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Abstract

Background

Healthcare-associated foodborne outbreaks (HA-FBO) may have severe consequences, especially in vulnerable groups.

Aim

The aim was to describe the current state of HA-FBO and propose public health recommendations for prevention.

Methods

We searched PubMed, the Outbreak Database (Charité, University Medicine Berlin), and hand-searched reference lists for HA-FBO with outbreak onset between 2001 and 2018 from Organisation for Economic Co-operation and Development (OECD) countries and HA-FBO (2012–2018) from the German surveillance system. Additionally, data from the European Food Safety Authority were analysed.

Results

The literature search retrieved 57 HA-FBO from 16 OECD countries, primarily in the US (n = 11), Germany (n = 11) and the United Kingdom (n = 9). In addition, 28 HA-FBO were retrieved from the German surveillance system. Based on the number of outbreaks, the top three pathogens associated with the overall 85 HA-FBO were (n = 24), norovirus (n = 22) and (n = 19). Based on the number of deaths, was the main pathogen causing HA-FBO. Frequently reported implicated foods were ‘mixed foods’ (n = 16), ‘vegetables and fruits’ (n = 15) and ‘meat and meat products’ (n = 10). Consumption of high-risk food by vulnerable patients, inadequate time-temperature control, insufficient kitchen hygiene and food hygiene and carriers of pathogens among food handlers were reported as reasons for HA-FBO.

Conclusion

To prevent HA-FBO, the supply of high-risk food to vulnerable people should be avoided. Well working outbreak surveillance facilitates early detection and requires close interdisciplinary collaboration and exchange of information between hospitals, food safety and public health authorities.

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2021-10-14
2021-12-08
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2021.26.41.2001278
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References

  1. World Health Organization (WHO). WHO estimates of the global burden of foodborne diseases: foodborne disease burden epidemiology reference group 2007-2015. Geneva: WHO; 2015. Available from: https://apps.who.int/iris/bitstream/handle/10665/199350/9789241565165_eng.pdf?sequence=1
  2. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union One Health 2018 Zoonoses Report. EFSA J. 2019;17(12):e05926.  https://doi.org/10.2903/j.efsa.2019.5926  PMID: 32626211 
  3. Lund BM, O’Brien SJ. The occurrence and prevention of foodborne disease in vulnerable people. Foodborne Pathog Dis. 2011;8(9):961-73.  https://doi.org/10.1089/fpd.2011.0860  PMID: 21561383 
  4. Eurostat. Population structure and ageing 2019. Luxembourg: Eurostat; 2019. Available from: https://ec.europa.eu/eurostat/statisticsexplained/index.php?title=Population_structure_and_ageing
  5. Lund BM, O’Brien SJ. Microbiological safety of food in hospitals and other healthcare settings. J Hosp Infect. 2009;73(2):109-20.  https://doi.org/10.1016/j.jhin.2009.05.017  PMID: 19732991 
  6. Lee MB, Greig JD. A review of nosocomial Salmonella outbreaks: infection control interventions found effective. Public Health. 2013;127(3):199-206.  https://doi.org/10.1016/j.puhe.2012.12.013  PMID: 23433804 
  7. Little CL, Amar CF, Awofisayo A, Grant KA. Hospital-acquired listeriosis associated with sandwiches in the UK: a cause for concern. J Hosp Infect. 2012;82(1):13-8.  https://doi.org/10.1016/j.jhin.2012.06.011  PMID: 22868087 
  8. Lopez-Valladares G, Danielsson-Tham ML, Tham W. Implicated food products for Listeriosis and changes in serovars of listeria monocytogenes affecting humans in recent decades. Foodborne Pathog Dis. 2018;15(7):387-97.  https://doi.org/10.1089/fpd.2017.2419  PMID: 29958028 
