Source:http://linkedlifedata.com/resource/pubmed/id/16924912
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2006-8-23
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pubmed:abstractText |
The 23 restaurant-associated salmonellosis outbreaks that occurred in Minnesota from 1995 through 2003 were reviewed to characterize the role of infected foodworkers. The median duration of the outbreaks was 21 days (range, 1 to 517 days). The median number of culture-confirmed patron cases per outbreak was seven (range, 1 to 36 cases). The median incubation for patron cases ranged from 9 h to 5.9 days. A specific food vehicle was implicated in four outbreaks and suspected in five. Salmonella of the same serotype and pulsed-field gel electrophoresis subtype as that found in patrons was recovered from foodworkers in 19 outbreaks. Overall, 12% (129 of 1,033) of foodworkers tested positive for Salmonella. Sixty-four (53%) of 121 Salmonella-positive foodworkers reported not having had a recent gastrointestinal illness. Overall, the median duration of Salmonella shedding was 16 days. Among foodworkers who reported gastrointestinal illness, the median shedding duration was 30 days as compared with 3 days for asymptomatic foodworkers. Positive environmental samples were recovered in 4 (33%) of 12 outbreaks. No specific food vehicle was identified in any outbreaks associated with Salmonella-positive environmental samples. The median duration of outbreaks with positive environmental samples (187 days) was significantly longer than the median duration of outbreaks with negative environmental results (26 days, P = 0.03). A higher proportion of Salmonella-positive foodworkers (22 versus 8%) was identified in outbreaks with positive environmental samples. Salmonella outbreaks in restaurants are frequently prolonged yet produce a small number of confirmed patron cases. Prolonged outbreak durations suggest a persistent reservoir of contamination. Infected foodworkers likely serve as an important source for Salmonella transmission. Therefore, assessment of foodworker infection is essential for controlling restaurant outbreaks.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0362-028X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1870-8
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:16924912-Consumer Product Safety,
pubmed-meshheading:16924912-Disease Outbreaks,
pubmed-meshheading:16924912-Electrophoresis, Gel, Pulsed-Field,
pubmed-meshheading:16924912-Food Contamination,
pubmed-meshheading:16924912-Food Handling,
pubmed-meshheading:16924912-Food Microbiology,
pubmed-meshheading:16924912-Humans,
pubmed-meshheading:16924912-Hygiene,
pubmed-meshheading:16924912-Minnesota,
pubmed-meshheading:16924912-Restaurants,
pubmed-meshheading:16924912-Salmonella,
pubmed-meshheading:16924912-Salmonella Food Poisoning,
pubmed-meshheading:16924912-Serotyping,
pubmed-meshheading:16924912-Time Factors
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pubmed:year |
2006
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pubmed:articleTitle |
Salmonella outbreaks in restaurants in Minnesota, 1995 through 2003: evaluation of the role of infected foodworkers.
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pubmed:affiliation |
Acute Disease Investigation and Control Section, Minnesota Department of Health, P.O. Box 64975, St. Paul, Minnesota 55164-0975, USA. carlota.medus@health.state.mn.us
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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