{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:11:56Z","timestamp":1709889116201},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>AIM.<\/strong> The aim of this study is to assess the epidemiological situation of salmonellosis in Poland, in 2018 and\u00a02019 compared with previous years.<br \/><strong>MATERIAL AND METHODS.<\/strong> The assessment of the epidemiological situation was performed on the basis\u00a0of data provided to the Department of Epidemiology Infectious Diseases and Surveillance of NIPH NIH -\u00a0NRI by sanitary-epidemiological stations through the Epidemiological Case Reporting System (SRWE) and the\u00a0Registry of Epidemic Outbreaks (ROE), as well as on the basis of data from the annual bulletins \u201cInfectious\u00a0Diseases and Poisonings in Poland\u201d 2018 and 2019 (NIPH NIH - NRI, GIS, Warsaw, 2019 and 2020) and from\u00a0information received from laboratories of sanitary-epidemiological stations and data from the Demographic\u00a0Research Department of Statistics Poland (GIS).<br \/><strong>RESULTS.<\/strong> In Poland in 2018 a total of 9,957 cases of salmonellosis were reported in the sanitaryepidemiological\u00a0surveillance, among these infections 9,651 were cases of intestinal salmonellosis, 306 were\u00a0cases of extraintestinal salmonellosis. The incidence rate for total salmonellosis was 25.9 per 100,000 population,\u00a0for parenteral salmonellosis alone was 0.80 per 100,000 population. There were 9,370 cases of confirmed and\u00a0587 cases of probable salmonellosis registered. Hospital treatment was given to 65% of patients with intestinal\u00a0salmonellosis and 88.6% of patients with extraintestinal forms of the disease. The increase in salmonellosis\u00a0cases in 2018 occurred during the summer months with a peak in cases in August. The highest incidence\u00a0of salmonellosis nationwide was in the Podkarpackie voivodeship 42.2\/100,000, the lowest in the Lubuskie\u00a0voivodeship 9.4\/100,000. More cases were registered in urban areas \u2013 5,866 salmonellosis cases. Cases in\u00a0the age group 0-4 constituted 37.7% of all cases. Among parenteral salmonellosis 64.7% were people over 60\u00a0years of age. In ROE system there were 351 food poisoning outbreaks with <em>Salmonella<\/em> spp. as the etiological\u00a0agent, mainly Enteritidis serotype. The most frequently isolated serotypes in Poland in 2018 were S. Enteritidis,\u00a0S. Typhimurium and S. Infantis, the first of which was responsible for 76.3% of all <em>Salmonella<\/em> infections. There\u00a0were 1,719 cases registered in which the serotype was not determined, most of them came from the Pomorskie\u00a0voivodeship. Sanitary-epidemiological stations performed 547,976 bacteriological tests for <em>Salmonella<\/em> and\u00a0<em>Shigella<\/em>, 0.2% of people working in contact with food had a positive result. There were 43 cases imported from\u00a0abroad. Due to <em>Salmonella<\/em> infection 4 people died in 2018. In 2019 a total of 9,234 cases of salmonellosis were\u00a0registered in Poland, including 8,919 food poisoning and 315 parenteral salmonellosis. The incidence for total\u00a0salmonellosis in Poland was 24.1 per 100,000 population. There were 8,687 confirmed and 547 probable cases\u00a0of salmonellosis reported. Due to food poisoning 63.1% of patients were hospitalized, while due to parenteral\u00a0salmonellosis 87.6% of patients were hospitalized. The peak incidence in 2019 occurred in August. The highest\u00a0incidence per 100,000 population of total salmonellosis by voivodeship was recorded in the Podkarpackie\u00a0voivodeship 55.1, the lowest in the Zachodniopomorskie voivodeship 8.8.<br \/>Almost 40% of all salmonellosis cases in the country were among children aged 0-4; as far as parenteral\u00a0salmonellosis is concerned, the main group of patients 68.6%, were people over 60 years old. Sanitaryepidemiological stations reported in the ROE system 303 outbreaks of food poisoning of salmonellosis etiology.