EPIDEMIOLOGY AND INFECTION, vol. 122, n° 3, 1999, pages 385-393, 19 réf., ISSN 0950-2688, GBR
HEDBERG (C.W.), ANGULO (F.J.), WHITE (K.E.), LANGKOP (C.W.), SCHELL (W.L.), STOBIERSKI (M.G.), SCHUCHAT (A.), BESSER (J.M.), DIETRICH (S.), HELSEL (L.), GRIFFIN (P.M.), MCFARLAND (J.W.), OSTERHOLM (M.T.)
The Investigation Team. USA, Acute Disease Epidemiology Section. Minnesota Department of Health. Minneapolis. MN. USA, Foodborne and Diarrheal Diseases Branch. Division of Bacterial and Mycotic Diseases. National Center for Infectious Diseases. Centers for Disease Control and Prevention. Atlanta. GA. USA, Michigan Department of Public Health. Lansing. MI. USA
Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo).
Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16.0 ; 95% CI 2.1,120.6 ; P<0.0001 in 1990 and again in 1993 (MOR 5.7 ; 95% CI 1.5,21.9 ; P=0.01) as the likely vehicle.
Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath.
These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items.
Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.
Mots-clés BDSP : Bactérie, Homme, Salmonellose, Bactériose, Infection, Surveillance épidémiologique, Epidémiologie, Prévalence, Facteur risque, Aliment cru, Appareil digestif [pathologie], Etats Unis, Amérique, Amérique du Nord
Mots-clés Pascal : Salmonella montevideo, Enterobacteriaceae, Bactérie, Homme, Salmonellose, Bactériose, Infection, Epidémiologie, Prévalence, Facteur risque, Aliment cru, Tomate, Contamination biologique, Variation géographique, Surveillance sanitaire, Appareil digestif pathologie, Etats Unis, Amérique du Nord, Amérique, Salmonella javiana
Mots-clés Pascal anglais : Salmonella montevideo, Enterobacteriaceae, Bacteria, Human, Salmonellosis, Bacteriosis, Infection, Epidemiology, Prevalence, Risk factor, Uncooked food, Tomato, Biological contamination, Geographical variation, Sanitary surveillance, Digestive diseases, United States, North America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0429132
Code Inist : 002B05B02F. Création : 22/03/2000.