  9. Silk BJ, McCoy MH, Iwamoto M, Griffin PM. Foodborne listeriosis acquired in hospitals. Clin Infect Dis. 2014;59(4):532-40.  https://doi.org/10.1093/cid/ciu365  PMID: 24846635 
  10. Petrignani M, van Beek J, Borsboom G, Richardus JH, Koopmans M. Norovirus introduction routes into nursing homes and risk factors for spread: a systematic review and meta-analysis of observational studies. J Hosp Infect. 2015;89(3):163-78.  https://doi.org/10.1016/j.jhin.2014.11.015  PMID: 25601744 
  11. Greig JD, Lee MB. A review of nosocomial norovirus outbreaks: infection control interventions found effective. Epidemiol Infect. 2012;140(7):1151-60.  https://doi.org/10.1017/S0950268811002731  PMID: 22217255 
  12. Lund BM. Provision of microbiologically safe food for vulnerable people in hospitals, care homes and in the community. Food Control. 2019;96:535-47.  https://doi.org/10.1016/j.foodcont.2018.09.032 
  13. Lachmann R, Halbedel S, Adler M, Becker N, Allerberger F, Holzer A, et al. Nationwide outbreak of invasive listeriosis associated with consumption of meat products in health care facilities, Germany, 2014-2019. Clin Microbiol Infect. 2020;7:S1198-743X(20)30572-3. PMID:32979571
  14. Public Health England (PHE). Investigation into an outbreak of Listeria monocytogenes infections associated with hospital-provided prepared sandwiches, UK, May to July 2019. London: PHE; 2020. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/937907/2019-05-Listeria-CC8-Outbreak-Report.pdf
  15. Organisation for Economic Cooperation and Development (OECD). List of OECD member countries - Ratification of the Convention on the OECD. Paris: OECD. [Accessed: 17 Oct 2021]. Available from: https://www.oecd.org/about/document/list-oecd-member-countries.htm
  16. Vonberg RP, Weitzel-Kage D, Behnke M, Gastmeier P. Worldwide Outbreak Database: the largest collection of nosocomial outbreaks. Infection. 2011;39(1):29-34.  https://doi.org/10.1007/s15010-010-0064-6  PMID: 21153042 
  17. Bundesministerium der Justiz und für Verbraucherschutz (Federal Ministry of Justice and Consumer Protection). Gesetz zur Verhütung und Bekämpfung von Infektionskrankheiten beim Menschen. [Law for the Prevention and Control of Infectious Diseases in Humans]. Berlin: Federal Ministry of Justice and Consumer Protection. [Accessed: 7 Oct 2021]. German. Available from: https://www.gesetze-im-internet.de/ifsg/
  18. Haller S, Eckmanns T, Benzler J, Tolksdorf K, Claus H, Gilsdorf A, et al. Results from the first 12 months of the national surveillance of healthcare associated outbreaks in Germany, 2011/2012. PLoS One. 2014;9(5):e98100.  https://doi.org/10.1371/journal.pone.0098100  PMID: 24875674 
  19. European Food Safety Authority (EFSA). Update of the technical specifications for harmonised reporting of food-borne outbreaks through the European Union reporting system in accordance with Directive 2003/99/EC. EFSA Journal 2014; 12((3):3598). https://doi.org/10.2903/j.efsa.2014.3598
  20. Boelaert F, Amore G, Van der Stede Y, Hugas M. EU-wide monitoring of biological hazards along the food chain: achievements, challenges and EFSA vision for the future. Curr Opin Food Sci. 2016;12:52-62.  https://doi.org/10.1016/j.cofs.2016.08.004 
  21. European Union. Council Directive 2003/99/EC of the European Parliament and of the Council of 17th of November 2003 on the monitoring of zoonoses and zoonotic agents amending Council Decision 90/424/EEC and repealing Council Directive 92/117/EEC. Official Journal 2003; L325/31.
