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'''''Campylobacter''''' (meaning "curved bacteria") is a [[genus]] of [[Gram-negative bacteria]].<ref name="Bergey's">{{cite book |last1=Vandamme |first1=Peter |last2=Dewhirst |first2=Floyd E. |last3=Paster |first3=Bruce J. |last4=On |first4=Stephen L.W. |year=2006 |chapter= |editor1-last=Garrity |editor1-first=George|editor2-last=Brenner |editor2-first=Don J.|editor3-last=Staley |editor3-first=James T. |editor4-last=Krieg |editor4-first=Noel R. |editor5-last=Boone |editor5-first=David R. |editor6-last=DeVos |editor6-first=Paul |editor7-last=Goodfellow |editor7-first=Michael |editor8-last=Rainey |editor8-first=Fred A. |editor9-last=Schleifer |editor9-first=Karl-Heinz |title=Bergey's Manual of Systematic Bacteriology: Volume Two: The Proteobacteria (Part C) |edition=2nd |location= |publisher=Springer Science & Business Media |pages=1147–1160 |isbn=978-0-387-29298-4}}</ref> ''Campylobacter'' typically appear comma- or s-shaped, and are [[Motility#Cellular-level motility|motile]].<ref name="Bergey's" /> Some ''Campylobacter'' species can infect humans, sometimes causing [[campylobacteriosis]], a diarrhoeal disease in humans. <ref name=":2">{{Cite journal|last=Blaser|first=Martin J.|date=1997-12-01|title=Epidemiologic and Clinical Features of Campylobacter jejuni Infections|url=https://academic.oup.com/jid/article/176/Supplement_2/S103/841617|journal=The Journal of Infectious Diseases|language=en|volume=176|issue=Supplement_2|pages=S103–S105|doi=10.1086/513780|issn=0022-1899}}</ref> The most known [[natural reservoir]] for ''Campylobacter'' is [[poultry]], but due to their diverse natural reservoir, ''Campylobacter'' spp. can also be transmitted ''via'' water. <ref>{{Cite journal|last=Humphrey|first=Tom|last2=O'Brien|first2=Sarah|last3=Madsen|first3=Mogens|date=2007-07-15|title=Campylobacters as zoonotic pathogens: A food production perspective|url=http://www.sciencedirect.com/science/article/pii/S0168160507000815|journal=International Journal of Food Microbiology|language=en|volume=117|issue=3|pages=237–257|doi=10.1016/j.ijfoodmicro.2007.01.006|issn=0168-1605}}</ref> Other known sources of ''Campylobacter'' infections include food products, such as unpasteurised milk and contaminated fresh produce. <ref>{{Cite web|title = Infectious disease Campylobacter clinical Foodborne illnesses {{!}} CDC|url = https://www.cdc.gov/foodsafety/diseases/campylobacter/technical.html|website = www.cdc.gov|access-date = 2016-02-14}}</ref> Sometimes the source of infection can be direct contact with infected animals, which often carry ''Campylobacter'' [[Subclinical infection|asymptomatically]].<ref name=":0">{{Cite journal|title = Campylobacter Infections: Background, Pathophysiology, Epidemiology|url = http://emedicine.medscape.com/article/213720-overview|date = 2019-02-02}}</ref> At least a dozen species of ''Campylobacter'' have been implicated in human disease, with [[Campylobacter jejuni|''C. jejuni'']] (80-90%) and ''[[Campylobacter coli|C. coli]]'' (5-10%) being the most common .<ref name="Sherris" /><ref name=":2" /> ''[[Campylobacter jejuni|C. jejuni]]'' is recognized as one of the main causes of [[Gastroenteritis#Bacterial|bacterial foodborne disease]] in many developed countries.