A Prolonged Outbreak of Salmonella Montevideo Infections Associated with Multiple Locations of a Restaurant Chain in Phoenix, Arizona, 2008

$37.00 plus tax (Refund Policy)

Buy Article:

Abstract:

An outbreak of Salmonella serotype Montevideo infections associated with multiple locations of restaurant chain A in Phoenix, AZ, was identified in July 2008. One infected individual reported eating at a chain A catered luncheon where others fell ill; we conducted a cohort study among attendees to identify the vehicle. Food and environmental samples collected at six chain A locations were cultured for Salmonella. Restaurant inspection results were compared among 18 chain A locations. Routine surveillance identified 58 Arizona residents infected with the outbreak strain. Three chain A locations, one of which catered the luncheon, were named by two or more case patients as a meal source in the week prior to illness onset. In the cohort study of luncheon attendees, 30 reported illness, 10 of which were later culture confirmed. Illness was reported by 30 (61%) of 49 attendees who ate chicken and by 0 of 7 who did not. The outbreak strain was isolated from two of these three locations from uncooked chicken in marinade, chopped cilantro, and a cutting board dedicated to cutting cooked chicken. Raw chicken, contaminated before arrival at the restaurant, was the apparent source of this outbreak. The three locations where two or more case patients ate had critical violations upon routine inspection, while 15 other locations received none. Poor hygiene likely led to cross-contamination of food and work areas. This outbreak supports the potential use of inspections in identifying restaurants at high risk of outbreaks and the need to reduce contamination of raw products at the source and prevent cross-contamination at the point of service.

Document Type: Research Article

Affiliations: 1: Epidemic Intelligence Service, Officer of Workforce and Career Development, Enteric Diseases Epidemiology Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA. hgo9@cdc.gov 2: Epidemic Intelligence Service, Officer of Workforce and Career Development, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA; Arizona Department of Health Services, 150 North 18th Avenue, Phoenix, Arizona 85007, USA 3: Outbreak Response and Prevention Branch (proposed), Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 4: Epidemic Intelligence Service, Officer of Workforce and Career Development, Outbreak Response and Prevention Branch (proposed), Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 5: Maricopa County Environmental Services Department, 1001 North Central Avenue, Suite 300, Phoenix, Arizona 85004, USA 6: Arizona Department of Health Services, 150 North 18th Avenue, Phoenix, Arizona 85007, USA 7: Arizona Department of Health Services, 150 North 18th Avenue, Phoenix, Arizona 85007, USA; Coordinating Office for Terrorism, Preparedness, and Emergency Response, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 8: Maricopa County Department of Public Health, 4041 North Central Avenue, Suite 1400, Phoenix, Arizona 85012, USA 9: Enteric Diseases Laboratory Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 10: Division of Foodborne, Waterborne, and Environmental Diseases (proposed), Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 11: Food Safety and Inspection Service, U.S. Department of Agriculture, Edward Zorinsky Federal Building, 1616 Capitol Avenue, Room 260, Omaha, Nebraska 68102-5908, USA, USA 12: Enteric Diseases Epidemiology Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA

Publication date: October 1, 2010

More about this publication?
  • IAFP members must first sign in on the right to access full text articles of JFP

    First published in 1937, the Journal of Food Protection®, is a refereed monthly publication. Each issue contains scientific research and authoritative review articles reporting on a variety of topics in food science pertaining to food safety and quality. The Journal is internationally recognized as the leading publication in the field of food microbiology with a readership exceeding 11,000 scientists from 70 countries. The Journal of Food Protection® is indexed in Index Medicus, Current Contents, BIOSIS, PubMed, Medline, and many others.

    Print and online subscriptions are available to Members and Institutional subscribers. Online visitors who are not IAFP Members or journal subscribers will be charged on a pay-per-view basis. Information can be obtained by calling +1 800.369.6337; +1 515.276.3344; fax: +1 515.276.8655, E-mail: info@foodprotection.org or Web site: www.foodprotection.org
  • Information for Authors
  • Submit a Paper
  • Subscribe to this Title
  • Membership Information
  • Information for Advertisers
  • ingentaconnect is not responsible for the content or availability of external websites

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more