Nationwide outbreak of multidrug-resistant Salmonella Heidelberg infections associated with ground turkey: United States, 2011

被引:35
作者
Routh, J. A. [1 ]
Pringle, J. [1 ]
Mohr, M. [2 ]
Bidol, S. [3 ]
Arends, K. [3 ]
Adams-Cameron, M. [4 ]
Hancock, W. T. [1 ]
Kissler, B. [5 ]
Rickert, R. [6 ]
Folster, J. [6 ]
Tolar, B. [7 ]
Bosch, S. [1 ]
Behravesh, C. Barton [1 ]
Williams, I. T. [1 ]
Gieraltowski, L. [1 ]
机构
[1] Ctr Dis Control & Prevent, Outbreak Response & Prevent Branch, Atlanta, GA 30333 USA
[2] Ohio Dept Hlth, Columbus, OH 43266 USA
[3] Michigan Dept Community Hlth, Lansing, MI USA
[4] New Mexico Dept Hlth, Albuquerque, NM USA
[5] USDA FSIS, Atlanta, GA USA
[6] CDC, Natl Antimicrobial Resistance Monitoring Syst, Atlanta, GA 30333 USA
[7] CDC, Enter Dis Lab Branch, Atlanta, GA 30333 USA
关键词
Food-borne infections; food safety; outbreaks; Salmonella; salmonellosis; ENTERICA SEROVAR HEIDELBERG; ANTIMICROBIAL RESISTANCE; FOOD ANIMALS; RETAIL MEAT; PATHOGENS; SEROTYPE; HEALTH;
D O I
10.1017/S0950268815000497
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
On 23 May 2011, CDC identified a multistate cluster of Salmonella Heidelberg infections and two multidrug-resistant (MDR) isolates from ground turkey retail samples with indistinguishable pulsed-field gel electrophoresis patterns. We defined cases as isolation of outbreak strains in persons with illness onset between 27 February 2011 and 10 November 2011. Investigators collected hypothesis-generating questionnaires and shopper-card information. Food samples from homes and retail outlets were collected and cultured. We identified 136 cases of S. Heidelberg infection in 34 states. Shopper-card information, leftover ground turkey from a patient's home containing the outbreak strain and identical antimicrobial resistance profiles of clinical and retail samples pointed to plant A as the source. On 3 August, plant A recalled 36 million pounds of ground turkey. This outbreak increased consumer interest in MDR Salmonella infections acquired through United States-produced poultry and played a vital role in strengthening food safety policies related to Salmonella and raw ground poultry.
引用
收藏
页码:3227 / 3234
页数:8
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