Don’t Count Your Chicken Livers: an Outbreak of <i>Campylobacter</i> sp. Not Associated with Chicken Liver Parfait, England, November 2013

• DOI: 10.1371/currents.outbreaks.c1b19bae7bac20dccf00ef18b19d8d2a
• Publication Date: 2014-08-12T18:50:45Z
• Authors: Suzan Trienekens; Charlotte Anderson; Jennifer Duffy; Rachel Gill; Lisa Harvey-Vince; Helen Jones; Piers Mook; Chikwe Ihekweazu; Ishani Kar-Purkay...
• Keywords: Etiology

In England, several recent campylobacter outbreaks have been associated with poultry liver consumption. Following a lunch event in hotel Surrey November 2013 where chicken parfait was served, guests reported having gastrointestinal symptoms. A retrospective cohort study showed 46 of 138 became unwell, median incubation period two days and for 11 cases infection laboratory confirmed. Food item analysis identified an association between illness consumption roast turkey (aOR=3.02 p=0.041) or jus (aOR=3.55 p=0.045), but not (OR=0.39 p=0.405). The environmental risk assessment did identify non-compliance standard food practice guidelines. This presents point-source outbreak high attack rate epidemiological results show that the likely source although this could be confirmed by assessment. Consuming dish factor developing symptoms as initially hypothesised. Prior knowledge on items should overly influence investigation to ensure true aetiology is on-going public health minimised.