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Abstract

Background

spp. are aquatic bacteria that prefer warm seawater with moderate salinity. In humans, they can cause gastroenteritis, wound infections, and ear infections. During the summers of 2018 and 2019, unprecedented high sea surface temperatures were recorded in the German Baltic Sea.

Aim

We aimed to describe the clinical course and microbiological characteristics of infections in Germany in 2018 and 2019.

Methods

We performed an observational retrospective multi-centre cohort study of patients diagnosed with domestically-acquired infections in Germany in 2018 and 2019. Demographic, clinical, and microbiological data were assessed, and isolates were subjected to whole genome sequencing and antimicrobial susceptibility testing.

Results

Of the 63 patients with infections, most contracted the virus between June and September, primarily in the Baltic Sea: 44 (70%) were male and the median age was 65 years (range: 2–93 years). Thirty-eight patients presented with wound infections, 16 with ear infections, six with gastroenteritis, two with pneumonia (after seawater aspiration) and one with primary septicaemia. The majority of infections were attributed to (non–O1/non-O139) (n = 30; 48%) or (n = 22; 38%). Phylogenetic analyses of 12 available isolates showed clusters of three identical strains of , which caused wound infections, suggesting that some clonal lines can spread across the Baltic Sea.

Conclusions

During the summers of 2018 and 2019, severe heatwaves facilitated increased numbers of infections in Germany. Since climate change is likely to favour the proliferation of these bacteria, a further increase in -associated diseases is expected.

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/content/10.2807/1560-7917.ES.2021.26.41.2002041
2021-10-14
2021-12-08
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2021.26.41.2002041
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