Multistate outbreak of human Salmonella Typhimurium infections linked to live poultry from agricultural feed stores and mail-order hatcheries, United States 2013.
Multistate outbreak of human Salmonella Typhimurium infections linked to live poultry from agricultural feed stores and mail-order hatcheries, United States 2013.
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DOI：
10.1016/j.onehlt.2016.08.002
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发表时间：
2016-12
期刊：
影响因子：
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通讯作者：
Barton Behravesh C
中科院分区：
文献类型：
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作者：
Anderson TC;Nguyen TA;Adams JK;Garrett NM;Bopp CA;Baker JB;McNeil C;Torres P;Ettestad PJ;Erdman MM;Brinson DL;Gomez TM;Barton Behravesh C
活禽相关的沙门氏菌病在美国是一个新的公共卫生问题。公共和动物卫生官员合作调查了迄今为止报告的最大规模的疫情之一(356例，39个州)。病例被定义为感染了鼠伤寒沙门氏菌暴发株的人患病，发病时间为2013年3月1日至10月22日。患者年龄的中位数为7岁(范围：1-87岁)；58%的患者是10岁以下的儿童≤，51%是女性，25%住院；250名患者中有189名(76%)报告在病前一周接触过活家禽；157名患者中有149名(95%)报告从农业饲料商店购买活家禽。追溯调查确定了18个活禽来源，其中包括16个邮购孵化场。在两个邮购孵化场进行了环境采样。在一个孵化场收集的40份重复样本中，有1份(2.5%)产生了暴发菌株。活家禽是人类沙门氏菌病的重要来源，特别是在儿童中，突出表明需要在邮购孵化场和农业饲料商店各级开展教育运动和全面干预。预防和控制工作依赖于一个卫生方法，涉及公共和动物卫生官员、行业、卫生专业人员和消费者之间的合作。活禽相关沙门氏菌病是一个新的公共卫生问题。我们总结了迄今为止报告的最大规模的疫情之一(356例)。预防和控制工作有赖于“一个健康”方针。
Live poultry-associated salmonellosis is an emerging public health issue in the United States. Public and animal health officials collaborated to investigate one of the largest (356 cases, 39 states) of these outbreaks reported to date. A case was defined as illness in a person infected with the outbreak strain of Salmonella Typhimurium with illness onset between 1 March and 22 October 2013. The median patient age was seven years (range: < 1–87 years); 58% of ill persons were children ≤ 10 years, 51% were female, 25% were hospitalized; 189 (76%) of 250 patients reported live poultry exposure in the week before illness; and 149 (95%) of 157 reported purchasing live poultry from agricultural feed stores. Traceback investigations identified 18 live poultry sources, including 16 mail-order hatcheries. Environmental sampling was conducted at two mail-order hatcheries. One (2.5%) of 40 duplicate samples collected at one hatchery yielded the outbreak strain. Live poultry are an important source of human salmonellosis, particularly among children, highlighting the need for educational campaigns and comprehensive interventions at the mail-order hatchery and agricultural feed store levels. Prevention and control efforts depend on a One Health approach, involving cooperation between public and animal health officials, industry, health professionals, and consumers. Live poultry-associated salmonellosis is an emerging public health issue. We summarize one of the largest of these outbreaks reported to date (356 cases). Prevention and control efforts depend on a One Health approach.