Outbreak of Salmonella javiana infection at a children's hospital.


Journal Article

OBJECTIVE: To determine the source of an outbreak of Salmonella javiana infection. DESIGN: Case-control study. PARTICIPANTS: A total of 101 culture-confirmed cases and 540 epidemiologically linked cases were detected between May 26, 2003, and June 16, 2003, in hospital employees, patients, and visitors. Asymptomatic employees who had eaten in the hospital cafeteria between May 30 and June 4, 2003, and had had no gastroenteritis symptoms after May 1, 2003, were chosen as control subjects. SETTING: A 235-bed academic tertiary care children's hospital. RESULTS: Isolates from 100 of 101 culture-confirmed cases had identical pulsed-field gel electrophoresis patterns. A foodhandler with symptoms of gastroenteritis was the presumed index subject. In multivariate analysis, case subjects were more likely than control subjects to have consumed items from the salad bar (adjusted odds ratio [aOR], 5.3; 95% confidence interval [CI], 2.3-12.1) and to have eaten in the cafeteria on May 28 (aOR, 9.4; 95% CI, 1.8-49.5), May 30 (aOR, 3.6; 95% CI, 1.0-12.7), and/or June 3 (aOR, 4.0; 95% CI, 1.4-11.3). CONCLUSIONS: Foodhandlers who worked while they had symptoms of gastroenteritis likely contributed to the propagation of the outbreak. This large outbreak was rapidly controlled through the use of an incident command center.

Full Text

Cited Authors

  • Elward, A; Grim, A; Schroeder, P; Kieffer, P; Sellenriek, P; Ferrett, R; Adams, HC; Phillips, V; Bartow, R; Mays, D; Lawrence, S; Seed, P; Holzmann-Pazgal, G; Polish, L; Leet, T; Fraser, V

Published Date

  • June 2006

Published In

Volume / Issue

  • 27 / 6

Start / End Page

  • 586 - 592

PubMed ID

  • 16755478

Pubmed Central ID

  • 16755478

International Standard Serial Number (ISSN)

  • 0899-823X

Digital Object Identifier (DOI)

  • 10.1086/506483


  • eng

Conference Location

  • United States