  22. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2010. EFSA J. 2012;10(3):2597.  https://doi.org/10.2903/j.efsa.2012.2597 
  23. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2011. EFSA J. 2013;11(4):3129.  https://doi.org/10.2903/j.efsa.2013.3129 
  24. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2012. EFSA J. 2014;12(2):3547.  https://doi.org/10.2903/j.efsa.2014.3547 
  25. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2013. EFSA J. 2015;13(1):3991.  https://doi.org/10.2903/j.efsa.2015.3991 
  26. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2014. EFSA J. 2015;13(12):4329.  https://doi.org/10.2903/j.efsa.2015.4329 
  27. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2015. EFSA J. 2016;14(12):4634.  https://doi.org/10.2903/j.efsa.2016.4634 
  28. European Food Safety Authority & European Centre for Disease Prevention and Control. Tables and figures complementing the European Union One Health 2018 Zoonoses Report [Data set]. Zenodo. 2019. https://doi.org/http://doi.org/10.5281/zenodo.3527706
  29. European Food Safety Authority (EFSA). Tables, Figures and Country Datasets complementing the European Union Summary Report on Zoonoses and Food-borne Outbreaks 2016 [Data set]. Zenodo. 2017. http://doi.org/10.5281/zenodo.1475841
  30. European Food Safety Authority. Tables, Figures and Country Datasets complementing the European Union Summary Report on Zoonoses and Food-borne Outbreaks 2017 [Data set]. Zenodo. 2018. http://doi.org/10.5281/zenodo.1475841
  31. Heissenhuber A, Hautmann W, Arenz S, Kugler R, Kleih W, Ludwig S, et al. Gehäuftes Auftreten von Erkrankungen mit Salmonella Enteritidis in Krankenhäusern und Altenheimen im Landkreis Oberallgäu (Bayern) im Juli 2004. [Accumulated occurrence of illnesses with Salmonella enteritidis in hospitals and nursing homes in the district Oberallgaeu, Bavaria, in July 2004]. Gesundheitswesen. 2005;67(12):845-52.German.  https://doi.org/10.1055/s-2005-858898  PMID:16379046
  32. Jansen A, Hiller P, Desai S, Feier B, Habermann F, Baumann A, et al. Protrahiert verlaufender nosokomialer Ausbruch von Salmonella Enteritidis LT 8/7. [Protracted nosocomial outbreak of Salmonella Enteritidis LT 8/7]. Z Gastroenterol. 2008;46(11):1270-4. German.  https://doi.org/10.1055/s-2008-1027543  PMID:19012198
  33. Almagro Nievas D, Conti Cuesta F, Espínola García E, Morcillo Ródenas C, Núñez Sevilla C, Linares Torres J, et al. Brote de gastroenteritis por virus Norwalk en una residencia de ancianos de Granada. [Outbreak of gastroenteritis caused by Norwalk virus at a senior citizens assisted living facility in Granada, Spain]. Rev Esp Salud Publica. 2003;77(2):283-91. Spanish.  https://doi.org/10.1590/S1135-57272003000200011  PMID:12728663
  34. Frank C, Buchholz U, Maass M, Schröder A, Bracht KH, Domke PG, et al. Protracted outbreak of S. Enteritidis PT 21c in a large Hamburg nursing home. BMC Public Health. 2007;7(1):243.  https://doi.org/10.1186/1471-2458-7-243  PMID: 17854497 
  35. Poetter C, Kunstmann G, Peter D, Mattner F. Containment of a cheesecake-associated outbreak of salmonellosis in 3 different hospitals, detected by continuous microbiologic surveillance. Am J Infect Control. 2014;42(7):816-7.  https://doi.org/10.1016/j.ajic.2014.03.013  PMID: 24825536 
  36. Bayer C, Bernard H, Prager R, Rabsch W, Hiller P, Malorny B, et al. An outbreak of Salmonella Newport associated with mung bean sprouts in Germany and the Netherlands, October to November 2011. Euro Surveill. 2014;19(1):20665.  https://doi.org/10.2807/1560-7917.ES2014.19.1.20665  PMID: 24434173 
