Please use this identifier to cite or link to this item: https://doi.org/10.3201/eid2312.170596
Title: Group B Streptococcus infections caused by improper sourcing and handling of fish for raw consumption, Singapore, 2015–2016
Authors: Chau, M.L
Chen, S.L 
Yap, M
Hartantyo, S.H.P
Chiew, P.K.T
Fernandez, C.J
Wong, W.K
Fong, R.K
Tan, W.L
Tan, B.Z.Y
Ng, Y
Aung, K.T
Mehershahi, K.S 
Goh, C
Kang, J.S.L
Barkham, T 
Leong, A.O.K
Gutiérrez, R.A
Ng, L.C
Keywords: enterotoxin
Aeromonas
Article
bacterial virulence
bacterium isolation
colony forming unit
Escherichia coli
food contamination
food intake
food quality
freshwater fish
group B streptococcal infection
Listeria monocytogenes
nonhuman
phylogeny
polymerase chain reaction
Salmonella
sequence analysis
single nucleotide polymorphism
Staphylococcus aureus
Streptococcus agalactiae
Vibrio cholerae
Vibrio parahaemolyticus
animal
catering service
epidemic
fish
food handling
food poisoning
genetics
human
microbiology
Singapore
Streptococcus agalactiae
Streptococcus infection
Animals
Disease Outbreaks
Fishes
Food Handling
Foodborne Diseases
Humans
Phylogeny
Restaurants
Singapore
Streptococcal Infections
Streptococcus agalactiae
Issue Date: 2017
Publisher: Centers for Disease Control and Prevention (CDC)
Citation: Chau, M.L, Chen, S.L, Yap, M, Hartantyo, S.H.P, Chiew, P.K.T, Fernandez, C.J, Wong, W.K, Fong, R.K, Tan, W.L, Tan, B.Z.Y, Ng, Y, Aung, K.T, Mehershahi, K.S, Goh, C, Kang, J.S.L, Barkham, T, Leong, A.O.K, Gutiérrez, R.A, Ng, L.C (2017). Group B Streptococcus infections caused by improper sourcing and handling of fish for raw consumption, Singapore, 2015–2016. Emerging Infectious Diseases 23 (12) : 1982-1990. ScholarBank@NUS Repository. https://doi.org/10.3201/eid2312.170596
Abstract: We assessed microbial safety and quality of raw fish sold in Singapore during 2015–2016 to complement epidemiologic findings for an outbreak of infection with group B Streptococcus serotype III sequence type (ST) 283 associated with raw fish consumption. Fish-associated group B Streptococcus ST283 strains included strains nearly identical (0–2 single-nucleotide polymorphisms) with the human outbreak strain, as well as strains in another distinct ST283 clade (57–71 single-nucleotide polymorphisms). Our investigations highlight the risk for contamination of freshwater fish (which are handled and distributed separately from saltwater fish sold as sashimi) and the need for improved hygienic handling of all fish for raw consumption. These results have led to updated policy and guidelines regarding the sale of ready-to-eat raw fish dishes in Singapore. © 2017, Centers for Disease Control and Prevention (CDC). All rights reserved.
Source Title: Emerging Infectious Diseases
URI: https://scholarbank.nus.edu.sg/handle/10635/175146
ISSN: 1080-6040
DOI: 10.3201/eid2312.170596
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