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Abstract

Background

Salmonellosis remains the second most common zoonosis in the European Union despite a long-term decreasing trend. However, this trend has been reported to have stagnated in recent years, particularly for serotype Enteritidis (SE).

Aim

To describe temporal changes in the incidence of SE human infections, and in its associated factors between 2006 and 2019. In addition, we aim to determine which factors influenced the stagnated trend seen in recent years.

Methods

Data on culture-confirmed SE human infections from national surveillance registries in the Netherlands and Belgium between 2006 and 2019 were analysed using multivariable negative-binomial regression models with restricted cubic splines.

Results

SE incidence was significantly higher in summer and autumn than winter, in persons aged 0–4 years and 5–14 years than in persons ≥ 60 years, and increased with increasing proportions of travel-related and resistant SE infections. SE incidence decreased significantly in both countries until 2015, followed by an increasing trend, which was particularly pronounced in the Netherlands. Potential SE outbreaks in both countries and invasive infections in the Netherlands also increased after 2015.

Conclusion

The increase in potential outbreaks and invasive infections since 2015 may partially explain the observed reversal of the decreasing trend. While these results provide insights into the possible causes of this trend reversal, attention should also be given to factors known to influence SE epidemiology at primary (animal) production and pathogen genomic levels.

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2022-09-22
2024-04-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2022.27.38.2101174
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Changing epidemiology of Salmonella Enteritidis human infections in the Netherlands and Belgium, 2006 to 2019: a registry-based population study
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Linda+Chanam%C3%A9+Pinedo&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Chanamé Pinedo Linda</a>, <a href="/search?value1=Eelco+Franz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Franz Eelco</a>, <a href="/search?value1=Maaike+van+den+Beld&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van den Beld Maaike</a>, <a href="/search?value1=Nina+Van+Goethem&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Van Goethem Nina</a>, <a href="/search?value1=Wesley+Mattheus&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mattheus Wesley</a>, <a href="/search?value1=Kees+Veldman&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Veldman Kees</a>, <a href="/search?value1=Thijs+Bosch&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bosch Thijs</a>, <a href="/search?value1=Lapo+Mughini-Gras&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mughini-Gras Lapo</a>, <a href="/search?value1=Roan+Pijnacker&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pijnacker Roan</a></span>. Changing epidemiology of Salmonella Enteritidis human infections in the Netherlands and Belgium, 2006 to 2019: a registry-based population study. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(38):pii=2101174. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.38.2101174" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.38.2101174</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 13 Dec 2021;&nbsp;&nbsp; <span class="generated">Accepted</span>: 15 Aug 2022 </span> </p>
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