  37. Schielke A, Rabsch W, Prager R, Simon S, Fruth A, Helling R, et al. Two consecutive large outbreaks of Salmonella Muenchen linked to pig farming in Germany, 2013 to 2014: Is something missing in our regulatory framework? Euro Surveill. 2017;22(18):30528.  https://doi.org/10.2807/1560-7917.ES.2017.22.18.30528  PMID: 28494842 
  38. Miller T, Brockmann S, Spackova M, Wetzig J, Frank C, Pfeifer Y, et al. Recurrent outbreaks caused by the same Salmonella enterica serovar Infantis clone in a German rehabilitation oncology clinic from 2002 to 2009. J Hosp Infect. 2018;100(4):e233-8.  https://doi.org/10.1016/j.jhin.2018.03.035  PMID: 29614246 
  39. Hoffmann D, Mauroy A, Seebach J, Simon V, Wantia N, Protzer U. New norovirus classified as a recombinant GII.g/GII.1 causes an extended foodborne outbreak at a university hospital in Munich. J Clin Virol. 2013;58(1):24-30.  https://doi.org/10.1016/j.jcv.2013.06.018  PMID: 23849648 
  40. Bernard H, Faber M, Wilking H, Haller S, Höhle M, Schielke A, et al. Large multistate outbreak of norovirus gastroenteritis associated with frozen strawberries, Germany, 2012. Euro Surveill. 2014;19(8):20719.  https://doi.org/10.2807/1560-7917.ES2014.19.8.20719  PMID: 24602278 
  41. Winter CH, Brockmann SO, Sonnentag SR, Schaupp T, Prager R, Hof H, et al. Prolonged hospital and community-based listeriosis outbreak caused by ready-to-eat scalded sausages. J Hosp Infect. 2009;73(2):121-8.  https://doi.org/10.1016/j.jhin.2009.06.011  PMID: 19716628 
  42. Pletz MW, Wollny A, Dobermann UH, Rödel J, Neubauer S, Stein C, et al. A nosocomial foodborne outbreak of a VIM Carbapenemase-expressing Citrobacter freundii. Clin Infect Dis. 2018;67(1):58-64.  https://doi.org/10.1093/cid/ciy034  PMID: 29346622 
  43. Elward A, Grim A, Schroeder P, Kieffer P, Sellenriek P, Ferrett R, et al. Outbreak of Salmonella javiana infection at a children’s hospital. Infect Control Hosp Epidemiol. 2006;27(6):586-92.  https://doi.org/10.1086/506483  PMID: 16755478 
  44. Centers for Disease Control and Prevention (CDC). Salmonella Oranienburg infections associated with fruit salad served in health-care facilities--northeastern United States and Canada, 2006. MMWR Morb Mortal Wkly Rep. 2007;56(39):1025-8. PMID: 17914330 
  45. Styles T, Phan Q, Rabatsky-Ehr T, Applewhite C, Sosa L, Cartter M. Salmonella enterica serotype enteritidis outbreak at a long-term care facility, Connecticut, 2012. Conn Med. 2013;77(10):587-90. PMID: 24367841 
  46. Cokes C, France AM, Reddy V, Hanson H, Lee L, Kornstein L, et al. Serving high-risk foods in a high-risk setting: survey of hospital food service practices after an outbreak of listeriosis in a hospital. Infect Control Hosp Epidemiol. 2011;32(4):380-6.  https://doi.org/10.1086/658943  PMID: 21460490 
  47. Gaul LK, Farag NH, Shim T, Kingsley MA, Silk BJ, Hyytia-Trees E. Hospital-acquired listeriosis outbreak caused by contaminated diced celery--Texas, 2010. Clin Infect Dis. 2013;56(1):20-6.  https://doi.org/10.1093/cid/cis817  PMID: 22997210 
  48. Centers for Disease Control and Prevention (CDC). Multistate outbreak of listeriosis linked to Blue Bell creameries products (Final Update). 10 Jun 2015. Available from: https://www.cdc.gov/listeria/outbreaks/ice-cream-03-15/index.html
  49. Li Z, Pérez-Osorio A, Wang Y, Eckmann K, Glover WA, Allard MW, et al. Whole genome sequencing analyses of Listeria monocytogenes that persisted in a milkshake machine for a year and caused illnesses in Washington State. BMC Microbiol. 2017;17(1):134.  https://doi.org/10.1186/s12866-017-1043-1  PMID: 28619007 
