A multi-state outbreak of Salmonella serotype Thompson infection from commercially distributed bread contaminated by an ill food handler

A multi-state outbreak of Salmonella serotype Thompson infection from commercially distributed bread contaminated by an ill food handler
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DOI:
10.1017/s0950268805004127
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发表时间:
2005-10-01
影响因子:
4.2
通讯作者:
Werner, SB
Werner, SB
中科院分区:
医学4区
文献类型:
--
作者:
Kimura, AC;Palumbo, MS;Werner, SB

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被引文献

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据估计,美国报告的非伤寒沙门氏菌感染中 95% 是由食源性传播引起的;然而,沙门氏菌病的爆发很少追溯到食品处理人员。 2000 年 8 月,南加州发现 Thompson 血清型沙门氏菌感染有所增加;大多数病例报告在发病前曾在连锁餐厅(连锁餐厅 A)用餐。一项病例对照研究表明 A 连锁餐厅的汉堡消费量有关。最早发病的是 B 面包店的一名汉堡包包装工,他没有在 A 连锁店吃饭,但带病工作。面包店 B 向南加州和亚利桑那州的一些 A 连锁餐厅供应汉堡包。这次疫情值得注意的是,食品处理人员是食品污染的来源,而且面包是沙门氏菌的一种非常不寻常的爆发媒介。食品处理人员培训不足以及李延迟向卫生部门报告导致了这次疫情的爆发。
Foodborne transmission is estimated to account for 95% of non-typhoidal Salmonella infections reported in the United States; however, outbreaks of salmonellosis are rarely traced to food handlers. In August 2000, an increase in Salmonella serotype Thompson infection was noted in Southern California; most of the cases reported eating at a restaurant chain (Chain A) before illness onset. A case-control study implicated the consumption of burgers at Chain A restaurants. The earliest onset of illness was in a burger bun packer at Bakery B who had not eaten at Chain A but had worked while ill. Bakery B supplied burger buns to some Chain A restaurants in Southern California and Arizona. This outbreak is notable for implicating a food handler as the source of food contamination and for involving bread, a very unusual outbreak vehicle for Salmonella. Inadequate food-handler training as well Lis delayed reporting to the health department contributed to this outbreak.