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Multistate outbreak of Listeria monocytogenes infection linked to delicatessen turkey meat.
Clin Infect Dis. 2005 Apr 01; 40(7):962-7.CI

Abstract

BACKGROUND

Despite a decreasing incidence of listeriosis in the United States, molecular subtyping has increased the number of recognized outbreaks. In September 2000, the New York City Department of Health identified a cluster of infections caused by Listeria monocytogenes isolates with identical molecular subtypes by pulsed-field gel electrophoresis (PFGE) and ribotyping.

METHODS

To determine the magnitude of the outbreak and identify risk factors for infection, we notified state health departments and conducted a case-control study. A case was defined as a patient or mother-infant pair infected with Listeria monocytogenes whose isolate yielded the outbreak PFGE pattern. Controls were patients infected with Listeria monocytogenes whose isolate yielded a different PFGE pattern. Patients were asked about food and drink consumed during the 30 days before the onset of illness.

RESULTS

Between May and December 2000, there were 30 clinical isolates of Listeria monocytogenes with identical PFGE patterns identified in 11 US states. Cases of infection caused by these isolates were associated with 4 deaths and 3 miscarriages. A case-control study implicated sliced processed turkey from a delicatessen (Mantel-Haenszel odds ratio, 8.0; 95% confidence interval, 1.2-43.3). A traceback investigation identified a single processing plant as the likely source of the outbreak, and the company voluntarily recalled 16 million pounds of processed meat. The same plant had been identified in a Listeria contamination event that had occurred more than a decade previously.

CONCLUSIONS

Prevention of persistent L. monocytogenes contamination in food processing plants presents a critical challenge to food safety professionals.

Authors+Show Affiliations

Foodborne and Diarrheal Diseases Branch, Centers for DiseaseControl and Prevention, Atlanta, USA. sco2@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15824987

Citation

Olsen, Sonja J., et al. "Multistate Outbreak of Listeria Monocytogenes Infection Linked to Delicatessen Turkey Meat." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 40, no. 7, 2005, pp. 962-7.
Olsen SJ, Patrick M, Hunter SB, et al. Multistate outbreak of Listeria monocytogenes infection linked to delicatessen turkey meat. Clin Infect Dis. 2005;40(7):962-7.
Olsen, S. J., Patrick, M., Hunter, S. B., Reddy, V., Kornstein, L., MacKenzie, W. R., Lane, K., Bidol, S., Stoltman, G. A., Frye, D. M., Lee, I., Hurd, S., Jones, T. F., LaPorte, T. N., Dewitt, W., Graves, L., Wiedmann, M., Schoonmaker-Bopp, D. J., Huang, A. J., ... Mead, P. (2005). Multistate outbreak of Listeria monocytogenes infection linked to delicatessen turkey meat. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 40(7), 962-7.
Olsen SJ, et al. Multistate Outbreak of Listeria Monocytogenes Infection Linked to Delicatessen Turkey Meat. Clin Infect Dis. 2005 Apr 1;40(7):962-7. PubMed PMID: 15824987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multistate outbreak of Listeria monocytogenes infection linked to delicatessen turkey meat. AU - Olsen,Sonja J, AU - Patrick,Mary, AU - Hunter,Susan B, AU - Reddy,Vasudha, AU - Kornstein,Laura, AU - MacKenzie,William R, AU - Lane,Kimberly, AU - Bidol,Sally, AU - Stoltman,Gillian A, AU - Frye,Douglas M, AU - Lee,Irene, AU - Hurd,Sharon, AU - Jones,Timothy F, AU - LaPorte,Tracy N, AU - Dewitt,Wallis, AU - Graves,Lewis, AU - Wiedmann,Martin, AU - Schoonmaker-Bopp,Dianna J, AU - Huang,Ada J, AU - Vincent,Curt, AU - Bugenhagen,Al, AU - Corby,Joe, AU - Carloni,Edmund R, AU - Holcomb,Mara E, AU - Woron,Raymond F, AU - Zansky,Shelley M, AU - Dowdle,Gerrie, AU - Smith,Forrest, AU - Ahrabi-Fard,Susann, AU - Ong,Anna Rae, AU - Tucker,Nicole, AU - Hynes,Noreen A, AU - Mead,Paul, Y1 - 2005/03/03/ PY - 2004/08/13/received PY - 2004/11/17/accepted PY - 2005/4/13/pubmed PY - 2006/7/25/medline PY - 2005/4/13/entrez SP - 962 EP - 7 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 40 IS - 7 N2 - BACKGROUND: Despite a decreasing incidence of listeriosis in the United States, molecular subtyping has increased the number of recognized outbreaks. In September 2000, the New York City Department of Health identified a cluster of infections caused by Listeria monocytogenes isolates with identical molecular subtypes by pulsed-field gel electrophoresis (PFGE) and ribotyping. METHODS: To determine the magnitude of the outbreak and identify risk factors for infection, we notified state health departments and conducted a case-control study. A case was defined as a patient or mother-infant pair infected with Listeria monocytogenes whose isolate yielded the outbreak PFGE pattern. Controls were patients infected with Listeria monocytogenes whose isolate yielded a different PFGE pattern. Patients were asked about food and drink consumed during the 30 days before the onset of illness. RESULTS: Between May and December 2000, there were 30 clinical isolates of Listeria monocytogenes with identical PFGE patterns identified in 11 US states. Cases of infection caused by these isolates were associated with 4 deaths and 3 miscarriages. A case-control study implicated sliced processed turkey from a delicatessen (Mantel-Haenszel odds ratio, 8.0; 95% confidence interval, 1.2-43.3). A traceback investigation identified a single processing plant as the likely source of the outbreak, and the company voluntarily recalled 16 million pounds of processed meat. The same plant had been identified in a Listeria contamination event that had occurred more than a decade previously. CONCLUSIONS: Prevention of persistent L. monocytogenes contamination in food processing plants presents a critical challenge to food safety professionals. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/15824987/full_citation DB - PRIME DP - Unbound Medicine ER -