ArticleEpidemiology and infection2019
Multistate outbreak of
Article in Epidemiology and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- PediatricJournal of rural medicine : JRM · 2026Article
- Ultrasensitive colorimetric detection of Salmonella typhimurium using a magnetic graphene oxide-assisted DNAzyme aptasensor.Mikrochimica acta · 2025Article
- Genomic characterization of novel lytic phage vB_Sal_S6 with putative host FhuA interaction and its application for Salmonella biocontrol in milk.Scientific reports · 2025Article
- Ecological prevalence and genomic characterization of Salmonella isolated from selected poultry farms in Jiangxi province, China.Poultry science · 2025Article
- Genomic analysis of Salmonella enterica from cattle, beef and humans in the Greater Tamale Metropolis of Ghana.PloS one · 2025Article
- Causal Mediation Analysis of FoodbornePathogens (Basel, Switzerland) · 2024Article
- A multi-provincial outbreak ofEpidemiology and infection · 2024Article
- Outbreak of multidrug-resistantLancet regional health. Americas · 2024Article
- A Review on Microbiological Source Attribution Methods of Human Salmonellosis: From Subtyping to Whole-Genome Sequencing.Foodborne pathogens and disease · 2024Review
- From field to plate: How do bacterial enteric pathogens interact with ready-to-eat fruit and vegetables, causing disease outbreaks?Food microbiology · 2024Review
- Prevalence of STEC virulence markers andFrontiers in microbiology · 2024Article
- Epidemiological, Genetic, and Phenotypic Characteristics of Non-TyphoidalMicroorganisms · 2023Article
- Prevalence, serotype, and antimicrobial resistance profiles of children infected withFrontiers in pediatrics · 2023Article
- Present and pioneer methods of early detection of food borne pathogens.Journal of food science and technology · 2022Review
- Through the Looking Glass: Genome, Phenome, and Interactome ofPathogens (Basel, Switzerland) · 2022Review
- Microbiota Analysis and Microbiological Hazard Assessment in Chinese Chive (Journal of microbiology and biotechnology · 2022Article
- An Overview of Traceback Investigations and Three Case Studies of Recent Outbreaks of Escherichia coli O157:H7 Infections Linked to Romaine Lettuce.Journal of food protection · 2021Article
- Prevalence, serotypes, and antimicrobial resistance of Salmonella isolates from patients with diarrhea in Shenzhen, China.BMC microbiology · 2020Article
- Vertebral osteomyelitis due toSAGE open medical case reports · 2020Article
- Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We investigated a large multistate outbreak that occurred in the United States in 2015-2016. Epidemiologic, laboratory, and traceback studies were conducted to determine the source of the infections. We identified 907 case-patients from 40 states with illness onset dates ranging from July 3, 2015 to March 2, 2016. Sixty-three percent of case-patients reported consuming cucumbers in the week before illness onset. Ten illness sub-clusters linked to events or purchase locations were identified. All sub-clusters investigated received cucumbers from a single distributor which were sourced from a single grower in Mexico. Seventy-five cucumber samples were collected, 19 of which yielded the outbreak strain. Whole genome sequencing performed on 154 clinical isolates and 19 cucumber samples indicated that the sequenced isolates were closely related genetically to one another. This was the largest US foodborne disease outbreak in the last ten years and the third largest in the past 20 years. This was at least the fifth multistate outbreak caused by contaminated cucumbers since 2010. The outbreak is noteworthy because a recall was issued only 17 days after the outbreak was identified, which allowed for the removal of the contaminated cucumbers still available in commerce, unlike previous cucumber associated outbreaks. The rapid identification and response of multiple public health agencies resulted in preventing this from becoming an even larger outbreak.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.