An Outbreak of Salmonella Gastroenteritis in an Urban Jail

Alcabes, Philip; O’Sullivan, Barbara; Nadal, Evan; Mouzon, Marcia

doi:10.2307/30144192

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…En cualquier brote se puede presentar contaminación cruzada por otros alimentos contaminados o por los mismos manipuladores, 10 además de la mezcla y el reciclaje de algunos de fácil descomposición. Algunos estudios han señalado que portadores asintomáticos representan un riesgo insignificante para la transmisión de Salmonella y raramente se ven involucrados como fuente de contaminación para ocasionar un brote, 14 al igual que los manejadores de alimentos sintomáticos. 7 No es necesario un gran inóculo (<1 célula/100 g) para desencadenar un gran brote; 11 el tamaño de la dosis infectante mínima varía.…”

Section: Discussionunclassified

Brote por Salmonella enteritidis en trabajadores de un hospital

Peña¹,

Higuera-Iglesias²,

Huertas-Jiménez³

et al. 2001

Salud pública Méx

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Objective. To describe and identify the causes of an outbreak of Salmonella enteritidis gastroenteritis that took place in June 1998, among tertiary care hospital workers, in Mexico City. Material and methods. Cases were hospital workers who developed diarrhea or fever associated with gastrointestinal symptoms, after a meal at the hospital's dining room on June eight; controls were asymptomatic employees who also ate at the hospital's dining room on the same day. A food questionnaire was applied, and stool samples were obtained from all study subjects, including kitchen personnel. Blood cultures were practiced for febrile patients. Odds ratios with 95% confidence intervals (95% CI) and the chi-squared were used for statistical analysis. Statistical significance was set at p< 0.05. Results. Onehundred-fifty-five workers developed symptoms, but only 129 (83.2%) answered the questionnaire; 150 controls were also studied. The most common symptoms were diarrhea (85%), abdominal pain (84%), cephalea (81.4%), nausea (78.3%), and chills (74.4%). Eight blood cultures were negative; 59 stool cultures (46%) from cases and six (4%) from controls, were positive for Salmonella enteritidis. Egg-covered

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Section: Discussionunclassified

Brote por Salmonella enteritidis en trabajadores de un hospital

Peña¹,

Higuera-Iglesias²,

Huertas-Jiménez³

et al. 2001

Salud pública Méx

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“…Reformar la regulación sanitaria para aquellos focos conocidos como guarderías y estancias, establecimientos de comida, reclusorios y sitios de alto tránsito como aeropuertos y centrales de autobuses. 64,65 salud pública de méxico / vol. 62…”

Section: Cuadro IIunclassified

Panorama histórico de la enfermedad diarreica aguda en México y el futuro de su prevención

Olaíz-Fernández¹,

Gómez-Peña²,

Juárez-Flores³

et al. 2019

Salud Publica Mex

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Objetivo. Revisar los aspectos epidemiológicos de la enfermedad diarreica aguda (EDA) a través de la historia de México y analizar las estrategias que potencialmente podrán prevenir su aparición en la población mexicana. Material y métodos. Se realizó una búsqueda sistematizada utilizando los siguientes descriptores de las ciencias de la salud: diarrea, morbilidad, mortalidad, México y promoción de la salud de los últimos 20 años (1878-2018). Resultados. Se obtuvieron más de 8 600 artículos que fueron evaluados en función de los objetivos de la presente publicación. Conclusión. Como resultado de una revisión sistemática se observó que, gracias a las estrategias implementadas a lo largo del tiempo, se ha logrado graduar los matices de riesgo de la EDA; ello permite ahora plantear estrategias que guiarán a la prevención de ese padecimiento, de la mano de políticas que incluyan aspectos higiénico-dietéticos, innovaciones farmacéuticas y aplicaciones tecnológicas en medidas sanitarias.

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“…Two outbreaks in prisons in New York and Florida occurred because inmates assigned to kitchen duties were Salmonella or S. aureus carriers. In 1987, an extended outbreak of salmonellosis occurred at New York's Rikers Island Correctional Institution for Women (2). The investigation was difficult because no particular food was implicated, and inmates were not always cooperative or had poor recall of what they had eaten.…”

Section: Outbreaks Involving Camps and Armed Forces Basesmentioning

confidence: 99%

Outbreaks Where Food Workers Have Been Implicated in the Spread of Foodborne Disease. Part 2. Description of Outbreaks by Size, Severity, and Settings

Todd

Greig

Bartleson³

et al. 2007

Journal of Food Protection

104

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This article is the second in a series of several by members of the Committee on the Control of Foodborne Illness of the International Association of Food Protection, and it continues the analysis of 816 outbreaks where food workers were implicated in the spread of foodborne disease. In this article, we discuss case morbidity and mortality and the settings where the 816 outbreaks occurred. Some of the outbreaks were very large; 11 involved more than 1,000 persons, 4 with more than 3,000 ill. The larger outbreaks tended to be extended over several days with a continuing source of infections, such as at festivals, resorts, and community events, or the contaminated product had been shipped to a large number of customers, e.g., icing on cakes or exported raspberries. There were five outbreaks with more than 100 persons hospitalized, with rates ranging from 9.9 to 100%. However, overall, the hospitalization rate was low (1.4%), and deaths were rare (0.11% of the 80,682 cases). Many of the deaths were associated with high-risk persons (i.e., those who had underlying diseases, malnutrition, or both, as in a refugee camp, or young children), but a few occurred with apparently healthy adults. An analysis of the settings for the food worker-related events showed that most of the outbreaks came from food service facilities (376 outbreaks [46.1%]), followed by catered events (126 outbreaks [15.4%]), the home (83 outbreaks [10.2%]), schools and day care centers (49 [6.0%]), and health care institutions (43 outbreaks [5.3%]). However, many cases resulted from relatively few outbreaks (< 30 each) associated with community events (9,726), processing plants (8,580), mobile/temporary service (5,367), and camps/ armed forces (5,117). The single most frequently reported setting was restaurants, with 324 outbreaks and 16,938 cases. Improper hygienic practices in homes, on picnics, or at community events accounted for 89 of the 816 outbreaks. There were 18 outbreaks associated with commercial travel in air flights, trains, and cruise ships over several decades, although only the last seems to be a major concern today. Sixteen outbreaks occurred where food, primarily produce, was harvested and shipped from one country to another. Sometimes the presence of an infected worker preparing food was only one of several factors contributing to the outbreak.

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An Outbreak of Salmonella Gastroenteritis in an Urban Jail

Cited by 6 publications

References 3 publications

Brote por Salmonella enteritidis en trabajadores de un hospital

Brote por Salmonella enteritidis en trabajadores de un hospital

Panorama histórico de la enfermedad diarreica aguda en México y el futuro de su prevención

Outbreaks Where Food Workers Have Been Implicated in the Spread of Foodborne Disease. Part 2. Description of Outbreaks by Size, Severity, and Settings

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