Volume 11, Number 6—June 2005
Dispatch
Hospitalization and Antimicrobial Resistance in Salmonella Outbreaks, 1984–2002
Jay K. Varma*
, Katherine D. Greene*, Jessa Ovitt†, Timothy J. Barrett*, Felicita Medalla*, and Frederick J. Angulo*
, Katherine D. Greene*, Jessa Ovitt†, Timothy J. Barrett*, Felicita Medalla*, and Frederick J. Angulo*
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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