Epidemiology of reported Yersinia enterocolitica infections in Germany, 2001-2008

Rosner, Bettina M.; Stark, Klaus; Werber, Dirk
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p337
Academic Journal
Background: Yersiniosis is the third most common zoonotic bacterial disease in Germany and the European Union. Sequelae of Yersinia enterocolitica infections, such as reactive arthritis, have been reported. Consumption of pork and its products, especially eaten raw or undercooked, is an important risk factor of yersiniosis. Infection with Y. enterocolitica is notifiable through the national surveillance system for infectious diseases in Germany and several thousands of cases are being reported each year. We present recent data on the epidemiology of reported yersiniosis in Germany. Methods: Surveillance data on yersiniosis, accessed through the national level database (SurvNet), were analyzed with regard to time trends, demographical and geographical distribution, serotypes, and hospitalization, for the time period 2001-2008. Results: A total of 47,627 cases of yersiniosis were reported. The mean annual incidence of yersiniosis was 7.2/100,000 population. A downward trend in the number of reportable cases has occurred since 2002. Almost all Y. enterocolitica infections were reported as single cases, i.e., with no apparent links to other cases. The number of reported infections showed substantially less seasonal variation than in other zoonotic enteric diseases. The incidence was highest in children under five years (58/100,000 population), in particular in one-year-old children (108/100,000 population). Almost 97% of infections were acquired domestically. High incidences occurred in the eastern German federal states Thuringia, Saxony, and Saxony-Anhalt. Differences in incidences across federal states were driven primarily by incidence differences in children under five years. Hospitalization was reported for 17% of cases, the proportion being highest among teenagers. Almost 90% of Y. enterocolitica strains were diagnosed as serotype O:3, which is the serotype most frequently isolated from pigs. Conclusions: Yersiniosis is a zoonotic foodborne disease of relevance to public health in Germany because of its high incidence and risk for sequelae. The incidence of reported yersiniosis in Germany varies markedly from state to state, mainly due to incidence difference among young children. More research efforts should be directed towards the elucidation of risk factors of yersiniosis in this age group.


Related Articles

  • Causes, prevention and treatment of Escherichia coli infections. Gould, Dinah // Nursing Standard;4/7/2010, Vol. 24 Issue 31, p50 

    Escherichia coli is a normal inhabitant of the human gastrointestinal tract and can cause healthcare-associated infections. The organism is most frequently responsible for urinary tract infections and it is the bacterium most often implicated in the cause of diarrhoea in people travelling...

  • Highly Resistant Salmonella Newport-MDRAmpC Transmitted through the Domestic US Food Supply: A FoodNet Case-Control Study of Sporadic Salmonella Newport Infections, 2002-2003. Varma, Jay K.; Marcus, Ruthanne; Stenzel, Sara A.; Hanna, Samir S.; Gettner, Sharmeen; Anderson, Bridget J.; Hayes, Tameka; Shiferaw, Beletshachew; Crume, Tessa L.; Joyce, Kevin; Fullerton, Kathleen E.; Voetsch, Andrew C.; Angulo, Frederick J. // Journal of Infectious Diseases;7/15/2006, Vol. 194 Issue 2, p222 

    Background. A new multidrug-resistant (MDR) strain of Salmonella serotype Newport, Newport-MDRAmpC, has recently emerged. We sought to identify the medical, behavioral, and dietary risk factors for laboratory-confirmed Salmonella Newport infection, including that with Newport-MDRAmpC. Methods. A...

  • Population-Attributable Risk Estimates for Risk Factors Associated with Campylobacter Infection, Australia. Stafford, Russell J.; Schluter, Philip J.; Wilson, Andrew J.; Kirk, Martyn D.; Hall, Gillian; Unicomb, Leanne // Emerging Infectious Diseases;Jun2008, Vol. 14 Issue 6, p895 

    In 2001-2002, a multicenter, prospective case-control study involving 1,714 participants ≥5 years of age was conducted in Australia to identify risk factors for Campylobacter infection. Adjusted population-attributable risks (PARs) were derived for each independent risk factor contained...

  • Yersiniosis as an Internal Disease. Leino, R.; Kalliomaki, J. L. // Annals of Internal Medicine;Oct74, Vol. 81 Issue 4, p458 

    Deals with a study which analyzed the nature of yersiniosis. Patients and methods; Results; Treatment.

  • A decade of change in susceptibility patterns of Gram-negative blood culture isolates: a single center study. Alagesan, Murali; Gopalakrishnan, Ram; Venkatasubramanian, Ramasubramanian; Panchatcharam, Senthur Nambi; Dorairajan, Sureshkumar; Ananth, Thirunarayan Mandayam // Germs;Sep2015, Vol. 5 Issue 3, p65 

    Background Gram-negative bacteremia is one of the leading causes of mortality and morbidity in Indian hospitals. We hereby describe changing trends in Gram-negative isolates from blood cultures from a single center over a ten-year period. Methods Antibiotic susceptibility patterns were collected...

  • Sarcoidosis in a dental surgeon: a case report. Checchi, Luigi; Nucci, Maria C.; Gatti, Antonietta M.; Mattia, Daniele; Violante, Francesco S. // Journal of Medical Case Reports;2010, Vol. 4 Issue 1, p1 

    Introduction: Although the causes of sarcoidosis are still unknown, past and current studies have provided evidence that this disease may be associated with occupational exposure to specific environmental agents. We describe a case of sarcoidosis in a dental surgeon with long exposure to...

  • yersiniosis.  // Taber's Cyclopedic Medical Dictionary;2005, p2365 

    The article presents a definition for the term "yersiniosis," which refers to infection with Yersinia organisms.

  • Salmonella serovars from humans and other sources in Thailand, 1993-2002. Bangtrakulnonth, Aroon; Pornreongwong, Srirat; Pulsrikarn, Chaiwat; Sawanpanyalert, Pathom; Hendriksen, Rene S.; Lo Fo Wong, Danilo M. A.; Aarestrup, Frank M. // Emerging Infectious Diseases;Jan2004, Vol. 10 Issue 1, p131 

    We serotyped 44,087 Salmonella isolates from humans and 26,148 from other sources from 1993 through 2002. The most common serovar causing human salmonellosis in Thailand was Salmonella enterica Weltevreden. Serovars causing human infections in Thailand differ from those in other countries and...

  • MELIOIDOSIS: A Review Article. Alwi Muhd Besari; Zakuan Zainy Deris; Che' Wan Amiduddin Hashim // International Medical Journal;Jun2012, Vol. 19 Issue 2, p102 

    Background: Melioidosis is a disease caused by Burkholderia pseudomallei infection. It is endemic in Southeast Asia and Northern Australia. Since it's discovery in 1911, the disease is continuously attracting attention worldwide due to high mortality rate associated with it. Clinical...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics