2021
DOI: 10.15585/mmwr.mm7018a3
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Notes from the Field: An Outbreak of Escherichia coli O157:H7 Infections Linked to Romaine Lettuce Exposure — United States, 2019

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Cited by 13 publications
(5 citation statements)
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“…coli and S. enterica can be internalized from contaminated soil and persist on lettuce leaves. ., Both bacteria are pathogens of concern in the lettuce pre- and postharvest environment and have been linked to multistate outbreaks of foodborne diseases in the U.S. related to leafy greens. After 24 h submersion in E. coli suspension, 9.3 ± 0.8 × 10 6 cfu/mL culturable cells were recovered from leaf surfaces (Figure b).…”
Section: Resultsmentioning
confidence: 99%
“…coli and S. enterica can be internalized from contaminated soil and persist on lettuce leaves. ., Both bacteria are pathogens of concern in the lettuce pre- and postharvest environment and have been linked to multistate outbreaks of foodborne diseases in the U.S. related to leafy greens. After 24 h submersion in E. coli suspension, 9.3 ± 0.8 × 10 6 cfu/mL culturable cells were recovered from leaf surfaces (Figure b).…”
Section: Resultsmentioning
confidence: 99%
“…The advanced techniques such as microwave heating, radio frequency heating, and ohmic heating (OH) are methods of volumetric heating, generating heat uniformly and rapidly and combines the effects of thermal and non-thermal factors to inactivate microorganisms at sub-lethal temperature by selective heating, electroporation, and cell membrane rupturing [5] thus enabling the killing of them at a "milder" temperature [9] [11]. For example, Jia et al performed conventional heating (for 16 min) and OH (at 10 V/cm, 50Hz for 6 min) from 24 to 72•C in Bacillus cereus suspension to decrease 5 log [12].…”
Section: Introductionmentioning
confidence: 99%
“…E. coli O157:H7 is a gram-negative bacterium that causes hemorrhagic colitis, bloody diarrhea, and hemolytic uremic syndrome, which can lead to kidney failure and death, especially in children and the elderly. E. coli O157:H7 outbreaks have been associated with foods such as beef, spinach, beets, fermented sausages, unpasteurized fruit juices, apple cider, and raw milk [2][4] [5]. Moreover, water is the primary source of infection with this bacterium [4].…”
Section: Introductionmentioning
confidence: 99%
“…Historically, outbreaks of STEC O157 have commonly been associated with leafy greens [5][6][7][8], beef products [9,10], and raw milk products [11][12][13]. Fermented vegetable products are acidic in nature and are therefore often thought to be an inhospitable environment to pathogens, and an unlikely vehicle for foodborne outbreaks [14].…”
Section: Introductionmentioning
confidence: 99%