipality, China, May 2024

2024年5月,中国北京市一家养老院发生由产气荚膜梭菌引起的食源性腹泻疫情

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Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? Clostridium perfringens is a gram-positive, anaerobic, spore-forming bacillus widely distributed in the environment. Enterotoxin-producing strains of C. perfringens can cause foodborne diarrheal outbreaks in humans, with incubation periods typically ranging from 2 to 36 hours. WHAT IS ADDED BY THIS REPORT? Investigation identified 98 cases aged 22-99 years. All patients experienced diarrhea. The epidemic curve suggested a point-source outbreak. Chinese hamburgers were identified as the suspected food vehicle [odds ratio (OR)=6.6, 95% confidence interval (CI): 1.7, 37.1]. A total of 23 patient samples and 1 Chinese hamburger sample tested positive for C. perfringens. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? The slow cooling process, a common procedure during the "lu" () braising technique in Chinese cuisine, could potentially allow C. perfringens to proliferate significantly and produce toxins. Rapid cooling through the critical temperature range of 15-55 ℃ may effectively mitigate this risk.

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