<ref name="Sherris">{{cite book |editor1-first=Kenneth James |editor1-last=Ryan |editor2-first=C. George |editor2-last=Ray |title=Sherris Medical Microbiology: An Introduction to Infectious Diseases |url=https://archive.org/details/sherrismedicalmi00ryan |url-access=limited |edition=4th |pages=[https://archive.org/details/sherrismedicalmi00ryan/page/n395 378]–80 |publisher=McGraw Hill |year=2004 |isbn=978-0-8385-8529-0}}</ref><ref name="Moore_2005">{{cite journal |doi=10.1051/vetres:2005012 |title=Campylobacter |year=2005 |last1=Moore |first1=John E. |last2=Corcoran |first2=Deborah |last3=Dooley |first3=James S.G. |last4=Fanning |first4=Séamus |last5=Lucey |first5=Brigid |last6=Matsuda |first6=Motoo |last7=McDowell |first7=David A. |last8=Mégraud |first8=Francis |last9=Millar |first9=B. |journal=Veterinary Research |volume=36 |issue=3 |pages=351–82 |pmid=15845230 |last10=O'Mahony |first10=Rebecca |last11=O'Riordan |first11=Lisa |last12=O'Rourke |first12=Michele |last13=Rao |first13=Juluri R. |last14=Rooney |first14=Paul J. |last15=Sails |first15=Andrew |last16=Whyte |first16=Paul|url=https://hal.archives-ouvertes.fr/hal-00902984/file/hal-00902984.pdf }}</ref> It is the number one cause of bacterial [[Gastroenteritis|gastroentritis]] in Europe, with over 246,000 cases confirmed annually. <ref>{{Cite web|title=Campylobacter|url=https://www.efsa.europa.eu/en/topics/topic/campylobacter|access-date=2020-11-02|website=European Food Safety Authority|language=en}}</ref> ''[[Campylobacter jejuni|C. jejuni]]'' infection can also cause [[bacteremia]] in immunocompromised individuals, while ''[[Campylobacter lari|C. lari]]'' is a known cause of recurrent diarrhea in children.<ref name=":0" /> ''[[Campylobacter fetus|C. fetus]]'' can cause spontaneous abortions in [[cattle]] and [[sheep]], and is an [[Opportunistic infection|opportunistic pathogen]] in humans.<ref name="Sauerwein_1993">{{cite journal |last1=Sauerwein |first1=R. W. |last2=Horrevorts |first2=A. M. |last3=Bisseling |first3=J. |title=Septic abortion associated with ''Campylobacter fetus'' subspecies ''fetus'' infection: Case report and review of the literature |journal=Infection |volume=21 |issue=5 |pages=331–3 |year=1993 |pmid=8300253 |doi=10.1007/BF01712458 |s2cid=28539930 }}</ref>
'''''Campylobacter''''' (meaning "curved bacteria") is a [[genus]] of [[Gram-negative bacteria]].<ref name="Bergey's">{{cite book |last1=Vandamme |first1=Peter |last2=Dewhirst |first2=Floyd E. |last3=Paster |first3=Bruce J. |last4=On |first4=Stephen L.W. |year=2006 |chapter= |editor1-last=Garrity |editor1-first=George|editor2-last=Brenner |editor2-first=Don J.|editor3-last=Staley |editor3-first=James T. |editor4-last=Krieg |editor4-first=Noel R. |editor5-last=Boone |editor5-first=David R. |editor6-last=DeVos |editor6-first=Paul |editor7-last=Goodfellow |editor7-first=Michael |editor8-last=Rainey |editor8-first=Fred A. |editor9-last=Schleifer |editor9-first=Karl-Heinz |title=Bergey's Manual of Systematic Bacteriology: Volume Two: The Proteobacteria (Part C) |edition=2nd |location= |publisher=Springer Science & Business Media |pages=1147–1160 |isbn=978-0-387-29298-4}}</ref> ''Campylobacter'' typically appear comma- or s-shaped, and are [[Motility#Cellular-level motility|motile]].<ref name="Bergey's" />


