A nosocomial outbreak of Salmonella enteritidis associated with lyophilized enteral nutrition

Matsuoka, D. M.; Costa, Sílvia Figueiredo; Mangini, Chiara; Almeida, Guilherme Silva de; Bento, Christina N. O.; Heijden, Inneke M. van der; Soares, Robson E.; Gobara, S.; Távora, Lara Gurgel Fernandes; Levin, Anna S.

doi:10.1016/j.jhin.2004.05.003

Cited by 25 publications

(11 citation statements)

References 25 publications

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“…However, in a study reporting an outbreak in São Paulo, Brazil, Matsuoka et al (2004) observed that the average age of the affected people was 36.5 years. In the present study, Salmonella was isolated from fecal samples of patients whose age ranged from nine months to 40 years, with no gender predominance.…”

Section: Dna Profiles Of Salmonella Spp Isolated From Chicken Producmentioning

confidence: 99%

DNA Profiles of Salmonella Spp. Isolated from Chicken Products and From Broiler and Human Feces

Tejada

Silva

Lopes

et al. 2016

Rev. Bras. Cienc. Avic.

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Salmonella species have been isolated from various kinds of food and are accountable for outbreaks of foodborne diseases in humans. This study aimed at identifying the similarities between the DNA profiles of Salmonella isolated from chicken feces, chicken products, and human feces in southern Brazil. Six hundred samples were collected (200 from chicken products, 200 from broiler chicken feces, and 200 from human feces) and tested for the presence of Salmonella. Isolates proven to be Salmonella compatible by biochemical and serological tests were tested by the Polymerase Chain Reaction. Their DNA profiles were then analyzed by PFGE and rep-PCR. Salmonella was isolated from 16 out of 600 analyzed samples, with Schwarzengrund serotype presenting the highest incidence, followed by Mbandaka in chicken meat and fecal samples, and Panama in human fecal samples. Some strains isolated from chicken fecal and product samples were indistinguishable by the molecular methods used in the study, suggesting that that the contamination of the broilers on the farm can be transmitted the processed products.

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Section: Dna Profiles Of Salmonella Spp Isolated From Chicken Producmentioning

confidence: 99%

DNA Profiles of Salmonella Spp. Isolated from Chicken Products and From Broiler and Human Feces

Tejada

Silva

Lopes

et al. 2016

Rev. Bras. Cienc. Avic.

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“…Non-typhoidal Salmonella causes an estimated 1 million illnesses with approximately 20,000 hospitalizations and approximately 378 deaths each year (Scallan et al, 2011). Furthermore Salmonella infections are usually associated with the consumption of contaminated food products from poultry, pigs and ruminants, contaminated drinking water or direct contact with infected animals (Matsuoka et al, 2004;Mullner et al, 2009). So far, more than 2610 serovars of Salmonella enterica have been recognized from all over the world, and almost all are able to cause illness in humans and animals (Guibourdenche et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Isolation and molecular characterization of Salmonella enterica serovar Enteritidis from poultry house and clinical samples during 2010

et al. 2014

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b s t r a c tA total of 60 Salmonella enterica serovar (ser.) Enteritidis isolates, 28 from poultry houses and 32 from clinical samples, were isolated during 2010. These isolates were subjected to testing and analyzed for antibiotic resistance, virulence genes, plasmids and plasmid replicon types. To assess genetic diversity, pulsed-field gel electrophoresis (PFGE) fingerprinting, using the XbaI restriction enzyme, Multiple-Locus Variable-Number Tandem Repeat Analysis (MLVA) and plasmid profiles were performed. All isolates from poultry, and 10 out of 32 clinical isolates were sensitive to ampicillin, chloramphenicol, gentamicin, kanamycin, nalidixic acid, sulfisoxazole, streptomycin, and tetracycline. Twenty-one of thirty-two clinical isolates were resistant to ampicillin and tetracycline, and one isolate was resistant to nalidixic acid. PFGE typing of sixty ser. Enteritidis isolates by XbaI resulted in 10e12 bands and grouped into six clusters each with similarity from 95% to 81%. The MLVA analysis of sixty isolates gave 18 allele profiles with the majority of isolates displayed in three groups, and two clinical isolates found to be new in the PulseNet national MLVA database. All isolates were positive for 12 or more of the 17 virulence genes mostly found in S. enterica (spvB, spiA, pagC, msgA, invA, sipB, prgH, spaN, orgA, tolC, iroN, sitC, IpfC, sifA, sopB, and pefA) and negative for one gene (cdtB). All isolates carried a typical 58 kb plasmid, type Inc/FIIA. Three poultry isolates and one clinical isolate carried small plasmids with 3.8, 6, 7.6 and 11.5 kb. Ten of the clinical isolates carried plasmids, with sizes 36 and 38 kb, types IncL/M and IncN, and one isolate carried an 81 kb plasmid, type IncI. Southern hybridization of a plasmid with an Inc/FIIA gene probe hybridized one large 58 kb plasmid in all isolates. Several large and small plasmids from poultry isolates were not typed by our PCR-based method. These results confirmed that PFGE fingerprinting has limited discriminatory power for ser. Enteritidis in both poultry and clinical sources. However, the plasmid and MLVA allele profiles were a useful and important epidemiology tool to discriminate outbreak strains of ser. Enteritidis from poultry and clinical samples.Published by Elsevier Ltd.

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“…One of these examined evidence-based intervention rates,19 whereas another estimated rates of adverse events using a national drug information database 20. A Brazilian study examined the process of infection control practices after a Salmonella outbreak,21 and a Chinese study measured unsafe injection rates and disposal of needles and syringes 22…”

Section: Resultsmentioning

confidence: 99%

“…Two studies were limited to the examination of a single disease at a single facility 21 29. Studies examining the safety of specific treatment processes22 26–28 or mortality rates for a particular age segment23 24 were conducted at single hospitals.…”

Section: Resultsmentioning

confidence: 99%

Measures of patient safety in developing and emerging countries: a review of the literature

Carpenter

Duevel

Lee

et al. 2010

Quality and Safety in Health Care

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Investigation of patient safety in developing and emerging countries has been infrequent and limited in scope. Establishing fundamental safe patient practices, integrating those processes into routine health services delivery and developing patients' expectations that such processes be present are necessary prerequisites to measuring and monitoring progress towards safe patient care in emerging and developing countries.

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A nosocomial outbreak of Salmonella enteritidis associated with lyophilized enteral nutrition

Cited by 25 publications

References 25 publications

DNA Profiles of Salmonella Spp. Isolated from Chicken Products and From Broiler and Human Feces

DNA Profiles of Salmonella Spp. Isolated from Chicken Products and From Broiler and Human Feces

Isolation and molecular characterization of Salmonella enterica serovar Enteritidis from poultry house and clinical samples during 2010

Measures of patient safety in developing and emerging countries: a review of the literature

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