\u00a0The most commonly isolated serotype in 2019 in Poland was <em>Salmonella<\/em> Enteritidis 75.6% of all recorded\u00a0salmonellosis cases, followed by <em>Salmonella<\/em> Typhimurium 3% and <em>Salmonella<\/em> Infantis 1%. The serotype was\u00a0not determined in 1,692 cases, the highest number in the Pomorskie and Kujawsko-Pomorskie voivodeships\u00a0\u2013 51% of undetermined isolates each. Laboratories of sanitary-epidemiological stations carried out 610,164\u00a0bacteriological tests for Salmonella and Shigella. Among people working in contact with food 0.2% had a positive\u00a0test result. 71 cases of imported intestinal salmonellosis were registered. Nine deaths due to Salmonella infection\u00a0were reported.<br \/><strong>CONCLUSIONS.<\/strong> The salmonellosis situation in Poland in 2018 and 2019 remains at a high but stable level. The\u00a0significant increase in the number of laboratory tests performed for <em>Salmonella<\/em> in 2018-2019 and the decrease\u00a0in the number of people refusing the carrier exclusion test, is an important step in the process of enhancing\u00a0salmonellosis surveillance.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>CEL.<\/strong> Celem pracy jest ocena sytuacji epidemiologicznej zachorowa\u0144 na salmonelozy w Polsce w 2018 i 2019\u00a0roku w por\u00f3wnaniu z ubieg\u0142ymi latami.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Ocena sytuacji epidemiologicznej zosta\u0142a przeprowadzona na podstawie danych\u00a0przekazanych do Zak\u0142adu Epidemiologii Chor\u00f3b Zaka\u017anych i Nadzoru NIZP PZH - PIB przez stacje sanitarno-epidemiologiczne poprzez System Rejestracji Wywiad\u00f3w Epidemiologicznych (SRWE) oraz system Rejestr\u00a0Ognisk Epidemicznych (ROE), a tak\u017ce na podstawie danych z rocznych biuletyn\u00f3w \u201eChoroby zaka\u017ane i zatrucia\u00a0w Polsce\u201d 2018 i 2019 (NIZP-PZH, GIS, Warszawa, 2019 i 2020) oraz z informacji otrzymanych z laboratori\u00f3w\u00a0stacji sanitarno-epidemiologicznych i danych Departamentu Bada\u0144 Demograficznych G\u0142\u00f3wnego Urz\u0119du\u00a0Statystycznego.<br \/><strong>WYNIKI.<\/strong> W Polsce w 2018 roku zg\u0142oszono w nadzorze sanitarno-epidemiologicznym \u0142\u0105cznie 9 957 przypadk\u00f3w\u00a0salmoneloz, w\u015br\u00f3d tych zaka\u017ce\u0144 9 651 to przypadki salmonelozy jelitowej, 306 to przypadki salmonelozy\u00a0pozajelitowej. Wska\u017anik zapadalno\u015bci dla og\u00f3\u0142u salmoneloz wyni\u00f3s\u0142 25,9 na 100 tys. populacji, a dla samych\u00a0salmoneloz pozajelitowych 0,80 na 100 tys. populacji. Zarejestrowano 9 370 przypadk\u00f3w potwierdzonych oraz\u00a0587 przypadk\u00f3w prawdopodobnych salmoneloz. Leczeniu szpitalnemu poddano 65% chorych na salmonelozy\u00a0jelitowe i 88,6% chorych z pozajelitow\u0105 postaci\u0105 choroby. Wzrost przypadk\u00f3w salmoneloz w 2018 roku mia\u0142\u00a0miejsce w miesi\u0105cach letnich, ze szczytem zachorowa\u0144 w sierpniu. Najwi\u0119ksz\u0105 zapadalno\u015b\u0107 na salmonelozy\u00a0w skali kraju odnotowa\u0142o wojew\u00f3dztwo podkarpackie 42,2\/100 tys., najni\u017csz\u0105 wojew\u00f3dztwo lubuskie 9,4\/100\u00a0tys. Wi\u0119cej przypadk\u00f3w zarejestrowano w miastach, by\u0142o to 5 866 przypadk\u00f3w salmoneloz. Zachorowania\u00a0w przedziale wieku 0-4 stanowi\u0142y 37,7% wszystkich przypadk\u00f3w. W\u015br\u00f3d salmoneloz pozajelitowych 64,7%\u00a0stanowi\u0142y osoby po 60-tym roku \u017cycia. W systemie ROE zarejestrowano 351 ognisk zatru\u0107 pokarmowych,\u00a0kt\u00f3rych czynnikiem etiologicznym by\u0142y pa\u0142eczki z rodzaju <em>Salmonella<\/em>, g\u0142\u00f3wnie serotyp Enteritidis. Najcz\u0119\u015bciej\u00a0izolowanymi serotypami w Polsce w 2018 by\u0142y S. Enteritidis, S. Typhimurium i S. Infantis. Pierwszy z nich\u00a0by\u0142 odpowiedzialny za 76,3% wszystkich zaka\u017ce\u0144 pa\u0142eczkami <em>Salmonella<\/em>. Zarejestrowano 1 719 przypadk\u00f3w,\u00a0w kt\u00f3rych nie okre\u015blono serotypu, najwi\u0119cej pochodzi\u0142o z wojew\u00f3dztwa pomorskiego. Stacje sanitarno-epidemiologiczne\u00a0wykona\u0142y 547 976 bada\u0144 bakteriologicznych na obecno\u015b\u0107 pa\u0142eczek <em>Salmonella<\/em> i <em>Shigella<\/em>, u 0,2%\u00a0os\u00f3b