== Morphology and phenotype ==
Most ''Campylobacter'' species can infect humans and other animals, [[Pathogen|causing disease]]. The bacterium's main [[natural reservoir]] is [[poultry]];<ref>{{Cite web|title = Infectious disease Campylobacter clinical Foodborne illnesses {{!}} CDC|url = https://www.cdc.gov/foodsafety/diseases/campylobacter/technical.html|website = www.cdc.gov|access-date = 2016-02-14}}</ref> humans can contract the disease from eating food contaminated with ''Campylobacter'' species. Another source of infection is contact with infected animals, which often carry ''Campylobacter'' [[Subclinical infection|asymptomatically]].<ref name=":0">{{Cite journal|title = Campylobacter Infections: Background, Pathophysiology, Epidemiology|url = http://emedicine.medscape.com/article/213720-overview|date = 2019-02-02}}</ref> At least a dozen species of ''Campylobacter'' have been implicated in human disease, with ''[[Campylobacter jejuni|C. jejuni]]'' and ''[[Campylobacter coli|C. coli]]'' being the most common.<ref name=Sherris /> ''C. jejuni'' is now recognized as one of the main causes of [[Gastroenteritis#Bacterial|bacterial foodborne disease]] in many developed countries.<ref name=Sherris>{{cite book |editor1-first=Kenneth James |editor1-last=Ryan |editor2-first=C. George |editor2-last=Ray |title=Sherris Medical Microbiology: An Introduction to Infectious Diseases |url=https://archive.org/details/sherrismedicalmi00ryan |url-access=limited |edition=4th |pages=[https://archive.org/details/sherrismedicalmi00ryan/page/n395 378]–80 |publisher=McGraw Hill |year=2004 |isbn=978-0-8385-8529-0}}</ref><ref name=Moore_2005>{{cite journal |doi=10.1051/vetres:2005012 |title=Campylobacter |year=2005 |last1=Moore |first1=John E. |last2=Corcoran |first2=Deborah |last3=Dooley |first3=James S.G. |last4=Fanning |first4=Séamus |last5=Lucey |first5=Brigid |last6=Matsuda |first6=Motoo |last7=McDowell |first7=David A. |last8=Mégraud |first8=Francis |last9=Millar |first9=B. |journal=Veterinary Research |volume=36 |issue=3 |pages=351–82 |pmid=15845230 |last10=O'Mahony |first10=Rebecca |last11=O'Riordan |first11=Lisa |last12=O'Rourke |first12=Michele |last13=Rao |first13=Juluri R. |last14=Rooney |first14=Paul J. |last15=Sails |first15=Andrew |last16=Whyte |first16=Paul|url=https://hal.archives-ouvertes.fr/hal-00902984/file/hal-00902984.pdf }}</ref> ''C. jejuni'' infection can also [[bacteremia|spread to the blood]] in individuals with [[HIV/AIDS|AIDS]], while ''[[Campylobacter lari|C. lari]]'' is a known cause of recurrent diarrhea in children.<ref name=":0" /> ''[[Campylobacter fetus|C. fetus]]'' is a cause of spontaneous abortions in [[cattle]] and [[sheep]], as well as an [[Opportunistic infection|opportunistic pathogen]] in humans.<ref name=Sauerwein_1993>{{cite journal |last1=Sauerwein |first1=R. W. |last2=Horrevorts |first2=A. M. |last3=Bisseling |first3=J. |title=Septic abortion associated with ''Campylobacter fetus'' subspecies ''fetus'' infection: Case report and review of the literature |journal=Infection |volume=21 |issue=5 |pages=331–3 |year=1993 |pmid=8300253 |doi=10.1007/BF01712458 |s2cid=28539930 }}</ref> This genus has been found to be part of the [[salivary microbiome]].<ref>{{cite journal|title=Preliminary analysis of salivary microbiome and their potential roles in oral lichen planus|first1=Kun|last1=Wang|first2=Wenxin|last2=Lu|first3=Qichao|last3=Tu|first4=Yichen|last4=Ge|first5=Jinzhi|last5=He|first6=Yu|last6=Zhou|first7=Yaping|last7=Gou|first8=Joy D Van|last8=Nostrand|first9=Yujia|last9=Qin|first10=Jiyao|last10=Li|first11=Jizhong|last11=Zhou|first12=Yan|last12=Li|first13=Liying|last13=Xiao|first14=Xuedong|last14=Zhou|date=10 March 2016|journal=Scientific Reports|volume=6|issue=1|pages=22943|doi=10.1038/srep22943|pmid=26961389|pmc=4785528|bibcode=2016NatSR...622943W}}</ref>
''Campylobacter'' [[Species|spp]]. generally appear as curved or comma-shaped [[Rod-shaped bacterium|rods]], and are able to move via unipolar or bipolar [[Flagellum#Bacterial|flagella]].<ref name="Bergey's" /> They grow best between 37-42°C in a [[Microaerophile|microaerophilic]] environment. <ref>{{Cite web|date=2019-12-23|title=Information for Health Professionals {{!}} Campylobacter {{!}} CDC|url=https://www.cdc.gov/campylobacter/technical.html|access-date=2020-11-02|website=www.cdc.gov|language=en-us}}</ref> When exposed to atmospheric oxygen, ''C. jejuni'' is able to change into a coccal form.<ref name=":1">{{Cite journal|last1=Crushell|first1=Ellen|last2=Harty|first2=Sinead|last3=Sharif|first3=Farhana|last4=Bourke|first4=Billy|date=2004-01-01|title=Enteric Campylobacter: Purging Its Secrets?|journal=Pediatric Research|language=en|volume=55|issue=1|pages=3–12|doi=10.1203/01.PDR.0000099794.06260.71|pmid=14605259|issn=0031-3998|doi-access=free}}</ref> Most species of ''Campylobacter'' are positive by the [[oxidase test]] and [[catalase test]].

