Multistate Outbreak of <i>Salmonella</i> Anatum Infections Linked to Imported Hot Peppers — United States, May–July 2016

Hassan, Rashida; Rounds, Joshua; Sorenson, Alida; Leos, Greg; Concepción-Acevedo, Jeniffer; Griswold, Taylor; Tesfai, Adiam; Blessington, Tyann; Hardy, Cerisé; Basler, Colin

doi:10.15585/mmwr.mm6625a2

Cited by 25 publications

(15 citation statements)

References 5 publications

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“…Anatum was reported from an imported Anaheim pepper in USA in 2016. 23 In our study, S. Anatum was the most common serotype to be isolated from pork and chicken. Retail meats in Taiwan are often stored without adequate temperature control in traditional markets.…”

Section: Characteristicsmentioning

confidence: 63%

Highly antimicrobial-resistant Nontyphoidal Salmonella from retail meats and clinical impact in children, Taiwan

Chang

Chen

Feng

et al. 2020

Pediatrics & Neonatology

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Background: The epidemiology of nontyphoidal Salmonella (NTS) resistant to ciprofloxacin or ceftriaxone and its impact on patients' clinical course are rarely reported. Methods: Children with culture-proven salmonellosis treated in a medical center in northern Taiwan in 2017 were enrolled. To trace the source of Salmonella, Salmonella isolated from food samples were collected from markets. Antimicrobial susceptibility and serotypes were determined. Results: Among the 453 isolates, 122 (26.9%) were highly antimicrobial-resistant, as defined by resistance to ciprofloxacin or ceftriaxone or both. The most prevalent highly resistant serotype was S. Anatum (66, 54.1%). Salmonella was detected in 94.1%, 66.7%, and 8.6% of examined pork, chicken, and vegetables examined, respectively. S. Anatum (6, 21.4%) and S. Derby (6, 21.4%) were the major serotypes isolated. Majority of the S. Anatum (5, 83.3%) were highly antimicrobial-resistant. More patients infected by highly resistant Salmonella required carbapenem treatment (OR Z 23.5, 95% confidence interval [CI] 2.8e192.7, P < 0.001). Patients with ceftriaxone-resistant NTS infections had a significantly longer hospital stay than others

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Section: Characteristicsmentioning

confidence: 63%

Highly antimicrobial-resistant Nontyphoidal Salmonella from retail meats and clinical impact in children, Taiwan

Chang

Chen

Feng

et al. 2020

Pediatrics & Neonatology

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“…In 2014, S. enterica serotype Paratyphi B was the confirmed etiology of an outbreak linked to mini peppers, while in 2016, a slightly larger outbreak resulted due to hot peppers contaminated with S. enterica Anatum. The later outbreak caused 32 illnesses, eight known hospitalizations, and zero deaths across nine states (Hassan et al, 2017). Illness onset occurred between May 6 and July 9, 2016, and cases ranged from four to 79 years of age, of which 59% were female.…”

Section: Multistate Outbreaks Of Foodborne Illness Associated With Frmentioning

confidence: 99%

Multistate Outbreaks of Foodborne Illness in the United States Associated With Fresh Produce From 2010 to 2017

2019

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In the United States, the consumption of fresh fruits and vegetables has increased during recent years as consumers seek to make healthier lifestyle choices. However, the number of outbreaks associated with fresh produce that involve cases in more than one state (multistate) has increased concomitantly. As the distance along the farm-to-fork continuum has lengthened over time, there are also more opportunities for fresh produce contamination with bacterial pathogens before it reaches the consumer. This review provides an overview of the three bacterial pathogens (i.e., pathogenic Escherichia coli, Listeria monocytogenes, and Salmonella enterica) associated with multistate fresh produce outbreaks that occurred between 2010 and 2017 in the U.S. Possible routes of fresh produce contamination, including pre- and post-harvest, are summarized and outcomes of selected outbreaks within this timeframe are highlighted. Eighty-five multistate outbreaks linked to fresh produce with a confirmed etiology occurred from 2010 to 2017. Cross-contamination within the distribution chain and poor agricultural practices, along with the production of sprouts and importation of fresh produce were frequently implicated contributors to these events. The evolution of the food supply chain in the U.S. necessitates an examination of multistate outbreaks to shed light on factors that increase the scale of these events.

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“…Approximately half of the fresh fruit and about 20% of the fresh vegetables consumed in the United States are imported from other countries, most of which come from Mexico [9, 10]. There have been several multistate Salmonella outbreaks attributed to imported raw fresh produce over the past decade [11–18]. The implicated foods include cucumbers, mangoes, papayas, hot peppers and cantaloupe.…”

Section: Introductionmentioning

confidence: 99%

Multistate outbreaks of Salmonella infections linked to imported Maradol papayas – United States, December 2016–September 2017

et al. 2019

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Foodborne salmonellosis causes approximately 1 million illnesses annually in the United States. In the summer of 2017, we investigated four multistate outbreaks of Salmonella infections associated with Maradol papayas imported from four Mexican farms. PulseNet initially identified a cluster of Salmonella Kiambu infections in June 2017, and early interviews identified papayas as an exposure of interest. Investigators from Maryland, Virginia and Food and Drug Administration (FDA) collected papayas for testing. Several strains of Salmonella were isolated from papayas sourced from Mexican Farm A, including Salmonella Agona, Gaminara, Kiambu, Thompson and Senftenberg. Traceback from two points of service associated with illness sub-clusters in two states identified Farm A as a common source of papayas, and three voluntary recalls of Farm A papayas were issued. FDA sampling isolated four additional Salmonella strains from papayas sourced from Mexican Farms B, C and D. In total, four outbreaks were identified, resulting in 244 cases with illness onset dates from 20 December 2016 to 20 September 2017. The sampling of papayas and the collaborative work of investigative partners were instrumental in identifying the source of these outbreaks and preventing additional illnesses. Evaluating epidemiological, laboratory and traceback evidence together during investigations is critical to solving and stopping outbreaks.

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Multistate Outbreak of Salmonella Anatum Infections Linked to Imported Hot Peppers — United States, May–July 2016

Cited by 25 publications

References 5 publications

Highly antimicrobial-resistant Nontyphoidal Salmonella from retail meats and clinical impact in children, Taiwan

Highly antimicrobial-resistant Nontyphoidal Salmonella from retail meats and clinical impact in children, Taiwan

Multistate Outbreaks of Foodborne Illness in the United States Associated With Fresh Produce From 2010 to 2017

Multistate outbreaks of Salmonella infections linked to imported Maradol papayas – United States, December 2016–September 2017

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