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Outbreak of unusual Salmonella enterica serovar Typhimurium monophasic variant 1,4 [5],12:i:-, Italy, June 2013 to September 2014
- Francesca Cito1 , Francesca Baldinelli1 , Paolo Calistri1 , Elisabetta Di Giannatale1 , Gaia Scavia2 , Massimiliano Orsini1 , Simona Iannetti1 , Lorena Sacchini1 , Iolanda Mangone1 , Luca Candeloro1 , Annamaria Conte1 , Carla Ippoliti1 , Daniela Morelli1 , Giacomo Migliorati1 , Nadia Beatrice Barile1 , Cristina Marfoglia1 , Stefania Salucci1 , Cesare Cammà1 , Maurilia Marcacci1 , Massimo Ancora1 , Anna Maria Dionisi2 , Slawomir Owczartek2 , Ida Luzzi2 , on behalf of the outbreak investigation group9
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View Affiliations Hide AffiliationsAffiliations: 1 Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, Teramo, Italy 2 Istituto Superiore di Sanità, Rome, Italy 3 Pediatric Unit, San Salvatore Hospital of L'Aquila, Italy 4 Analytical Laboratory, San Salvatore Hospital of L'Aquila, Italy 5 Veterinary and Food Hygiene Service, Abruzzo Region, L’Aquila, Italy 6 Food Hygiene and Nutrition Service, Abruzzo Region, L’Aquila, Italy 7 Public Health Service, Abruzzo Region, L’Aquila, Italy 8 Regional Environmental Protection Agency, Abruzzo Region, L’Aquila, Italy 9 The members of the group are listed at the end of the articleFrancesca Citof.cito izs.it
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Citation style for this article: Cito Francesca, Baldinelli Francesca, Calistri Paolo, Di Giannatale Elisabetta, Scavia Gaia, Orsini Massimiliano, Iannetti Simona, Sacchini Lorena, Mangone Iolanda, Candeloro Luca, Conte Annamaria, Ippoliti Carla, Morelli Daniela, Migliorati Giacomo, Barile Nadia Beatrice, Marfoglia Cristina, Salucci Stefania, Cammà Cesare, Marcacci Maurilia, Ancora Massimo, Dionisi Anna Maria, Owczartek Slawomir, Luzzi Ida, on behalf of the outbreak investigation group. Outbreak of unusual Salmonella enterica serovar Typhimurium monophasic variant 1,4 [5],12:i:-, Italy, June 2013 to September 2014. Euro Surveill. 2016;21(15):pii=30194. https://doi.org/10.2807/1560-7917.ES.2016.21.15.30194 Received: 15 Apr 2015; Accepted: 14 Apr 2016
Abstract
Monophasic variant of Salmonella enterica subspecies enterica serovar Typhimurium (monophasic S. Typhimurium), with antigenic structure 1,4,[5],12:i:-, appears to be of increasing importance in Europe. In Italy, monophasic S. Typhimurium represented the third most frequent Salmonella serovar isolated from human cases between 2004 and 2008. From June 2013 to October 2014, a total of 206 human cases of salmonellosis were identified in Abruzzo region (Central Italy). Obtained clinical isolates characterised showed S. Typhimurium 1,4,[5],12:i:- with sole resistance to nalidixic acid, which had never been observed in Italy in monophasic S. Typhimurium, neither in humans nor in animals or foods. Epidemiological, microbiological and environmental investigations were conducted to try to identify the outbreak source. Cases were interviewed using a standardised questionnaire and microbiological tests were performed on human as well as environmental samples, including samples from fruit and vegetables, pigs, and surface water. Investigation results did not identify the final vehicle of human infection, although a link between the human cases and the contamination of irrigation water channels was suggested.
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References
-
European Food Safety Authority, European Centre for Disease Prevention and Control. The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2012. EFSA Journal.2014;12(2):3547.
-
European Food Safety Authority, European Centre for Disease Prevention and Control. The European Union Summary Report on Trends and Sources of Zoonoses, Zoonotic Agents and Food-borne Outbreaks in 2013. EFSA Journal.2015;13(1):3991.
-
European Food Safety Authority Panel on Biological Hazards (BIOHAZ). Scientific opinion on monitoring and assessment of the public health risk of "Salmonella Typhimurium-like" strains. EFSA Journal.2010;8:1826.
