Multistate Outbreak of <i>Salmonella</i> Infections Linked to Raw Turkey Products — United States, 2017–2019

Hassan, Rashida; Buuck, Sean; Noveroske, Douglas; Medus, Carlota; Sorenson, Alida; Laurent, Jessica; Rotstein, David S.; Schlater, Linda K.; Freiman, Jennifer; Douris, Aphrodite; Simmons, Mustafa; Donovan, Danielle; Henderson, Justin; Tewell, Mackenzie; Snyder, Kaitlyn; Oni, O. O.; Stein, Diana Von; Dassie, Kossia; Leeper, Molly; Adediran, Azizat; Dowell, Natasha; Gieraltowski, Laura; Basler, Colin

doi:10.15585/mmwr.mm6846a1

Cited by 26 publications

(22 citation statements)

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“…One clinical S. Reading isolate was highly related to 2 strains from retail meat samples and of the same pattern found in contaminated turkey products linked to 2 concurrent S. Reading outbreaks in the US and Canada during 2017–2019. Of the 300 cases investigated in the US, 132 people were hospitalized and 1 died [ 40 ]. Our data suggest that these contaminated poultry products were being sold to consumers starting September 2016, much earlier than previously reported ( www.fsis.usda.gov ).…”

Section: Discussionmentioning

confidence: 99%

Integrated Surveillance for Antimicrobial Resistance in Salmonella From Clinical and Retail Meat Sources Reveals Genetically Related Isolates Harboring Quinolone- and Ceftriaxone-Resistant Determinants

M’ikanatha

Yin

Boktor

et al. 2021

Open Forum Infectious Diseases

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Background Antimicrobial resistance in foodborne pathogens, including non-typhoidal Salmonella (NTS), is a public health concern. Pennsylvania conducts integrated surveillance for antimicrobial resistance in NTS from human and animal sources. Methods During 2015-2017, clinical laboratories submitted 4,478 NTS isolates from humans and 96 isolates were found in 2,520 retail meat samples. One hundred and nine clinical isolates that shared pulsed-field gel electrophoresis patterns with meat isolates and all strains from meat samples were tested for susceptibility to antimicrobial agents. Six clinical and 96 NTS isolates from meat sources (total 102) were analyzed by whole-genome sequencing (WGS). Results 28 (25.7 %) of the 109 clinical NTS and 21 (21.9%) of strains from meat sources had resistance to ≥3 antimicrobial drug classes (MDR). Sixteen (15.7%) of the 102 isolates analyzed by WGS had resistance mechanisms that confer resistance to expanded-spectrum cephalosporins (ESCs), such as ceftriaxone. We identified a bla CTX-M-65 in two S. Infantis isolates from clinical and three S. Infantis isolates from meat sources. These five bla CTX-M-65 -positive S. Infantis strains carried ≥5 additional resistance genes plus a D87Y mutation in gyrA that encodes fluoroquinolone resistance. WGS showed that isolates from patients and meat samples were within ≤10 and ≤5 alleles for S. Infantis and S. Reading, respectively. Conclusions A significant proportion of NTS isolates from human and animal sources were MDR and 16% had genetic mechanisms that confer resistant to ceftriaxone. These results emphasize need for integrated surveillance in healthcare and agricultural settings.

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Section: Discussionmentioning

confidence: 99%

Integrated Surveillance for Antimicrobial Resistance in Salmonella From Clinical and Retail Meat Sources Reveals Genetically Related Isolates Harboring Quinolone- and Ceftriaxone-Resistant Determinants

M’ikanatha

Yin

Boktor

et al. 2021

Open Forum Infectious Diseases

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“…Salmonella Reading was the serotype most strongly associated with illness during the Thanksgiving holiday. Given the dramatic increase in turkey consumption around Thanksgiving, one might expect that serotypes we identified are primarily associated with turkey consumption, and indeed, Reading caused a multistate outbreak with a raw turkey source during 2017-2019 (8), and a new clone of this serotype has emerged since 2014 in commercial turkey production (9). Other serotypes significantly associated with Thanksgiving in our study (i.e., Hadar, Schwarzengrund, and Heidelberg) have also been associated with turkey (6,10).…”

Section: Discussionmentioning

confidence: 99%

Salmonella Serotypes Associated with Illnesses after Thanksgiving Holiday, United States, 1998–2018

Tobolowsky¹,

Cui²,

Hoekstra³

et al. 2022

Emerg. Infect. Dis.

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“…There is little doubt, from published observational and experimental studies, that dogs fed Salmonella ‐contaminated material multiply and shed the organism, and typically do so without showing clinical signs (Davies and others 2019, Viegas and others 2020). Furthermore, several cases of owners infected with unusual strains have shown that Salmonella in pet foods and treats can infect people (Cartwright and others 2016, Davies and others 2019, Hassan 2019). For E coli , serious human illness has been linked to shigatoxigenic pathotypes in raw meat diets (Kaindama and others 2021).…”

Section: Reasons To Discourage Raw Feedingmentioning

confidence: 99%

How to talk to clients about giving raw food diets to their dogs and cats

Wales¹,

Davies²

2021

In Practice

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The popularity of feeding dogs and cats a raw diet has increased markedly in recent years. Broad claims of health benefits have been made, although accompanying evidence is typically weak or anecdotal. There are documented microbiological and nutritional risks associated with raw feeding that have elicited concerns among both veterinary and public health professionals. This article outlines the disadvantages and the perceived benefits of raw feeding, and suggests approaches to engage with clients who have chosen to give their pet a raw food diet. How to talk to clients about giving raw food diets to their dogs and cats Andrew Walesquali ed from Bristol university in 1993. He completed a doctorate in pathology and microbiology in 2003 and currently combines general small animal practice with a research fellowship at the University of Surrey, focusing on foodborne zoonoses and antimicrobial resistance.

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Multistate Outbreak of Salmonella Infections Linked to Raw Turkey Products — United States, 2017–2019

Cited by 26 publications

References 1 publication

Integrated Surveillance for Antimicrobial Resistance in Salmonella From Clinical and Retail Meat Sources Reveals Genetically Related Isolates Harboring Quinolone- and Ceftriaxone-Resistant Determinants

Integrated Surveillance for Antimicrobial Resistance in Salmonella From Clinical and Retail Meat Sources Reveals Genetically Related Isolates Harboring Quinolone- and Ceftriaxone-Resistant Determinants

Salmonella Serotypes Associated with Illnesses after Thanksgiving Holiday, United States, 1998–2018

How to talk to clients about giving raw food diets to their dogs and cats

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