pracuj\u0105cych w kontakcie z \u017cywno\u015bci\u0105 uzyskano wynik dodatni. Odnotowano 43 przypadki zawleczone\u00a0zza granicy. Z powodu zaka\u017cenia pa\u0142eczkami z rodzaju <em>Salmonella<\/em> w 2018 roku zmar\u0142y 4 osoby. W 2019 roku\u00a0w Polsce zarejestrowano \u0142\u0105cznie 9 234 przypadki salmoneloz, w tym 8 919 zatru\u0107 pokarmowych i 315 salmoneloz\u00a0pozajelitowych. Zapadalno\u015b\u0107 dla og\u00f3\u0142u salmoneloz w Polsce wynios\u0142a 24,1 na 100 tys. populacji. Zg\u0142oszono\u00a08 687 potwierdzonych oraz 547 prawdopodobnych przypadk\u00f3w salmoneloz. Z powodu zatru\u0107 pokarmowych\u00a0hospitalizowano 63,1% chorych, natomiast z powodu salmoneloz pozajelitowych 87,6% chorych. Szczyt zachorowa\u0144\u00a0w 2019 roku mia\u0142 miejsce w sierpniu. Najwi\u0119ksz\u0105 zapadalno\u015b\u0107 na 100 tys. populacji na salmonelozy\u00a0og\u00f3\u0142em wed\u0142ug wojew\u00f3dztw odnotowano w wojew\u00f3dztwie podkarpackim 55,1, najni\u017csz\u0105 w wojew\u00f3dztwie zachodniopomorskim\u00a08,8. Prawie 40% wszystkich przypadk\u00f3w salmoneloz w kraju stanowi\u0142y przypadki zachorowa\u0144\u00a0w\u015br\u00f3d dzieci w przedziale wieku 0-4, je\u015bli chodzi o salmonelozy pozajelitowe g\u0142\u00f3wn\u0105 grup\u0119 chorych\u00a068,6% stanowi\u0142y osoby w wieku powy\u017cej 60 r.\u017c. Stacje sanitarno-epidemiologiczne zg\u0142osi\u0142y w systemie ROE\u00a0303 ogniska zatru\u0107 pokarmowych o etiologii salmonelozowej. Najcz\u0119\u015bciej izolowanym serotypem w 2019 roku\u00a0w Polsce by\u0142a <em>Salmonella<\/em> Enteritidis 75,6% wszystkich zarejestrowanych przypadk\u00f3w salmoneloz, nast\u0119pnie\u00a0<em>Salmonella<\/em> Typhimurium 3% oraz <em>Salmonella<\/em> Infantis 1%. Nie okre\u015blono serotypu w 1 692 przypadkach, najwi\u0119cej\u00a0w wojew\u00f3dztwie pomorskim i kujawsko-pomorskim \u2013 po 51% nieokre\u015blonych izolat\u00f3w. Laboratoria\u00a0stacji sanitarno-epidemiologicznych przeprowadzi\u0142y 610 164 badania bakteriologiczne na obecno\u015b\u0107 pa\u0142eczek\u00a0<em>Salmonella<\/em> i <em>Shigella<\/em>. W\u015br\u00f3d os\u00f3b pracuj\u0105cych w kontakcie z \u017cywno\u015bci\u0105 0,2% uzyska\u0142o dodatni wynik badania.\u00a0Zarejestrowano 71 przypadk\u00f3w importowanych salmoneloz jelitowych. Odnotowano 9 przypadk\u00f3w zgon\u00f3w,\u00a0kt\u00f3rych przyczyn\u0105 by\u0142o zaka\u017cenie pa\u0142eczkami <em>Salmonella<\/em>.<br \/><strong>WNIOSKI.<\/strong> Sytuacja salmoneloz w Polsce w 2018 i 2019 roku utrzymuje na wysokim ale stabilnym poziomie.\u00a0Znacz\u0105cy wzrost liczby przeprowadzonych bada\u0144 laboratoryjnych w kierunku obecno\u015bci pa\u0142eczek z rodzaju\u00a0<em>Salmonella<\/em> w latach 2018-2019 oraz spadek liczby os\u00f3b odmawiaj\u0105cych przeprowadzenia badania wykluczaj\u0105cego\u00a0nosicielstwo jest istotnym krokiem w procesie uszczelniania nadzoru nad salmonelozami.<\/p><\/jats:p>","DOI":"10.32394\/pe.75.62","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T11:36:24Z","timestamp":1652268984000},"page":"665-668","source":"Crossref","is-referenced-by-count":0,"title":["Salmonellosis in Poland in 2018 and 2019"],"prefix":"10.32394","volume":"75","author":[{"given":"M","family":"Milczarek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Sadkowska-Todys","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MP","family":"Czarkowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2022,5,10]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Salomonelozy w Polsce w 2018 i 2019 r"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181044-101605","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181044-101605","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:52:50Z","timestamp":1709887970000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Salmonellosis-in-Poland-in-2018-and-2019,181044,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,10]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"alternative-id":["181044"],"URL":"https:\/\/doi.org\/10.32394\/pe.75.62","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,10]]}}}