| Content Provider |
World Health Organization (WHO)-Global Index Medicus |
| Author |
Meyer, Stephanie Miller, Benjamin Kim, Clara Behravesh, Casey Barton Hyytia-trees, Eija Angulo, Frederick J. Cosgrove, Shaun Hoekstra, Robert M. Date, Kashmira Flint, James Gerner-smidt, Peter Tauxe, Robert V. Cavallaro, Elizabeth Langer, Adam Williams, Ian T. Daly, Elizabeth R. Adams, Jennifer Nowicki, Scott Phan, Quyen Sodha, Samir V. Schwensohn, Colin Rogers, Michael C. Sweat, David Medus, Carlota |
| Spatial Coverage |
United States |
| Description |
Author Affiliation: Cavallaro E ( National Center for Emerging and Zoonotic Infectious Diseases, Division of Foodborne, Waterborne and Environmental Diseases, Program Office for Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, USA. ecavallaro@cdc.gov) |
| Abstract |
BACKGROUND: Contaminated food ingredients can affect multiple products, each distributed through various channels and consumed in multiple settings. Beginning in November 2008, we investigated a nationwide outbreak of salmonella infections. METHODS: A case was defined as laboratory-confirmed infection with the outbreak strain of Salmonella Typhimurium occurring between September 1, 2008, and April 20, 2009. We conducted two case-control studies, product 'trace-back,' and environmental investigations. RESULTS: Among 714 case patients identified in 46 states, 166 (23%) were hospitalized and 9 (1%) died. In study 1, illness was associated with eating any peanut butter (matched odds ratio, 2.5; 95% confidence interval [CI], 1.3 to 5.3), peanut butter-containing products (matched odds ratio, 2.2; 95% CI, 1.1 to 4.7), and frozen chicken products (matched odds ratio, 4.6; 95% CI, 1.7 to 14.7). Investigations of focal clusters and single cases associated with nine institutions identified a single institutional brand of peanut butter (here called brand X) distributed to all facilities. In study 2, illness was associated with eating peanut butter outside the home (matched odds ratio, 3.9; 95% CI, 1.6 to 10.0) and two brands of peanut butter crackers (brand A: matched odds ratio, 17.2; 95% CI, 6.9 to 51.5; brand B: matched odds ratio, 3.6; 95% CI, 1.3 to 9.8). Both cracker brands were made from brand X peanut paste. The outbreak strain was isolated from brand X peanut butter, brand A crackers, and 15 other products. A total of 3918 peanut butter-containing products were recalled between January 10 and April 29, 2009. CONCLUSIONS: Contaminated peanut butter and peanut products caused a nationwide salmonellosis outbreak. Ingredient-driven outbreaks are challenging to detect and may lead to widespread contamination of numerous food products. |
| ISSN |
00284793 |
| Issue Number |
7 |
| Volume Number |
365 |
| e-ISSN |
15334406 |
| Journal |
New England Journal of Medicine |
| Language |
English |
| Publisher |
Massachusetts Medical Society (United States) |
| Publisher Date |
2011-08-18 |
| Publisher Place |
United States |
| Access Restriction |
Subscribed |
| Subject Keyword |
Arachis Hypogaea Microbiology Disease Outbreaks Food Microbiology Salmonella Food Poisoning Epidemiology Salmonella Typhimurium Isolation & Purification Case-Control Studies Electrophoresis, Gel, Pulsed-Field Food Handling Humans Odds Ratio Etiology United States Journal Article Medicine |
| Content Type |
Text |
| Resource Type |
Article |
| Subject |
Medicine |