== Description ==
''Campylobacter'' species generally appear as curved or comma-shaped [[Rod-shaped bacterium|rods]], and are able to move via unipolar or bipolar [[Flagellum#Bacterial|flagella]].<ref name="Bergey's" /> They generally survive in environments with [[microaerophilic|low oxygen]]. When exposed to atmospheric oxygen, ''C. jejuni'' is able to change into a coccal form.<ref name=":1">{{Cite journal|last1=Crushell|first1=Ellen|last2=Harty|first2=Sinead|last3=Sharif|first3=Farhana|last4=Bourke|first4=Billy|date=2004-01-01|title=Enteric Campylobacter: Purging Its Secrets?|journal=Pediatric Research|language=en|volume=55|issue=1|pages=3–12|doi=10.1203/01.PDR.0000099794.06260.71|pmid=14605259|issn=0031-3998|doi-access=free}}</ref> They are positive by the [[oxidase test]] and [[catalase test]]. ''Campylobacter'' spp. are [[fermentation|nonfermentative]],<ref name="Bergey's"/> and are best cultured at 42&nbsp;°C.<ref name=":1" />


Survival at room temperature is poor, but they can survive for a short time at refrigeration temperatures – up to 15 times longer at 2{{nbsp}}°C than at 20{{nbsp}}°C. The bacterium dies out slowly at freezing temperatures and is heat sensitive: the cells are destroyed at temperatures above 48{{nbsp}}°C.<ref>{{Cite web|url=http://www.foodsafetywatch.org/factsheets/campylobacter/|title=CAMPYLOBACTER : Food Safety Watch|website=www.foodsafetywatch.org|language=en-US|access-date=2017-03-17|archive-url=https://web.archive.org/web/20170318085151/http://www.foodsafetywatch.org/factsheets/campylobacter/|archive-date=2017-03-18|url-status=dead}}</ref>
Survival at room temperature is poor, but they can survive for a short time at refrigeration temperatures – up to 15 times longer at 2{{nbsp}}°C than at 20{{nbsp}}°C. The bacterium dies out slowly at freezing temperatures and is heat sensitive: the cells are destroyed at temperatures above 48{{nbsp}}°C.<ref>{{Cite web|url=http://www.foodsafetywatch.org/factsheets/campylobacter/|title=CAMPYLOBACTER : Food Safety Watch|website=www.foodsafetywatch.org|language=en-US|access-date=2017-03-17|archive-url=https://web.archive.org/web/20170318085151/http://www.foodsafetywatch.org/factsheets/campylobacter/|archive-date=2017-03-18|url-status=dead}}</ref>
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=== Norway ===
=== Norway ===
