title: Two separate outbreaks of Salmonella enteritidis phage type 14b food poisoning linked to the consumption of the same type of frozen food.
abstract: OBJECTIVE
  To ascertain, using a combination of epidemiological, environmental and microbiological methods of investigation, a possible link between two outbreaks of salmonella food poisoning.
  
  
  METHODS
  Case-control studies were carried out on the known at-risk populations. Environmental investigations took place in the food preparation areas used for the social functions and microbiological examinations were carried out on faecal specimens obtained from cases, environmental swabs, and food specimens when these were available.
  
  
  RESULTS
  In both outbreaks, illness was associated with the consumption of sesame prawn toast (outbreak one P<0.004; outbreak two P<0.0001). Salmonella enteritidis phage type 14b was cultured from the faecal specimens of cases in both outbreaks and from a packet of sesame prawn toast used for the second outbreak function. Molecular typing methods indicated that the salmonella cultures obtained in both outbreaks were indistinguishable from each other and from cultures obtained from imported Spanish eggs in a previous survey. Imported Spanish eggs were used in the manufacture of the sesame prawn toast.
  
  
  CONCLUSIONS
  Adequate cooking must take place of raw food products, which should be clearly labelled as such. Manufacturers should consider, when possible, the use of pasteurized egg in the preparation of food products.
authors.affiliation: CCDC, County Durham and Tees Valley Health Protection Unit, Poole House, Stokesley Road, Middlesbrough, TS7 0NJ, UK. ian.holtby@tees-shs.nhs.uk
authors.forename: I
authors.initials: I
authors.lastname: Holtby
authors.forename: G M
authors.initials: GM
authors.lastname: Tebbutt
authors.forename: S
authors.initials: S
authors.lastname: Anwar
authors.forename: J
authors.initials: J
authors.lastname: Aislabie
authors.forename: V
authors.initials: V
authors.lastname: Bell
authors.forename: W
authors.initials: W
authors.lastname: Flowers
authors.forename: J
authors.initials: J
authors.lastname: Hedgley
authors.forename: P
authors.initials: P
authors.lastname: Kelly
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001434:Bacteriophage Typing; D016022:Case-Control Studies; D003296:Cooking / Q000592:standards; D004196:Disease Outbreaks; D004531:Eggs / Q000382:microbiology; D016521:Electrophoresis, Gel, Pulsed-Field; D005260:Female; D005628:Frozen Foods / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012147:Restaurants; D012478:Salmonella Food Poisoning / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D017747:Seafood / Q000382:microbiology; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology