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Volume 11, Number 6—June 2005

Dispatch

Hospitalization and Antimicrobial Resistance in Salmonella Outbreaks, 1984–2002

Jay K. Varma*Comments to Author , Katherine D. Greene*, Jessa Ovitt†, Timothy J. Barrett*, Felicita Medalla*, and Frederick J. Angulo*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, GA, USA; †Private practice, Lenoir, NC, USA

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Table A1

Domestic, community, nontyphoidal Salmonella outbreaks investigated by the Centers for Disease Control and Prevention, 1984–2002

Year State Serotype Resistance pattern* Implicated vehicle No. hospitalized/total (%)† No. died/total (%)‡
1984 Oregon Typhimurium TS Salad bar 45/388 (12) 0/715 (0)
1984 Pennsylvania Infantis Pansusceptible Turkey/beef sandwich 1/203 (0) 0/203 (0)
1985 California Newport ACKSSuT Ground beef 22/45 (49) 2/298 (1)
1985 Missouri Thompson NA Pork NA NA
1985 Illinois Typhimurium AKSSuT Milk 2777/12624 (22) 18/16659 (0)
1986 Georgia Typhimurium Pansusceptible Turkey 4/719 (1) 0/719
1986 Multiple§ Enteritidis, Heidelberg Pansusceptible Eggs (in frozen pasta) 13/166 (8) 1/166 (1)
1987 Georgia Havana T Chicken 36/73 (49) 1/73 (1)
1987 Hawaii Agona Pansusceptible Chicken NA 0/202 (0)
1989 Maine Heidelberg Pansusceptible Unknown NA NA
1989 Minnesota Javiana Pansusceptible Cheese NA NA
1989 Multiple§ Chester Pansusceptible Cantaloupe NA NA
1989 Nevada Typhimurium Pansusceptible Deli platter NA NA
1990 Pennsylvania Enteritidis Pansusceptible Eggs 5/26 (19) 0/94 (0)
1990 South Carolina Agona NA Turkey NA 0/850 (0)
1992 Georgia Infantis Pansusceptible Eggs (in rice pudding) 0/113 (0) 0/113 (0)
1992 New York Enteritidis NA Eggs (in mayonnaise) 8/98 (8) 0/98 (0)
1993 Missouri Typhimurium NA Water 13/27 (48) 7/650 (1)
1993 Multiple§ Montevideo Pansusceptible Raw tomatoes, lettuce 15/62 (24) 0/84 (0)
1993 Texas Enteritidis NA Egg rolls 2/19 (11) NA
1994 Georgia Enteritidis Pansusceptible Eggs (in ice cream) 0/129 (0) NA
1995 Arizona Stanley KTB Alfalfa sprouts 5/19 (26) NA
1995 Florida Hartford Pansusceptible Orange juice 7/32 (22) NA
1995 Utah Enteritidis Pansusceptible Eggs 5/43 (12) NA
1996 Colorado Enteritidis Pansusceptible Komodo dragon 8/37 (22) NA
1996 South Dakota Thompson Pansusceptible Roast beef 0/43 (0) 0/52 (0)
1996 Hawaii Enteritidis Pansusceptible Unknown NA NA
1997 Washington Typhimurium ACSSuT Cheese (queso fresco) 5/54 (9) 0/54 (0)
1997 Vermont Typhimurium ACSSuT Milk (raw) 1/9 (11) NA
1997 Maryland Heidelberg KST Ham (stuffed) NA 2/706 (0)
1997 Kansas, Missouri Infantis, Anatum Pansusceptible Sprouts 18/67 (27) 0/114 (0)
1997 South Carolina Enteritidis Pansusceptible Eggs 4/192 (2) 0/192 (0)
1997 Nevada Enteritidis Pansusceptible Eggs (in hollandaise sauce) 15/63 (24) 0/91 (0)
1998 Ohio Typhimurium AKSSuT Farm exposure 5/19 (26) NA
1998 Multiple§ Agona Pansusceptible Oat cereal 33/88 (38) 1/409 (0)
1998 Massachusetts Typhimurium Pansusceptible Milk (raw) 2/47 (4) NA
1999 Colorado Typhimurium Pansusceptible Clover sprouts 3/20 (15) 0/81 (0)
1999 Massachusetts Newport MDR-AmpC Farm exposure 11/32 (34) 0/46 (0)
1999 Missouri Typhimurium NA Water 17/110 (15) 0/110 (0)
2000 Multiple§ Bareilly NA Water 19/46 (41) NA
2000 Multiple§ Enteritidis Pansusceptible Orange juice 13/88 (15) NA
2000 North Carolina Enteritidis NA Eggs 11/53 (21) NA
2000 Pennsylvania, New Jersey Typhimurium AKSSuT Milk 6/23 (26) 0/93 (0)
2001 Mississippi Javiana Pansusceptible Amphibian exposure 9/57 (16) 0/73 (0)
2002 Florida Javiana Pansusceptible Tomatoes 3/82 (4) NA
2002 Texas Enteritidis Pansusceptible Unknown 3/41 (7) 0/650 (0)
2002 Washington, DC Muenchen Pansusceptible Pasta salad 3/40 (8) 0/40 (0)

*A, ampicillin; C, chloramphenicol; K, kanamycin; S, streptomycin; Su, sulfamethoxazole; T, tetracycline; B, trimethoprim-sulfamethoxazole; MDR-AMPC, ACSSuT + amoxicillin/clavulanic acid, cephalothin, cefoxitin, ceftiofur, ceftriaxone (reduced susceptibility); NA, not available.
†Denominator includes those for whom hospitalization status was ascertained. In many outbreaks, hospitalization was only ascertained for patients enrolled in an analytic study.
‡Denominator includes those for whom mortality was assessed. If this number was not available, the total number of ill persons in the outbreak was included as the denominator.
§Outbreak involving ≥3 states.

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