-
Angelo KM, Chu A, Anand M, Nguyen TA, Bottichio L, Wise M, et al. Outbreak of Salmonella Newport infections linked to cucumbers--United States, 2014. MMWR Morb Mortal Wkly Rep. 2015;64(6):144-7. PMID: 25695319
-
Greene SK, Daly ER, Talbot EA, Demma LJ, Holzbauer S, Patel NJ, et al. Recurrent multistate outbreak of Salmonella Newport associated with tomatoes from contaminated fields, 2005. Epidemiol Infect. 2008;136(2):157-65. https://doi.org/10.1017/S095026880700859X PMID: 17475091
-
Cevallos-Cevallos JM, Danyluk MD, Gu G, Vallad GE, van Bruggen AH. Dispersal of Salmonella Typhimurium by rain splash onto tomato plants. J Food Prot. 2012;75(3):472-9. https://doi.org/10.4315/0362-028X.JFP-11-399 PMID: 22410220
-
Kozlica J, Claudet AL, Solomon D, Dunn JR, Carpenter LR. Waterborne outbreak of Salmonella I 4,[5],12:i:-. Foodborne Pathog Dis. 2010;7(11):1431-3. https://doi.org/10.1089/fpd.2010.0556 PMID: 20617936
-
Ailes E, Budge P, Shankar M, Collier S, Brinton W, Cronquist A, et al. Economic and health impacts associated with a Salmonella Typhimurium drinking water outbreak-Alamosa, CO, 2008. PLoS One. 2013;8(3):e57439. https://doi.org/10.1371/journal.pone.0057439 PMID: 23526942
-
Surveillance program EnterNet Italia. Available from: http://www.iss.it/ente/
-
Dionisi AM, Graziani C, Lucarelli C, Filetici E, Villa L, Owczarek S, et al. Molecular characterization of multidrug-resistant strains of Salmonella enterica serotype Typhimurium and Monophasic variant (S. 4,[5],12:i:-) isolated from human infections in Italy. Foodborne Pathog Dis. 2009;6(6):711-7. https://doi.org/10.1089/fpd.2008.0240 PMID: 19580448
-
Istituto Superiore di Sanità (ISS). ENTERNET Salmonella. Sorveglianza delle infezioni da Salmonella. Dati Storici dal 2007 al 2009. Rome: ISS; 2010. Italian. Available from: http://www.iss.it/binary/salm/cont/4f_Dati_SALMONELLA_2007_2009.pdf
-
Graziani C, Mughini-Gras L, Owczarek S, Dionisi A, Luzzi I, Busani L. Distribution of Salmonella enterica isolates from human cases in Italy, 1980 to 2011. Euro Surveill. 2013;18(27):20519. https://doi.org/10.2807/1560-7917.ES2013.18.27.20519 PMID: 23870078
-
Italian National Institute of Statistics (ISTAT). Italian population census. ISTAT. Available from: http://demo.istat.it
-
Ministry of Health. Bollettino nazionale epidemiologico malattie infettive. Italian. Available from: http://www.salute.gov.it/portale/documentazione/p6_2_8_1_1.jsp?lingua=italiano&id=3
-
Barco L, Ramon E, Cortini E, Longo A, Dalla Pozza MC, Lettini AA, et al. Molecular characterization of Salmonella enterica serovar 4,[5],12:i:- DT193 ASSuT strains from two outbreaks in Italy. Foodborne Pathog Dis. 2014;11(2):138-44. https://doi.org/10.1089/fpd.2013.1626 PMID: 24328499
-
Italian National Statistician Institute (ISTAT). Censimento Popolazione. Italian. Available from: http://dati-censimentopopolazione.istat.it/
-
Centre of Excellence for the Remote Sensing and Forecast of Severe Weather (CETEMPS). Available from: http://cetemps.aquila.infn.it/index.php?option=com_wrapper&view=wrapper&Itemid=127
-
R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.2013. Available from: http://www.R-project.org/
-
Lim YH, Hirose K, Izumiya H, Arakawa E, Takahashi H, Terajima J, et al. Multiplex polymerase chain reaction assay for selective detection of Salmonella enterica serovar typhimurium. Jpn J Infect Dis. 2003;56(4):151-5. PMID: 14583637
-
Alessiani A, Sacchini L, Pontieri E, Gavini J, Di Giannatale E. Molecular typing of Salmonella enterica subspecies enterica serovar Typhimurium isolated in Abruzzo region (Italy) from 2008 to 2010. Vet Ital. 2014;50(1):31-9. PMID: 24715591
-
Anderson ES, Ward LR, Saxe MJ, de Sa JD. Bacteriophage-typing designations of Salmonella typhimurium. J Hyg (Lond). 1977;78(2):297-300. https://doi.org/10.1017/S0022172400056187 PMID: 321679
-
European Centre for Disease Prevention and Control (ECDC). Laboratory standard operating procedure for MLVA of Salmonella enterica serotype Typhimurium. Stockholm: ECDC; 2011.