  50. Mazengia E, Kawakami V, Rietberg K, Kay M, Wyman P, Skilton C, et al. Hospital-acquired listeriosis linked to a persistently contaminated milkshake machine. Epidemiol Infect. 2017;145(5):857-63.  https://doi.org/10.1017/S0950268816003198  PMID: 28065212 
  51. Rietberg K, Lloyd J, Melius B, Wyman P, Treadwell R, Olson G, et al. Outbreak of Listeria monocytogenes infections linked to a pasteurized ice cream product served to hospitalized patients. Epidemiol Infect. 2016;144(13):2728-31.  https://doi.org/10.1017/S0950268815003039  PMID: 27586030 
  52. Bos J, Smithee L, McClane B, Distefano RF, Uzal F, Songer JG, et al. Fatal necrotizing colitis following a foodborne outbreak of enterotoxigenic Clostridium perfringens type A infection. Clin Infect Dis. 2005;40(10):e78-83.  https://doi.org/10.1086/429829  PMID: 15844055 
  53. Centers for Disease Control and Prevention (CDC). Fatal foodborne Clostridium perfringens illness at a state psychiatric hospital--Louisiana, 2010. MMWR Morb Mortal Wkly Rep. 2012;61(32):605-8. PMID: 22895383 
  54. Reiss G, Kunz P, Koin D, Keeffe EB. Escherichia coli O157:H7 infection in nursing homes: review of literature and report of recent outbreak. J Am Geriatr Soc. 2006;54(4):680-4.  https://doi.org/10.1111/j.1532-5415.2006.00682.x  PMID: 16686882 
  55. Centers for Disease Control and Prevention (CDC). Outbreak of cyclosporiasis associated with snow peas--Pennsylvania, 2004. MMWR Morb Mortal Wkly Rep. 2004;53(37):876-8. PMID: 15385921 
  56. Inns T, Lane C, Peters T, Dallman T, Chatt C, McFarland N, et al. A multi-country Salmonella Enteritidis phage type 14b outbreak associated with eggs from a German producer: ‘near real-time’ application of whole genome sequencing and food chain investigations, United Kingdom, May to September 2014. Euro Surveill. 2015;20(16):21098.  https://doi.org/10.2807/1560-7917.ES2015.20.16.21098  PMID: 25953273 
  57. Shetty A, McLauchlin J, Grant K, O’Brien D, Howard T, Davies EM. Outbreak of Listeria monocytogenes in an oncology unit associated with sandwiches consumed in hospital. J Hosp Infect. 2009;72(4):332-6.  https://doi.org/10.1016/j.jhin.2009.01.012  PMID: 19278752 
  58. Dawson SJ, Evans MR, Willby D, Bardwell J, Chamberlain N, Lewis DA. Listeria outbreak associated with sandwich consumption from a hospital retail shop, United Kingdom. Euro Surveill. 2006;11(6):89-91.  https://doi.org/10.2807/esm.11.06.00632-en  PMID: 16801694 
  59. Public Health England (PHE). Human listeriosis linked to hospital sandwiches: implications for procurement and storage. Health Protection Report 2(35). 29 August 2008 news. London: PHE; 2008. Available from: https://webarchive.nationalarchives.gov.uk/20140714101922/http://www.hpa.org.uk/hpr/archives/2008/news3508.htm
  60. Public Health Agency Northern Ireland (HSC). The report of the Outbreak Control Team of the investigation of an outbreak of listeriosis in the Belfast Health and Social Care Trust during May to November 2008. Belfast: HSC: 2009. Available from: https://www.publichealth.hscni.net/sites/default/files/ListeriaReport.pdf
  61. Little CL, Gormley F, Mook P, Gillespie I, Foster K, Harris J, et al. Outbreaks of infection associated with ready-to-eat foods. London: Food Standards Agency; 2011. Available from: https://acmsf.food.gov.uk/sites/default/files/mnt/drupal_data/sources/files/multimedia/pdfs/committee/acm1014hpa.pdf.
