Last data update: Jun 24, 2024. (Total: 47078 publications since 2009)
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Query Trace: Vawter S [original query] |
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Outbreak of human Salmonella Typhimurium infections linked to contact with baby poultry from a single agricultural feed store chain and mail-order hatchery, 2009
Loharikar A , Vawter S , Warren K , Deasy M 3rd , Moll M , Sandt C , Gilhousen R , Villamil E , Rhorer A , Briere E , Schwensohn C , Trees E , Lafon P , Adams JK , Le B , Behravesh CB . Pediatr Infect Dis J 2012 32 (1) 8-12 BACKGROUND: Over thirty outbreaks of human salmonellosis linked to contact with live poultry from mail-order hatcheries were reported to CDC between 1990-2010. In May 2009, we investigated an outbreak of human Salmonella Typhimurium infections, primarily affecting children. METHODS: A case was defined as a person with the outbreak strain of Salmonella Typhimurium, as determined by pulsed-field gel electrophoresis (PFGE) and multiple-locus variable-number tandem repeat analysis (MLVA), in a Pennsylvania or New York resident with illness onset between May 1- September 1, 2009. We conducted a case-control study to examine the relationship between illness and live poultry contact. Controls were age- and geographically-matched. Traceback and environmental investigations were conducted. RESULTS: We identified 36 case-patients in Pennsylvania and New York; 36% were children aged ≤5 years. Case-patients were more likely than controls to report live baby poultry contact (matched odds ratio [mOR]: 17.0; 95% Confidence Interval [CI]:2.7-710.5), contact with chicks (mOR:14.0; 95% CI:2.1-592.0), ducklings (mOR:8.0; 95% CI:1.1-355.0), and visiting agricultural feed stores (mOR:6.0; 95% CI:1.3-55.2). Most (83%) visited agricultural Feed Store Chain Y, a national agricultural feed store chain, which received poultry from Hatchery C, which is supplied by multiple egg sources. Salmonella Typhimurium was isolated from a source duck flock, but had a different PFGE pattern than the outbreak strain. CONCLUSION: Live baby poultry remain an important source of human salmonellosis, particularly among children. Preventing these infections requires comprehensive interventions at hatcheries and agricultural feed stores; pediatricians should inform patients of risks associated with live poultry contact. |
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