In June 2019, an estimated 2,000 residents of [[Askøy]] municipality got sick due to the presence of ''C. jejuni'' in the water supply. Two deaths were connected to the outbreak, and it was the largest outbreak of ''Campylobacter'' in Norway.<ref>{{cite news|url=https://www.nrk.no/hordaland/fant-samme-bakterie-i-drikkevannet-som-hos-sykehuspasienter-fra-askoy-1.14583413|title=Fant samme bakterie i drikkevannet som hos sykehuspasienter fra Askøy|date=11 June 2019|publisher=NRK}}</ref> The suspected source of the contamination was thought to be horse faeces, which leaked into a drinking water pool.<ref>{{Cite journal|last1=Paruch|first1=Lisa|last2=Paruch|first2=Adam M.|last3=Sørheim|first3=Roald|date=2020-03-01|title=DNA-based faecal source tracking of contaminated drinking water causing a large Campylobacter outbreak in Norway 2019|url=http://www.sciencedirect.com/science/article/pii/S1438463919308338|journal=International Journal of Hygiene and Environmental Health|language=en|volume=224|pages=113420|doi=10.1016/j.ijheh.2019.113420|pmid=31748129|issn=1438-4639|doi-access=free}}</ref>
In June 2019, an estimated 2,000 residents of [[Askøy]] municipality got sick due to the presence of ''C. jejuni'' in the water supply. Two deaths were connected to the outbreak, and it was the largest outbreak of ''Campylobacter'' in Norway.<ref>{{cite news|url=https://www.nrk.no/hordaland/fant-samme-bakterie-i-drikkevannet-som-hos-sykehuspasienter-fra-askoy-1.14583413|title=Fant samme bakterie i drikkevannet som hos sykehuspasienter fra Askøy|date=11 June 2019|publisher=NRK}}</ref> The suspected source of the contamination was thought to be horse faeces, which leaked into a drinking water pool.<ref>{{Cite journal|last1=Paruch|first1=Lisa|last2=Paruch|first2=Adam M.|last3=Sørheim|first3=Roald|date=2020-03-01|title=DNA-based faecal source tracking of contaminated drinking water causing a large Campylobacter outbreak in Norway 2019|url=http://www.sciencedirect.com/science/article/pii/S1438463919308338|journal=International Journal of Hygiene and Environmental Health|language=en|volume=224|pages=113420|doi=10.1016/j.ijheh.2019.113420|pmid=31748129|issn=1438-4639|doi-access=free}}</ref> A ''C. jejuni'' water isolate thought to be the cause of the outbreak was examined with human isolates, and showed the highest pathogenic potential in in vitro, transcriptomic and genomic investigations. This could suggest why the isolate was able to cause an outbreak.<ref>{{Cite journal|last=Davies|first=Emma|last2=Ebbesen|first2=Marit|last3=Johansson|first3=Cecilia|last4=Kaden|first4=René|last5=Rautelin|first5=Hilpi|date=2020|title=Genomic and Phenotypic Characterisation of Campylobacter jejuni Isolates From a Waterborne Outbreak|url=https://www.frontiersin.org/articles/10.3389/fcimb.2020.594856/full|journal=Frontiers in Cellular and Infection Microbiology|language=English|volume=10|doi=10.3389/fcimb.2020.594856|issn=2235-2988}}</ref>


