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Elward, Alexis; Grim, Autumn; Schroeder, Patricia; Kieffer, Patricia; Sellenriek, Patricia; Ferrett, Rhonda; Adams, Hilda Chaski; Phillips, Virginia; Bartow, Rhonda; Mays, Debra; Lawrence, Steven; Seed, Patrick; Holzmann-Pazgal, Galit; Polish, Louis; Leet, Terry; Fraser, Victoria

Outbreak ofSalmonella javianaInfection at a Children's Hospital

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  • Medientyp: E-Artikel
  • Titel: Outbreak ofSalmonella javianaInfection at a Children's Hospital
  • Beteiligte: Elward, Alexis; Grim, Autumn; Schroeder, Patricia; Kieffer, Patricia; Sellenriek, Patricia; Ferrett, Rhonda; Adams, Hilda Chaski; Phillips, Virginia; Bartow, Rhonda; Mays, Debra; Lawrence, Steven; Seed, Patrick; Holzmann-Pazgal, Galit; Polish, Louis; Leet, Terry; Fraser, Victoria
  • Erschienen: Cambridge University Press (CUP), 2006
  • Erschienen in: Infection Control & Hospital Epidemiology
  • Sprache: Englisch
  • DOI: 10.1086/506483
  • ISSN: 0899-823X; 1559-6834
  • Schlagwörter: Infectious Diseases ; Microbiology (medical) ; Epidemiology
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:sec id="S0899823X00195546_abs1"><jats:title>Objective.</jats:title><jats:p>To determine the source of an outbreak of Salmonella javiana infection.</jats:p></jats:sec><jats:sec id="S0899823X00195546_abs2"><jats:title>Design.</jats:title><jats:p>Case-control study.</jats:p></jats:sec><jats:sec id="S0899823X00195546_abs3"><jats:title>Participants.</jats:title><jats:p>A total of 101 culture-confirmed cases and 540 epidemiologically linked cases were detected between May 26, 2003, and June 16, 2003, in hospital employees, patients, and visitors. Asymptomatic employees who had eaten in the hospital cafeteria between May 30 and June 4, 2003, and had had no gastroenteritis symptoms after May 1, 2003, were chosen as control subjects.</jats:p></jats:sec><jats:sec id="S0899823X00195546_abs4"><jats:title>Setting.</jats:title><jats:p>A 235-bed academic tertiary care children's hospital.</jats:p></jats:sec><jats:sec id="S0899823X00195546_abs5"><jats:title>Results.</jats:title><jats:p>Isolates from 100 of 101 culture-confirmed cases had identical pulsed-field gel electrophoresis patterns. A foodhandler with symptoms of gastroenteritis was the presumed index subject. In multivariate analysis, case subjects were more likely than control subjects to have consumed items from the salad bar (adjusted odds ratio [aOR], 5.3; 95% confidence interval [CI], 2.3-12.1) and to have eaten in the cafeteria on May 28 (aOR, 9.4; 95% CI, 1.8-49.5), May 30 (aOR, 3.6; 95% CI, 1.0-12.7), and/or June 3 (aOR, 4.0; 95% CI, 1.4-11.3).</jats:p></jats:sec><jats:sec id="S0899823X00195546_abs6"><jats:title>Conclusions.</jats:title><jats:p>Foodhandlers who worked while they had symptoms of gastroenteritis likely contributed to the propagation of the outbreak. This large outbreak was rapidly controlled through the use of an incident command center.</jats:p></jats:sec>