  62. Coetzee N, Laza-Stanca V, Orendi JM, Harvey S, Elviss NC, Grant KA. A cluster of Listeria monocytogenes infections in hospitalised adults, Midlands, England, February 2011. Euro Surveill. 2011;16(20):19869.  https://doi.org/10.2807/ese.16.20.19869-en  PMID: 21616050 
  63. Public Health Laboratory Services. Salmonella Enteritidis outbreak in a London hospital - update. Commun Dis Rep CDR Wkly. 2003;13(8). Available from: https://webarchive.nationalarchives.gov.uk/20121102165301/http://www.hpa.org.uk/cdr/archives/back_issues.htm
  64. Eriksen HM, Guerin PJ, Nygård K, Hjertqvist M, de Jong B, Rose AM, et al. Gastro-enteritis outbreak among Nordic patients with psoriasis in a health centre in Gran Canaria, Spain: a cohort study. BMC Infect Dis. 2004;4(1):45.  https://doi.org/10.1186/1471-2334-4-45  PMID: 15511300 
  65. Calbo E, Freixas N, Xercavins M, Riera M, Nicolás C, Monistrol O, et al. Foodborne nosocomial outbreak of SHV1 and CTX-M-15-producing Klebsiella pneumoniae: epidemiology and control. Clin Infect Dis. 2011;52(6):743-9.  https://doi.org/10.1093/cid/ciq238  PMID: 21367727 
  66. Gurgui M, Sanchez F, March F, Lopez-Contreras J, Martino R, Cotura A, et al. Nosocomial outbreak of Blastoschizomyces capitatus associated with contaminated milk in a haematological unit. J Hosp Infect. 2011;78(4):274-8.  https://doi.org/10.1016/j.jhin.2011.01.027  PMID: 21658800 
  67. Hamada K, Tsuji H. Salmonella Brandenburg and S. Corvallis involved in a food poisoning outbreak in a hospital in Hyogo Prefecture. Jpn J Infect Dis. 2001;54(5):195-6. PMID: 11754160 
  68. Ohwaki K, Nagashima H, Aoki M, Aoki H, Yano E. A foodborne norovirus outbreak at a hospital and an attached long-term care facility. Jpn J Infect Dis. 2009;62(6):450-4. PMID: 19934537 
  69. Tanaka D, Isobe J, Hosorogi S, Kimata K, Shimizu M, Katori K, et al. An outbreak of food-borne gastroenteritis caused by Clostridium perfringens carrying the cpe gene on a plasmid. Jpn J Infect Dis. 2003;56(3):137-9. PMID: 12944687 
  70. Nakamura K, Kaneko M, Abe Y, Yamamoto N, Mori H, Yoshida A, et al. Outbreak of extended-spectrum β-lactamase-producing Escherichia coli transmitted through breast milk sharing in a neonatal intensive care unit. J Hosp Infect. 2016;92(1):42-6.  https://doi.org/10.1016/j.jhin.2015.05.002  PMID: 26238662 
  71. Tabuchi A, Wakui T, Yahata Y, Yano K, Azuma K, Yamagishi T, et al. A large outbreak of enterohaemorrhagic Escherichia coli O157, caused by low-salt pickled Napa cabbage in nursing homes, Japan, 2012. Western Pac Surveill Response J. 2015;6(2):7-11.  https://doi.org/10.5365/wpsar.2014.5.1.012  PMID: 26306209 
  72. Schmid D, Kuo HW, Hell M, Kasper S, Lederer I, Mikula C, et al. Foodborne gastroenteritis outbreak in an Austrian healthcare facility caused by asymptomatic, norovirus-excreting kitchen staff. J Hosp Infect. 2011;77(3):237-41.  https://doi.org/10.1016/j.jhin.2010.11.015  PMID: 21272956 
  73. Schmid D, Rademacher C, Kanitz EE, Frenzel E, Simons E, Allerberger F, et al. Elucidation of enterotoxigenic Bacillus cereus outbreaks in Austria by complementary epidemiological and microbiological investigations, 2013. Int J Food Microbiol. 2016;232:80-6.  https://doi.org/10.1016/j.ijfoodmicro.2016.05.011  PMID: 27257745 
  74. Jelovcan S, Schmid D, Lederer I, Hell M, Rehberger K, Arnhold D, et al. Cluster of nosocomial campylobacteriosis, Austria 2006. J Hosp Infect. 2008;69(1):97-8.  https://doi.org/10.1016/j.jhin.2008.01.010  PMID: 18329135 
  75. Tribe IG, Cowell D, Cameron P, Cameron S. An outbreak of Salmonella typhimurium phage type 135 infection linked to the consumption of raw shell eggs in an aged care facility. Commun Dis Intell Q Rep. 2002;26(1):38-9. PMID: 11950200 
