A foodborne outbreak of brucellosis at a police station cafeteria, Lima, Peru

Karina Román, Rosa Castillo, Robert H. Gilman, Maritza Calderón, Aldo Vivar, Manuel Céspedes, Henk L. Smits, Paolo Meléndez, Eduardo Gotuzzo, Humberto Guerra, Ryan C. Maves, Michael A. Matthias, Joseph M. Vinetz, Mayuko Saito

Research output: Contribution to journalArticle

Abstract

Brucella melitensis is highly infectious for humans and can be transmitted to humans in a number of epidemiological contexts. Within the context of an ongoing brucellosis surveillance project, an outbreak at a Peruvian police officer cafeteria was discovered, which led to active surveillance (serology, blood culture) for additional cases among 49 police officers who had also eaten there. The cohort was followed up to 18 months regardless of treatment or symptoms. Active surveillance estimated the attack rate at 26.5% (13 of 49). Blood cultures from four cases were positive; these isolates were indistinguishable using multiple locus variable number tandem repeat analysis. This investigation indicates the importance of case tracking and active surveillance for brucellosis in the context of potential common source exposure. These results provide rationale for public health investigations of brucellosis index cases including the bioterrorism-related dissemination of Brucella.

Original languageEnglish (US)
Pages (from-to)552-558
Number of pages7
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume88
Issue number3
DOIs
StatePublished - Mar 2013

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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    Román, K., Castillo, R., Gilman, R. H., Calderón, M., Vivar, A., Céspedes, M., Smits, H. L., Meléndez, P., Gotuzzo, E., Guerra, H., Maves, R. C., Matthias, M. A., Vinetz, J. M., & Saito, M. (2013). A foodborne outbreak of brucellosis at a police station cafeteria, Lima, Peru. American Journal of Tropical Medicine and Hygiene, 88(3), 552-558. https://doi.org/10.4269/ajtmh.12-0606