Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 10, Number 5—May 2004
Dispatch

Multidrug-resistant Salmonella Typhimurium Infection from Milk Contaminated after Pasteurization

Sonja J. Olsen*Comments to Author , Michelle Ying*, Meghan F. Davis*, Marshall P. Deasy†, Ben Holland*, Larry Iampietro†, C. Michael Baysinger‡, Frances Sassano§, Lewis D. Polk§, Betty Gormley¶, Mary Jane Hung#, Keith Pilot#, Maria Orsini#, Susan Van Duyne*, Shelley Rankin**, Carol Genese#, Eddy A. Bresnitz#, Joseph Smucker††, Maria Moll†, and Jeremy Sobel*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, GA, USA; †Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA; ‡Montgomery County Department of Health, Norristown, Pennsylvania, USA; §Bucks County Department of Health, Doylestown, Pennsylvania, USA; ¶Gloucester County Health Department, Turnersville, New Jersey, USA; #New Jersey State Department of Health and Senior Services, Trenton, New Jersey, USA; **University of Pennsylvania, Philadelphia, Pennsylvania, USA; ††U.S. Food and Drug Administration, Washington, D.C., USA

Main Article

Table

Review of pasteurized milk outbreaks in the United States, 1960–2000

Date Location (ref) Pathogen Setting Total no. ill (confirmed) Mechanism of contamination
Nov 1966
 Florida (8)
 Shigella flexneri type 2
 Community
 97 (97)
 After pasteurization
Jul–Aug 1975
 Louisiana (9)
 Salmonella Newport
 Military base/community
 49 (49)
 Unknown
Sep–Oct 1976
 New York (10)
 Yersinia enterocolitica O:8
 School
 38 (38)
 After pasteurization
Oct 1978
 Arizona (11)
 S. Typhimurium
 Community
 23 (23)
 After pasteurization
Jun–Jul 1982
 Tennessee, Arkansas, Mississippi (12)
 Y. enterocolitica O:13, 18
 Community
 172 (172)
 Unknown
Jun–Aug 1983
 Massachusetts (13)
 Listeria monocytogenes 4b; phage type 2425A
 Community
 49 (40)
 Unknown
Apr 1984
 Kentucky (14)
 S. Typhimurium
 Convent
 16 (16)
 Inadequate pasteurization
Mar–Apr 1985
 Illinois (1)
 S. Typhimurium
 Community
 >150,000 (>16,000)
 After pasteurization
Mar–Apr 1986
 Vermont (15)
 Campylobacter jejuni O:2, 36
 School
 33 (8)
 Inadequate pasteurization
Jul 1994
 Illinois (2)
 L. monocytogenes 1/2b
 Picnic
 45 (11)
 After pasteurization
Oct 1995
 Vermont, New Hampshire (3)
 Y. enterocolitica O:8
 Community
 10 (10)
 After pasteurization
Mar–Apr 2000 Pennsylvania, New Jersey S. Typhimurium, phage type 21, R-type AKSSuT Community 93 (93) After pasteurization

Main Article

References
  1. Ryan  CA, Nickels  MK, Hargrett-Bean  NT, Potter  ME, Endo  T, Mayer  L, Massive outbreak of antimicrobial-resistant salmonellosis traced to pasteurized milk. JAMA. 1987;258:3269–74. DOIPubMedGoogle Scholar
  2. Dalton  CB, Austin  CC, Sobel  J, Hayes  PS, Bibb  WF, Graves  LM, An outbreak of gastroenteritis and fever due to Listeria monocytogenes in milk. N Engl J Med. 1997;336:100–5. DOIPubMedGoogle Scholar
  3. Ackers  ML, Schoenfeld  S, Markman  J, Smith  MG, Nicholson  MA, DeWitt  W, An outbreak of Yersinia enterocolitica O:8 infections associated with pasteurized milk. J Infect Dis. 2000;181:1834–7. DOIPubMedGoogle Scholar
  4. Centers for Disease Control and Prevention. Standardized molecular subtyping of foodborne bacterial pathogens by pulsed-field gel electrophoresis. Atlanta: U.S. Department of Health and Human Services. CDC; 1998.
  5. Anderson  ES, Ward  LR, Saxe  MJ, de Sa  JD. Bacteriophage-typing designations of Salmonela Typhimurium. J Hyg (Lond). 1977;78:297–300. DOIPubMedGoogle Scholar
  6. Glynn  MK, Bopp  C, Dewitt  W, Dabney  P, Mokhtar  M, Angulo  FJ. Emergence of multidrug-resistant Salmonella enterica serotype Typhimurium DT104 infections in the United States. N Engl J Med. 1998;338:1333–8. DOIPubMedGoogle Scholar
  7. Helms  M, Vastrup  P, Gerner-Smidt  P, Molbak  K. Excess mortality associated with antimicrobial drug-resistant Salmonella Typhimurium. Emerg Infect Dis. 2002;8:490–5.PubMedGoogle Scholar
  8. Centers for Disease Control and Prevention. Shigellosis outbreak—Florida. MMWR Morb Mortal Wkly Rep. 1966;15:441–2.
  9. Centers for Disease Control and Prevention. A common-source outbreak of Salmonella newport—Louisiana. MMWR Morb Mortal Wkly Rep. 1975;24:413–4.
  10. Black  RE, Jackson  RJ, Tsai  T, Medvesky  M, Shayegani  M, Feeley  J, Epidemic Yersinia enterocolitica infection due to contaminated chocolate milk. N Engl J Med. 1978;298:76–9. DOIPubMedGoogle Scholar
  11. Centers for Disease Control and Prevention. Salmonella gastroenteritis associated with milk—Arizona. MMWR Morb Mortal Wkly Rep. 1979;28:117–20.
  12. Tacket  CO, Narain  JP, Sattin  R, Lofgren  JP, Konigsberg  C Jr, Rendtorff  RC, A multistate outbreak of infections caused by Yersinia enterocolitica transmitted by pasteurized milk. JAMA. 1984;251:483–6. DOIPubMedGoogle Scholar
  13. Fleming  DW, Cochi  SL, MacDonald  KL, Brondum  J, Hayes  PS, Plikaytis  BD, Pasteurized milk as a vehicle of infection in an outbreak of listeriosis. N Engl J Med. 1985;312:404–7. DOIPubMedGoogle Scholar
  14. Centers for Disease Control and Prevention. Salmonellosis from inadequately pasteurized milk—Kentucky. MMWR Morb Mortal Wkly Rep. 1984;33:505–6.PubMedGoogle Scholar
  15. Birkhead  G, Vogt  RL, Heun  E, Evelti  CM, Patton  CM. A multiple-strain outbreak of Campylobacter enteritis due to consumption of inadequately pasteurized milk. J Infect Dis. 1988;157:1095–7.PubMedGoogle Scholar

Main Article

Page created: February 22, 2011
Page updated: February 22, 2011
Page reviewed: February 22, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external