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Research article2018Peer reviewedOpen access

Knowledge gaps in control of Campylobacter for prevention of campylobacteriosis

Hansson, I.; Sandberg, M.; Habib, I.; Lowman, R.; Engvall, E. O.

Abstract

Campylobacteriosis is an important, worldwide public health problem with numerous socio-economic impacts. Since 2015, approximately 230,000 cases have been reported annually in Europe. In the United States, Australia and New Zealand, campylobacteriosis is the most commonly reported disease. Poultry and poultry products are considered important sources of human infections. Poultry meat can become contaminated with Campylobacter during slaughter if live chickens are intestinal carriers. Campylobacter spp. can be transferred from animals to humans through consumption and handling of contaminated food products, with fresh chicken meat being the most commonly implicated food type. Regarding food-borne disease, the most important Campylobacter species are Campylobacter jejuni and Campylobacter coli. In humans, clinical signs of campylobacteriosis include diarrhoea, abdominal pain, fever, headache, nausea and vomiting. Most cases of campylobacteriosis are sporadic and self-limiting, but there are post-infection complications, for example, Guillain-Barres syndrome. This review summarizes an analysis undertaken by the DISCONTOOLS group of experts on campylobacteriosis. Gaps were identified in: (i) knowledge of true number of infected humans; (ii) mechanisms of pathogenicity to induce infection in humans; (iii) training to prevent transfer of Campylobacter from raw to ready-to-eat food; (iv) development of effective vaccines; (v) understanding transmission routes to broiler flocks; (vi) knowledge of bacteriocins, bacteriophages and antimicrobial peptides as preventive therapies; (vii) ration formulation as an effective preventive measure at a farm level; (viii) development of kits for rapid detection and quantification of Campylobacter in animals and food products; and (ix) development of more effective antimicrobials for treatment of humans infected with Campylobacter. Some of these gaps are relevant worldwide, whereas others are more related to problems encountered with Campylobacter in industrialized countries.

Keywords

Campylobacter; DISCONTOOLS; gap analysis; poultry; zoonosis

Published in

Transboundary and Emerging Diseases
2018, Volume: 65, number: Supplement 1, pages: 30-48
Publisher: WILEY

      SLU Authors

    • Associated SLU-program

      AMR: Bacteria

      Sustainable Development Goals

      Ensure healthy lives and promote well-being for all at all ages
      End hunger, achieve food security and improved nutrition and promote sustainable agriculture

      UKÄ Subject classification

      Infectious Medicine

      Publication identifier

      DOI: https://doi.org/10.1111/tbed.12870

      Permanent link to this page (URI)

      https://res.slu.se/id/publ/96050