=== Sweden ===
=== Sweden ===

Revision as of 09:56, 2 November 2020

Campylobacter
Campylobacter jejuni
Scientific classification Edit this classification
Domain: Bacteria
Phylum: Campylobacterota
Class: "Campylobacteria"
Order: Campylobacterales
Family: Campylobacteraceae
Genus: Campylobacter
Sebald & Véron, 1963
Species

C. avium
C. butzleri
C. canadensis
C. cinaedi
C. coli
C. concisus
C. corcagiensis
C. cryaerophilus
C. cuniculorum
C. curvus
C. fennelliae
C. fetus
C. gracilis
C. helveticus
C. hepaticus
C. hominis
C. hyoilei
C. hyointestinalis
C. insulaenigrae
C. jejuni
C. lanienae
C. lari
C. mucosalis
C. mustelae
C. nitrofigilis
C. peloridis
C. pylori
C. rectus
C. showae
C. sputorum
C. subantarcticus
C. upsaliensis
C. ureolyticus
C. volucris

Campylobacter (meaning "curved bacteria") is a genus of Gram-negative bacteria.[1] Campylobacter typically appear comma- or s-shaped, and are motile.[1] Some Campylobacter species can infect humans, sometimes causing campylobacteriosis, a diarrhoeal disease in humans. [2] The most known natural reservoir for Campylobacter is poultry, but due to their diverse natural reservoir, Campylobacter spp. can also be transmitted via water. [3] Other known sources of Campylobacter infections include food products, such as unpasteurised milk and contaminated fresh produce. [4] Sometimes the source of infection can be direct contact with infected animals, which often carry Campylobacter asymptomatically.[5] At least a dozen species of Campylobacter have been implicated in human disease, with C. jejuni (80-90%) and C. coli (5-10%) being the most common .[6][2] C. jejuni is recognized as one of the main causes of bacterial foodborne disease in many developed countries.[6][7] It is the number one cause of bacterial gastroentritis in Europe, with over 246,000 cases confirmed annually. [8] C. jejuni infection can also cause bacteremia in immunocompromised individuals, while C. lari is a known cause of recurrent diarrhea in children.[5] C. fetus can cause spontaneous abortions in cattle and sheep, and is an opportunistic pathogen in humans.[9]

Morphology and phenotype

Campylobacter spp. generally appear as curved or comma-shaped rods, and are able to move via unipolar or bipolar flagella.[1] They grow best between 37-42°C in a microaerophilic environment. [10] When exposed to atmospheric oxygen, C. jejuni is able to change into a coccal form.[11] Most species of Campylobacter are positive by the oxidase test and catalase test.

Survival at room temperature is poor, but they can survive for a short time at refrigeration temperatures – up to 15 times longer at 2 °C than at 20 °C. The bacterium dies out slowly at freezing temperatures and is heat sensitive: the cells are destroyed at temperatures above 48 °C.[12]

History

Theodor Escherich was the first to describe in 1886 what are known today as Campylobacters in the stool samples of infants, who perished from a disease he named "cholera infantum".[13] In the following years until the end of the century, a number of publications appeared, describing the occurrence of such "spirilla" in cases of "cholera-like" and "dysenteric" disease. These organisms were mainly found in the colon or associated with mucous in diarrhoeal stool specimens. Vibrio-like bacteria were also described by Sir John McFadyean and Stockman in 1913 in fetal tissues of aborted sheep.[14] For several years Campylobacters were continuously referred to as ‘‘Vibrio-like organisms’’, until 1963 when Sebald and Veron gave the name "Campylobacter" to the genus based on their shape and microaerophilic growth requirement and after showing significant biological differences with Vibrio species.[13]

Genetics

The genomes of several Campylobacter species have been sequenced, beginning with C. jejuni in 2000.[15][16] These genome studies have identified molecular markers specific to members of Campylobacter. Additionally, several markers were found in all Campylobacter species except for C. fetus, the most distantly related species. Many markers were also found which were conserved only between C. jejuni and C. coli, indicating a close relationship between these two species.[17]

Similar studies have investigated the genes responsible for motility in Campylobacter species. All Campylobacter species contain two flagellin genes in tandem for motility, flaA and flaB. These genes undergo intergenic recombination, further contributing to their virulence.[18]

The number of known quinolone-resistant strains is growing. Evidence suggests this is caused by an overuse of this class of antibiotics in animal agriculture.[11]

Bacteriophage

The confusing taxonomy of Campylobacter over the past decades makes identifying the earliest reports of Campylobacter bacteriophages difficult. Bacteriophages specific to the species now known as C. coli and C. fetus (previously Vibrio coli and V. fetus), were first isolated from cattle and pigs during the 1960s, and Campylobacter bacteriophage therapy is an ongoing area of research in the age of bacterial antibiotic resistance.[19][20][21][22]

Pathogenesis

Campylobacter can cause a gastrointestinal infection called campylobacteriosis. The incubation period is 24–72 hours after infection.[23] This is characterized by an inflammatory, sometimes bloody diarrhea or dysentery syndrome, mostly including cramps, fever, and pain.[24][25] The most common routes of transmission are fecal-oral, ingestion of contaminated food or water, and the eating of raw meat. Foods implicated in campylobacteriosis include raw or under-cooked poultry, raw dairy products, and contaminated produce.[26] Campylobacter is sensitive to the stomach's normal production of hydrochloric acid: as a result, the infectious dose is relatively high, and the bacteria rarely cause illness when a person is exposed to less than 10,000 organisms.[5] Nevertheless, people taking antacid medication (e. g. people with gastritis or stomach ulcers) are at higher risk of contracting disease from a smaller number of organisms, since this type of medication neutralizes normal gastric acid.

