Document Detail


Hospital outbreak of Salmonella virchow possibly associated with a food handler.
MedLine Citation:
PMID:  10772833     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A foodborne outbreak of salmonella infection at a private hospital in London in 1994 was found to be associated with eating turkey sandwiches prepared by a food handler. One patient, nine staff, and a foodhandler's baby were confirmed to have Salmonella enterica serotype virchow, phage type 26 infection. The attack rate was estimated to be 5% among the approximately 200 patients and staff at risk. A food handler reportedly became ill days after, but her baby days before, the first hospital case. Although it appeared to be a single outbreak, antibiogram analysis, supplemented by plasmid profile typing, demonstrated that there were two strains of S. virchow involved, one with resistance to sulphonamides and trimethoprim and a second sensitive to these antimicrobial drugs. Mother and child had different strains. The investigation demonstrated the importance of full phenotypic characterization of putative outbreak strains including antimicrobial susceptibility testing. Outbreaks of foodborne infection in hospitals are preventable and are associated with high attack rates and disruption of services. There is a need for good infection control policies and training of all staff involved in patient care as well as in catering services. Consultants in Communicable Disease (CCDCs) should include private hospitals in their outbreak control plans. Good working relations between Infection Control Doctors (ICDs) in the private health sector and their local CCDCs are important if outbreaks are to be properly investigated.
Authors:
H Maguire; P Pharoah; B Walsh; C Davison; D Barrie; E J Threlfall; S Chambers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hospital infection     Volume:  44     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-06-28     Completed Date:  2000-06-28     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  261-6     Citation Subset:  IM    
Copyright Information:
Copyright 2000 The Hospital Infection Society.
Affiliation:
Regional Epidemiology Unit, PHLS/South Thames, St George's Hospital, Blackshaw Road, London, SW17 OQT, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Cross Infection / epidemiology*,  prevention & control
Disease Outbreaks* / prevention & control
Female
Food Handling*
Humans
Infant
London / epidemiology
Meat / microbiology
Salmonella / classification
Salmonella Food Poisoning / epidemiology*,  prevention & control
Swine
Turkeys
Comments/Corrections
Comment In:
J Hosp Infect. 2001 Aug;48(4):324-5   [PMID:  11461138 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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