-
Centre for Disease Prevention and Control (CDC). Standard Operating Procedure for PulseNet PFGE of Escherichia coli O157:H7, Escherichia coli non-O157 (STEC), Salmonella serotypes, Shigella sonnei and Shigella flexneri. PNL05. Atlanta: CDC; April 2013.
-
Leinonen R, Sugawara H, Shumway MInternational Nucleotide Sequence Database Collaboration. The sequence read archive. Nucleic Acids Res. 2011;39(Database issue):D19-21. https://doi.org/10.1093/nar/gkq1019 PMID: 21062823
-
Pettengill JB, Luo Y, Davis S, Chen Y, Gonzalez-Escalona N, Ottesen A, et al. An evaluation of alternative methods for constructing phylogenies from whole genome sequence data: a case study with Salmonella. PeerJ. 2014;2:e620. https://doi.org/10.7717/peerj.620 PMID: 25332847
-
Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0. Mol Biol Evol. 2013;30(12):2725-9. https://doi.org/10.1093/molbev/mst197 PMID: 24132122
-
Liu C, Hofstra N, Franz E. Impacts of climate change on the microbial safety of pre-harvest leafy green vegetables as indicated by Escherichia coli O157 and Salmonella spp.Int J Food Microbiol.2013;163(2-3):119-28. https://doi.org/10.1016/j.ijfoodmicro.2013.02.026 PMID: 23558195
-
Beuchat LR. Ecological factors influencing survival and growth of human pathogens on raw fruits and vegetables. Microbes Infect. 2002;4(4):413-23. https://doi.org/10.1016/S1286-4579(02)01555-1 PMID: 11932192
-
Himathongkham S, Bahari S, Riemann H, Cliver D. Survival of Escherichia coli O157:H7 and Salmonella typhimurium in cow manure and cow manure slurry. FEMS Microbiol Lett. 1999;178(2):251-7. https://doi.org/10.1111/j.1574-6968.1999.tb08684.x PMID: 10499275
-
Horby PW, O’Brien SJ, Adak GK, Graham C, Hawker JI, Hunter P, et al. A national outbreak of multi-resistant Salmonella enterica serovar Typhimurium definitive phage type (DT) 104 associated with consumption of lettuce. Epidemiol Infect. 2003;130(2):169-78. https://doi.org/10.1017/S0950268802008063 PMID: 12729184
-
Golberg D, Kroupitski Y, Belausov E, Pinto R, Sela S. Salmonella Typhimurium internalization is variable in leafy vegetables and fresh herbs. Int J Food Microbiol. 2011;145(1):250-7. https://doi.org/10.1016/j.ijfoodmicro.2010.12.031 PMID: 21262550
-
The California Food Emergency Response Team. Investigation of the Taco John’s Escherichia coli O157:H7 outbreak associated with iceberg lettuce. California: US Food and Drug Administration (FDA) and California Food Emergency Response Team; 2008. Available from: http://www.cdph.ca.gov/pubsforms/Documents/fdb%20eru%20IceLet%20TacoJohn022008.pdf
-
Centers for Disease Control and Prevention (CDC). Outbreak of Salmonella serotype Saintpaul infections associated with multiple raw produce items--United States, 2008. MMWR Morb Mortal Wkly Rep. 2008;57(34):929-34. PMID: 18756191
-
Municipal Decree no. 70 of 12 June 2014. Available from: http://trasparenza.comune.laquila.gov.it/archivio28_provvedimenti_0_56240_725_1.html
-
Municipal Decree no. 74 of 7th July 2014. Available from: http://trasparenza.comune.laquila.gov.it/archivio28_provvedimenti_0_59005_725_1.html
-
Municipal Decree no. 80 of 4th August 2014. Available from: http://trasparenza.comune.laquila.gov.it/archivio28_provvedimenti_0_60959_725_1.html
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