Campylobacter infection associated with consumption of duck liver pâté: a retrospective cohort study in the setting of near universal exposure

• Published in: Epidemiology and infection 2014-06, Vol.142 (6), p.1269-1276
• Main Authors: YOUNG, N. J., DAY, J., MONTSHO-HAMMOND, F., VERLANDER, N. Q., IRISH, C., PANKHANIA, B., OLIVER, I.
• Format: Article
• Language: English
• Subjects: Abdomen; Adolescent; Adult; Aged; Aged, 80 and over; Animals; Biological and medical sciences; Campylobacter; Campylobacter - classification; Campylobacter - isolation & purification; Campylobacter Infections - epidemiology; Campylobacter jejuni; Catering; Child; Child, Preschool; Cohort analysis; Cohort Studies; Cooking; Councils; Demographics; Diarrhea; Disease Outbreaks; Dose response relationship; Ducks; Epidemics; Female; Food consumption; Food contamination & poisoning; Food Microbiology; Fundamental and applied biological sciences. Psychology; Gastroenteritis; Gastrointestinal; Humans; Infant; Infections; Liver; Liver - microbiology; Male; Meat Products - microbiology; Microbiology; Middle Aged; Odds Ratio; Original Papers; Poultry; Questionnaires; Retrospective Studies; Risk Factors; Salads; United Kingdom - epidemiology; Water consumption; Weddings; Young Adult
• ISSN: 0950-2688; 1469-4409
• DOI: 10.1017/S0950268813001969

A retrospective cohort study was performed following several reported cases of gastrointestinal illness after a catered event. The attack rate was 45/77 (58·4%) by clinical case definition, with four individuals confirmed to have Campylobacter. There was near universal exposure to most foodstuffs served; consumption of duck liver pâté [relative risk (RR) 2·53, 95% confidence interval (CI) 1·05–6·10], mixed leaf salad (RR 2·91, 95% CI 1·22–6·92) and table water (RR undefined, P