[Role of pathogen surveillance and subtyping in outbreak recognition of food-borne bacterial infections. Microbiological perspective - Aims, methods and prospects of pathogen subtyping]

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Jan;56(1):42-6. doi: 10.1007/s00103-012-1592-2.
[Article in German]

Abstract

The recognition of infection clusters via determination of clonal relationships between pathogen isolates represents the major aim of pathogen subtyping during outbreaks. In addition, a continuing and comprehensive subtyping of pathogen isolates is a prerequisite for early recognition of changes within pathogen populations, especially of new pathogen types and variants. Here, in an exemplary manner, we outline the current practice in Germany for three important agents of food-borne infections, Salmonella enterica, Listeria monocytogenes and enterohemorrhagic Escherichia coli (EHEC). Pathogen subtyping is mostly performed in specialized laboratories. Collection of representative pathogen isolates is therefore critical for comprehensive pathogen surveillance. Salmonella and L. monocytogenes are usually isolated by sample culturing in primary diagnostic laboratories and a considerable number are sent to the respective reference laboratories for further subtyping. However, the current situation in terms of EHEC is problematic. As the detection of shiga toxin (or gene) is sufficient for diagnosis and case reporting, primary diagnostic laboratories actually rarely isolate EHEC; therefore, a concept for appropriate retrieval of isolates is needed to ensure effective EHEC surveillance in Germany.

Publication types

  • English Abstract

MeSH terms

  • Bacterial Infections / diagnosis
  • Bacterial Infections / epidemiology
  • Bacterial Infections / microbiology*
  • Disease Outbreaks / prevention & control*
  • Disease Outbreaks / statistics & numerical data
  • Food Analysis / methods
  • Food Analysis / statistics & numerical data
  • Food Contamination / analysis
  • Food Contamination / prevention & control
  • Food Contamination / statistics & numerical data
  • Food Microbiology / methods*
  • Food Microbiology / statistics & numerical data
  • Foodborne Diseases / diagnosis
  • Foodborne Diseases / epidemiology
  • Foodborne Diseases / microbiology*
  • Germany / epidemiology
  • Humans
  • Molecular Typing / methods*
  • Population Surveillance / methods*