In humans, the sites of tissue injury include the jejunum, the ileum, and the colon. Most strains of C jejuni produce cytolethal distending toxin, which inhibits cell division and impedes activation of the immune system. This helps the bacteria to evade the immune system and survive for a limited time inside intestinal cells. A cholera-like enterotoxin was also, at one time, believed to be produced, but this appears not to be the case. The organism produces diffuse, bloody, edematous, and exudative enteritis. Campylobacter has, on rare occasions, been blamed for hemolytic uremic syndrome and thrombotic thrombocytopenic purpura, though no unequivocal case reports exist. In some cases, a Campylobacter infection can be the underlying cause of Guillain–Barré syndrome. Gastrointestinal perforation is a rare complication of ileal infection.[27]

Campylobacter has also been associated with periodontitis.[24]

Treatment

The infection is usually self-limiting and, in most cases, symptomatic treatment by liquid and electrolyte replacement is sufficient to treat human infections. Symptoms typically last 5–7 days.[26] Treatment with antibiotics has little effect, and is discouraged except in high-risk patients.[28] Diagnosis of campylobacteriosis is made by testing a fecal specimen. Standard treatment in high-risk cases is azithromycin, a macrolide antibiotic, especially for Campylobacter infections in children,[29] although other antibiotics, such as quinolones, tetracycline and other macrolides are sometimes used to treat gastrointestinal Campylobacter infections in adults.[30] In case of systemic infection, other bactericidal antibiotics are used, such as ampicillin, amoxicillin/clavulanic acid, or aminoglycosides. Fluoroquinolone antibiotics, such as ciprofloxacin or levofloxacin, may no longer be effective in some cases, due to resistance.[31] In addition to antibiotics, dehydrated children may require intravenous fluid treatment in a hospital.

Epidemiology

UK

In January 2013, the UK's Food Standards Agency (FSA) warned that two-thirds of all raw chicken bought from UK shops was contaminated with Campylobacter, affecting an estimated half a million people annually and killing about 100 of them.[32] In June 2014, the FSA started a campaign against washing raw chicken, as washing can spread germs onto clean surfaces by splashing.[33] In May 2015, cumulative results for samples taken from fresh chickens between February 2014 and February 2015 were published by the FSA and showed 73% of chickens tested positive for the presence of Campylobacter.[34]

US

Campylobacter infections increased 14% in the United States in 2012 compared to the rate from 2006 to 2008. This represents the highest reported number of infections since calendar year 2000.[26]

High prevalence of Campylobacter (40% or more) has been reported in raw chicken meat in regional retail stores in the US, which remained steady from 2005 through 2011.[35] The last USDA quarterly progress report on Salmonella and Campylobacter testing of meat and poultry, for July–September 2014, showed a low prevalence of Campylobacter spp. in ground chicken meat, but a larger prevalence (20%) in mechanically separated chicken meat (which is sold only for further processing).[36]

Canada

FoodNet Canada has reported that Campylobacter was the most common pathogen found on packaged chicken breast, with nearly half of all samples testing positive. Additionally, Campylobacter and Salmonella were the most common causes of gastrointestinal illness in Canada.[37]

New Zealand

In August 2016, an estimated 8,000+ residents of Havelock North, a town with around 13,000 residents, had gastric illness after the water supply was thought to be contaminated by Campylobacter.[38][39][40]

Norway

In June 2019, an estimated 2,000 residents of Askøy municipality got sick due to the presence of C. jejuni in the water supply. Two deaths were connected to the outbreak, and it was the largest outbreak of Campylobacter in Norway.[41] The suspected source of the contamination was thought to be horse faeces, which leaked into a drinking water pool.[42] A C. jejuni water isolate thought to be the cause of the outbreak was examined with human isolates, and showed the highest pathogenic potential in in vitro, transcriptomic and genomic investigations. This could suggest why the isolate was able to cause an outbreak.[43]

Sweden

During the period of August 2016 to June 2017 there was a large outbreak of C. jejuni in Sweden. It was the largest outbreak that has been reported so far. 5000 more cases than would be expected during this period were reported to the authorities. The source of the outbreak was contaminated chicken meat that came from the same producer. The reason for the increased incidence and elevated levels of Campylobacter was reported to be an improperly installed washing plant, where dirty water was accidentally used to wash transport cages.[44]

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External links