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Fresh garlic: a possible vehicle for Salmonella Virchow

Published online by Cambridge University Press:  23 December 2003

C. M. BENNETT
Affiliation:
Master of Applied Epidemiology Program, National Centre for Epidemiology and Population Health, Australian Capital Territory School of Population Health, The University of Melbourne, Victoria
C. DALTON
Affiliation:
Hunter Public Health Unit, New South Wales
M. BEERS-DEEBLE
Affiliation:
Master of Applied Epidemiology Program, National Centre for Epidemiology and Population Health, Australian Capital Territory
A. MILAZZO
Affiliation:
Department of Human Services, Communicable Disease Control Branch, Adelaide
E. KRAA
Affiliation:
Food Unit, New South Wales Health Department
D. DAVOS
Affiliation:
Australian Salmonella Resource Centre, Institute of Medical and Veterinary Science, Adelaide
M. PUECH
Affiliation:
Communicable Diseases Branch, New South Wales Health Department, Centre for Health Protection
A. TAN
Affiliation:
Microbiological Diagnostic Unit Public Health Laboratory, The University of Melbourne
M. W. HEUZENROEDER
Affiliation:
Infectious Diseases Laboratories, Institute of Medical and Veterinary Science, Adelaide
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Abstract

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A sustained increase in Salmonella enterica serovar Virchow notifications in South Eastern Australia between September 1997 and May 1998 instigated a case-control study and environmental investigations. Cases were defined as having locally acquired culture-confirmed S. Virchow phage-type 8 infection and diarrhoeal disease. Matched controls were selected by progressive digit dialling based on cases' telephone numbers. An exposure and food history questionnaire was administered by telephone. Phage typing and pulse field gel electrophoresis were performed on case and environmental isolates. Thirty-two notifications of S. Virchow infection met the case definition, 37% reported bloody diarrhoea and S. Virchow was isolated from blood in 13% of cases. Twelve patients were admitted to hospital and one died. Fresh garlic (OR 4·1, 95% CI 1·3–12·8) and semi-dried tomatoes (OR 12·6, 95% CI 1·5–103·1) were associated with these cases. The associations remained significant after adjusting for sex and age. S. Virchow (PT 8) was cultured from two brands of semi-dried tomatoes associated with cases in two different states. We provide sufficient evidence for semi-dried tomatoes and fresh garlic to be considered as potential risk foods in future Salmonella outbreak investigations.

Type
Research Article
Copyright
2003 Cambridge University Press