ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事

ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事

Der Spiegel
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E.coli
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Treatment of infections : Clinics introduce EHEC database
SPIEGEL ONLINE - Science - 03/06/2011
A database is to improve the treatment of EHEC- infected indivisuals. 15 hospitals reported in want, as her HUS.patients respond to certain therapies. Meanwhile , at least 18 people have died from the infection.

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How to spread the Ehec bacteria that have infected hundreds of people? And what is the origin of the pathogen? Previously, researchers could not clarify these issues. But now there is possibly a new track.

 For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. How did it come to the Ehec outbreak in northern Germany, there are also a number of assumptions - and to new activities every day. While 1526 people have been infected with Ehec 627 on life-threatening ill-Hu syndrome and 21 people died as a result of infection, yet lack clear answers to where the pathogen is and how it could spread.

DISPLAY The idea of ​​this special Ehec pathogen may have originated in biogas plants, makes the rounds as the latest suspect, after the medical laboratory Bernd Schottdorf in "online world" presented. In the biogas digesters would arise bacteria, which have never existed before, he is quoted as saying. Schottdorf, founder of Schott MVZ village, which asks aloud, "Welt Online" largest private medical laboratory in Europe, the biogas plants in Germany to investigate quickly to potential pathogens.
Refute can not only once, that the strain might have come from a biogas plant, from where he would have come via manure on fields and vegetables. But no concrete evidence to do so. The bacteria could also in the digestive tract of a ruminant, settling where the so-called enterohemorrhagic E. coli bacteria that have found their current form. That can be formed in a biogas plant Ehec one strain of bacteria would thus never arise in Kuhdarm is simply nonsensical.
The theory that terrorists had the outbreak strain cultured in the laboratory as a biological weapon hold, experts highly unlikely.
Where exactly the outbreak strain, serotype O104: H4, but now comes, researchers can not say yet - and maybe never really answered. When deciphered the genome of the pathogen was present, said the University Hospital of Münster, after all, that it was not for the bacterium in question was a completely new type. However some O104: H4 strains are extremely rare and indeed worldwide. As the formerly rare pathogen causing an outbreak now? Unclear.
Fear of bioterrorism
More urgent than to determine the origin of the pathogen, is the search for the method of distribution. But even after several weeks of search, the search has revealed nothing definite source of infection. To the early success of the Hamburg authorities have found on Spanish cucumbers Ehec bacteria has changed for the failure: There were not Ehec pathogens on vegetables, but not of the tribe that just makes patients sick. Spain's fruit and vegetable traders want to pull against the Hamburg Health Authority to court. When the allegation that the office had neglected the legal duty of care, it's about millions of dollars in damages.
The Federal Institute for Risk Assessment and the Robert Koch Institute further recommend that in North Germany on the consumption of raw tomatoes, cucumbers and lettuce to forego. These foods are based on interviews with patients suspected of transferring germs Ehec. If this is the case, even thorough washing might be insufficient to remove all the germs - and since the Ehec bacteria very well survive the trip through the stomach, after which they settle in the gut, even a small number of germs . sicken
It is also possible that the pathogen would deliberately put into circulation, said the chief doctor of hygiene at the hospital Vivantes Berlin, Klaus-Dieter Zastrow. "It may well be that the road is an idiot and thinks, sometimes I get to miss a few people or 10,000 people diarrhea." With this statement of hygiene expert attracted international attention, it quotes him, among other things, the British "Daily Telegraph". According to British media, the Centre for the Protection of National Infrastructure, food manufacturers and retailers have warned of attacks. The companies should increase the safety in factories and warehouses and identify possible weaknesses identified. "The outbreak in Germany have shown how vulnerable the food production and distribution for bioterrorism," the paper quoted the researcher Richard Byrne from Harper Adams University College in Shropshire.
New track in Lower Saxony
A newer track in search of Ehec source leads to a restaurant in Lübeck, several guests who had eaten there, stuck in mid-May, in with Ehec, some of them fell ill at the hemolytic-uremic syndrome (HUS). The operator explained that it related to the goods of this and two other local Lübeck from a dealer from Mölln which are supplied by a wholesaler from Hamburg. In a study in its local authorities had found nothing. Of all his employees also stool samples were taken. So far nobody had fallen ill.

display much of this easily leads to local but Ehec Source: Lower Saxony's Consumer Protection Minister Gert Lindemann (CDU) wants to comment on Sunday evening at a hastily called press conference on new findings. Accordingly, the sprouts could cause the epidemic to be serious, the news agency dpa on Sunday from authorities learned circles. The findings were rated as "pretty hot track," said one expert. The new track of the origin of the pathogen should result in the district of Uelzen. Sprouts were also a trigger to a Ehec epidemic, when in 1996 infected more than 12,000 people in Japan.
In the run up to no details were known. But it is obviously a company in Texas, with the last could be brought into the Lübeck occurring disorders.
Regardless of these new findings has it managed to break the Ehec short on the agenda of EU health ministers meeting in Luxembourg on Monday. If necessary, also wants EU Commissioner for Agriculture, Dacian Ciolos quickly convene an extraordinary meeting of Agriculture Ministers to advise on assistance to farmers.
With material from Reuters and DAPD