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Emergence of Salmonella serotype Enteritidis phage type 4 in Hawaii traced to locally-produced eggs.
Int J Infect Dis. 2005 Nov; 9(6):340-6.IJ

Abstract

OBJECTIVES

In August 1998, the Hawaii Department of Health observed a nine-fold increase in human Salmonella Enteritidis (SE) infections. Isolates were phage type 4 (PT4). An investigation was initiated to determine the source of the outbreak.

METHODS

A matched case-control study enrolled 38 cases. Cases were Hawaii residents with diarrhea and a stool culture yielding SE.

RESULTS

Eating eggs was associated with SE illness; 28 cases (74%) ate eggs in the three days before illness compared to 34 (45%) of 76 controls (MOR=3.0, 95% CI=1.4-7.4). Eighteen (47%) of 38 case patients ate eggs from Farm A compared to 11 (14%) of 76 controls (MOR=12.0, 95% CI=3.1-78.0); the eggs were not properly handled or refrigerated. Cultures from Farm A yielded SE. Human illness subsided following selective flock depopulation.

CONCLUSIONS

This outbreak highlights the importance of proper handling and refrigeration of eggs. The egg industry must implement quality assurance programs to prevent the spread of SE PT4 and human SE illness.

Authors+Show Affiliations

Epidemic Intelligence Service, State Branch, Division of Applied Public Health Training, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA. mailto:rkmaktub@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16223593

Citation

Burr, Roger, et al. "Emergence of Salmonella Serotype Enteritidis Phage Type 4 in Hawaii Traced to Locally-produced Eggs." International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, vol. 9, no. 6, 2005, pp. 340-6.
Burr R, Effler P, Kanenaka R, et al. Emergence of Salmonella serotype Enteritidis phage type 4 in Hawaii traced to locally-produced eggs. Int J Infect Dis. 2005;9(6):340-6.
Burr, R., Effler, P., Kanenaka, R., Nakata, M., Holland, B., & Angulo, F. J. (2005). Emergence of Salmonella serotype Enteritidis phage type 4 in Hawaii traced to locally-produced eggs. International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, 9(6), 340-6.
Burr R, et al. Emergence of Salmonella Serotype Enteritidis Phage Type 4 in Hawaii Traced to Locally-produced Eggs. Int J Infect Dis. 2005;9(6):340-6. PubMed PMID: 16223593.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergence of Salmonella serotype Enteritidis phage type 4 in Hawaii traced to locally-produced eggs. AU - Burr,Roger, AU - Effler,Paul, AU - Kanenaka,Rebecca, AU - Nakata,Michelle, AU - Holland,Ben, AU - Angulo,Fred J, Y1 - 2005/10/11/ PY - 2004/02/09/received PY - 2004/09/13/revised PY - 2004/10/05/accepted PY - 2005/10/15/pubmed PY - 2006/1/6/medline PY - 2005/10/15/entrez SP - 340 EP - 6 JF - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JO - Int J Infect Dis VL - 9 IS - 6 N2 - OBJECTIVES: In August 1998, the Hawaii Department of Health observed a nine-fold increase in human Salmonella Enteritidis (SE) infections. Isolates were phage type 4 (PT4). An investigation was initiated to determine the source of the outbreak. METHODS: A matched case-control study enrolled 38 cases. Cases were Hawaii residents with diarrhea and a stool culture yielding SE. RESULTS: Eating eggs was associated with SE illness; 28 cases (74%) ate eggs in the three days before illness compared to 34 (45%) of 76 controls (MOR=3.0, 95% CI=1.4-7.4). Eighteen (47%) of 38 case patients ate eggs from Farm A compared to 11 (14%) of 76 controls (MOR=12.0, 95% CI=3.1-78.0); the eggs were not properly handled or refrigerated. Cultures from Farm A yielded SE. Human illness subsided following selective flock depopulation. CONCLUSIONS: This outbreak highlights the importance of proper handling and refrigeration of eggs. The egg industry must implement quality assurance programs to prevent the spread of SE PT4 and human SE illness. SN - 1201-9712 UR - https://www.unboundmedicine.com/medline/citation/16223593/Emergence_of_Salmonella_serotype_Enteritidis_phage_type_4_in_Hawaii_traced_to_locally_produced_eggs_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(05)00069-X DB - PRIME DP - Unbound Medicine ER -