title: Salmonella enterica serotype enteritidis outbreak at a long-term care facility, Connecticut, 2012.
abstract: In May of 2012, the Connecticut Department of Public Health (DPH) was notified of three hospitalized residents of a long-term care facility (LTCF) who had gastrointestinal illness, one of whom had a stool culture positive for Salmonella enterica. A multiagency outbreak investigation was initiated and identified a total of 21 possible salmonellosis cases; nine were culture-confirmed Salmonella serotype Enteritidis with an indistinguishable pulsed-field gel electrophoresis pattern (PFGE). This report describes the epidemiologic, environmental, and laboratory investigation conducted as part of DPH's response. Undercooked raw shell eggs were the likely source of infection. This investigation reemphasizes the vulnerabilityof certain populations to severe illness from Salmonella and further stresses previous recommendations in the literature to use only pasteurized egg products in long-term care and other health care facilities.
authors.affiliation: United States Public Health Service,Cancer Surveillance Branch, Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. vii6@cdc.gov
authors.forename: Timothy
authors.initials: T
authors.lastname: Styles
authors.affiliation: Epidemiology and Emerging Infections Program, Connecticut Department of Public Health, Hartford, USA.
authors.forename: Quyen
authors.initials: Q
authors.lastname: Phan
authors.affiliation: Epidemiology and Emerging Infections Program, Connecticut Department of Public Health, Hartford, USA.
authors.forename: Therese
authors.initials: T
authors.lastname: Rabatsky-Ehr
authors.affiliation: Food Protection Program, Connecticut Department of Public Health, Hartford, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Applewhite
authors.affiliation: Connecticut Department of Public Health, Hartford, USA.
authors.forename: Lynn
authors.initials: L
authors.lastname: Sosa
authors.affiliation: Connecticut Department of Public Health, Hartford, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Cartter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003237:Connecticut / Q000453:epidemiology; D004196:Disease Outbreaks; D004531:Eggs / Q000382:microbiology; D016521:Electrophoresis, Gel, Pulsed-Field; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D015980:Public Health Practice; D012112:Residential Facilities; D012478:Salmonella Food Poisoning / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D055815:Young Adult