  76. Najjar Z, Gupta L, Sintchenko V, Shadbolt C, Wang Q, Bansal N. Listeriosis cluster in Sydney linked to hospital food. Med J Aust. 2015;202(8):448-9.  https://doi.org/10.5694/mja14.00913  PMID: 25929511 
  77. Currie A, Farber JM, Nadon C, Sharma D, Whitfield Y, Gaulin C, et al. Multi-province listeriosis outbreak linked to contaminated deli meat consumed primarily in institutional settings, Canada, 2008. Foodborne Pathog Dis. 2015;12(8):645-52.  https://doi.org/10.1089/fpd.2015.1939  PMID: 26258258 
  78. Bolduc D, Srour LF, Sweet L, Neatby A, Galanis E, Isaacs S, et al. Severe outbreak of Escherichia coli O157:H7 in health care institutions in Charlottetown, Prince Edward Island, fall, 2002. Can Commun Dis Rep. 2004;30(9):81-8. PMID: 15132397 
  79. Falkenhorst G, Krusell L, Lisby M, Madsen SB, Böttiger B, Mølbak K. Imported frozen raspberries cause a series of norovirus outbreaks in Denmark, 2005. Euro Surveill. 2005;10(9):E050922.2.  https://doi.org/10.2807/esw.10.38.02795-en  PMID: 16788235 
  80. Kvistholm Jensen A, Nielsen EM, Björkman JT, Jensen T, Müller L, Persson S, et al. Whole-genome sequencing used to investigate a nationwide outbreak of listeriosis caused by ready-to-eat delicatessen meat, Denmark, 2014. Clin Infect Dis. 2016;63(1):64-70.  https://doi.org/10.1093/cid/ciw192  PMID: 27025820 
  81. Loury P, Le Guyader FS, Le Saux JC, Ambert-Balay K, Parrot P, Hubert B. A norovirus oyster-related outbreak in a nursing home in France, January 2012. Epidemiol Infect. 2015;143(12):2486-93.  https://doi.org/10.1017/S0950268814003628  PMID: 25567093 
  82. Decousser JW, Ramarao N, Duport C, Dorval M, Bourgeois-Nicolaos N, Guinebretière MH, et al. Bacillus cereus and severe intestinal infections in preterm neonates: Putative role of pooled breast milk. Am J Infect Control. 2013;41(10):918-21.  https://doi.org/10.1016/j.ajic.2013.01.043  PMID: 23769834 
  83. Jacks A, Pihlajasaari A, Vahe M, Myntti A, Kaukoranta SS, Elomaa N, et al. Outbreak of hospital-acquired gastroenteritis and invasive infection caused by Listeria monocytogenes, Finland, 2012. Epidemiol Infect. 2016;144(13):2732-42.  https://doi.org/10.1017/S0950268815002563  PMID: 26493730 
  84. Gikas A, Kritsotakis EI, Maraki S, Roumbelaki M, Babalis D, Scoulica E, et al. A nosocomial, foodborne outbreak of Salmonella Enterica serovar Enteritidis in a university hospital in Greece: the importance of establishing HACCP systems in hospital catering. J Hosp Infect. 2007;66(2):194-6.  https://doi.org/10.1016/j.jhin.2007.03.001  PMID: 17482719 
  85. Medici MC, Morelli A, Arcangeletti MC, Calderaro A, De Conto F, Martinelli M, et al. An outbreak of norovirus infection in an Italian residential-care facility for the elderly. Clin Microbiol Infect. 2009;15(1):97-100.  https://doi.org/10.1111/j.1469-0691.2008.02117.x  PMID: 19220341 
  86. Johnsen BO, Lingaas E, Torfoss D, Strøm EH, Nordøy I. A large outbreak of Listeria monocytogenes infection with short incubation period in a tertiary care hospital. J Infect. 2010;61(6):465-70.  https://doi.org/10.1016/j.jinf.2010.08.007  PMID: 20813130 
  87. Bruins MJ, Fernandes TM, Ruijs GJ, Wolfhagen MJ, van Rijn-van Berkel JM, Schenk BE, et al. Detection of a nosocomial outbreak of salmonellosis may be delayed by application of a protocol for rejection of stool cultures. J Hosp Infect. 2003;54(2):93-8.  https://doi.org/10.1016/S0195-6701(03)00125-7  PMID: 12818580 
  88. Ertugrul BM, Erol N, Emek M, Ozturk B, Saylak OM, Cetin K, et al. Food-borne tonsillopharyngitis outbreak in a hospital cafeteria. Infection. 2012;40(1):49-55.  https://doi.org/10.1007/s15010-011-0166-9  PMID: 21826437 
  89. Schmid D, Lederer I, Pichler AM, Berghold C, Schreier E, Allerberger F. Norovirus-Ausbruch in einem Altenheim und Krankenhaus in Österreich. [An outbreak of Norovirus infection affecting an Austrian nursing home and a hospital]. Wien Klin Wochenschr. 2005;117(23-24):802-8. German.  https://doi.org/10.1007/s00508-005-0473-1  PMID:16437316
  90. Ministero della Salute (Italian Ministry of Health). Linee di indirizzo nazionale per la ristorazione ospedaliera e assistenziale. [National guidelines for food catering in hospitals and care facilities]. Rome: Ministero della Salute; 2012. [Accessed: 29 Mar 2020]. Italian. Available from: http://www.salute.gov.it/imgs/C_17_pubblicazioni_1435_allegato.pdf
  91. Blum K, Lehmann E. Trends in der Krankenhausküche. [Trends in the hospital kitchen]. Das Krankenhaus. 2020; 3:241-244. [Accessed: 11 Feb 2021]. German. Available from: https://www.kup-consult.de/wp-content/uploads/2020/05/Trends-in-der-Krankenhausku%CC%88che-Das-Krankenhaus-03-20.pdf
  92. National Italian Authority against corruption (ANAC). Efficienza dei contratti pubblici e sviluppo di indicatori di rischio corruttivo - gennaio 2018. [Efficiency of public contracts and development of corruption risk indicators]. Rome: ANAC. [Accessed: 29 Mar 2020]. Italian. Available from: https://www.anticorruzione.it/documents/91439/171945/Efficienza+dei+contratti+pubblici+e+sviluppo+di+indicatori+di+rischio+corruttivo.pdf/54fcab35-54b0-35d7-88fa-5ace3249fbcf?t=1583849599647
  93. European Parliament and Council. Regulation (EC) no 852/2004 of the European Parliament and of the Council of 29 April 2004 on the hygiene of foodstuffs. Official Journal of the European Union. Luxembourg: Publication Office of the European Union. 30.04.2014:L 139. Available from: https://eur-lex.europa.eu/eli/reg/2004/852/oj/eng
  94. Federal Institute for Risk Assessment (BfR). Safe food. Especially vulnerable groups in communal facilities. Berlin: BfR. [Accessed: 7 Oct 2021]. Available from: https://www.bfr.bund.de/cm/364/safe-food-especially-vulnerable-groups-in-community-institutions.pdf
  95. Federal Institute for Risk Assessment (BfR). Mögliche gesundheitliche Risiken durch kontaminierte Lebensmittel in Krankenhausküchen können durch geeignete Maßnahmen minimiert werden. [Possible health risks from contaminated food in hospital kitchens can be minimized by taking suitable measures]. Berlin: BfR; 2016. German. Available from: https://www.bfr.bund.de/cm/343/moegliche-gesundheitliche-risiken-durch-kontaminierte-lebensmittel-in-krankenhauskuechen-koennen-durch-geeignete-massnahmen-minimiert-werden.pdf
  96. German Society of Hospital Hygiene. Hygieneanforderungen beim Umgang mit Lebensmitteln in Krankenhäusern, Pflege- und Rehabilitationseinrichtungen und neuen Wohnformen. [Hygiene requirements when handling food in hospitals, care and rehabilitation facilities and new forms of living]. Hyg Med. 2018;43(1/2). German. Available from: https://www.krankenhaushygiene.de/pdfdata/hm/2018_1_2_Lebensmittelpapier.pdf
  97. Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO). Personelle und organisatorische Voraussetzungen zur Prävention nosokomialer Infektionen. [Personnel and organizational requirements for the prevention of nosocomial infections]. Bundesgesundheitsblatt. 2009;52(9):951-62. German.  https://doi.org/10.1007/s00103-009-0929-y  PMID:19690813
  98. Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO). Anforderungen an die Hygiene bei der medizinischen Versorgung von immunsupprimierten Patienten. [Requirements for hygiene in the medical care of immunocompromised patients.] Bundesgesundheitsblatt. 2010;53(4):357-88. German.  https://doi.org/10.1007/s00103-010-1028-9  PMID:20300719
  99. European Food Safety Authority and European Centre for Disease Prevention and Control (EFSA and ECDC). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2017. EFSA J. 2018;16(12):e05500.  https://doi.org/10.2903/j.efsa.2018.5500  PMID: 32625785 
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