Evidence map›Paper›PMID 32304287›Full record

ArticleZoonoses and public health2020

Outbreak of human infections with uncommon Salmonella serotypes linked to pet bearded dragons, 2012-2014.

Craig A Kiebler, Lyndsay Bottichio, Latoya Simmons, Colin Basler, Rachel Klos, Nikos Gurfield, Elizabeth Roberts, Akiko Kimura, Linda S Lewis, Kiyomi Bird and 5 more

Open access · greenAbstract read
In one paragraph

Article in Zoonoses and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 32 citations in OpenAlex.

  1. Widespread antibiotic-resistantOne health (Amsterdam, Netherlands) · 2026
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  8. Review
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  10. One Health Approach: Invasive California Kingsnake (Animals : an open access journal from MDPI · 2023
    Article
  11. Case Report: Non-typhoidalFrontiers in pediatrics · 2023
    Article
  12. Frontiers in cell and developmental biology · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Serotype Distribution and Antimicrobial Resistance ofAnnals of laboratory medicine · 2022
    Article
  18. Article
  19. Zoonotic potential and prevalence ofInfection ecology & epidemiology · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Craig A KieblerCenters for Disease Control and Prevention, Atlanta, GA, USA.
Lyndsay BottichioCenters for Disease Control and Prevention, Atlanta, GA, USA.
Latoya SimmonsCenters for Disease Control and Prevention, Atlanta, GA, USA.
Colin BaslerCenters for Disease Control and Prevention, Atlanta, GA, USA.
Rachel KlosWisconsin Division of Public Health, Madison, WI, USA.
Nikos GurfieldSan Diego County Department of Environmental Health, San Diego, CA, USA.
Elizabeth RobertsCalifornia State Department of Public Health, Sacramento, CA, USA.
Akiko KimuraCalifornia State Department of Public Health, Sacramento, CA, USA.
Linda S LewisButte Country Public Health, Chico, CA, USA.
Kiyomi BirdButte Country Public Health, Chico, CA, USA.
Felicia StilesButte Country Public Health, Chico, CA, USA.
Linda K SchlaterUnited States Department of Agriculture National Veterinary Services Laboratories, Ames, IA, USA.
Kristina LantzUnited States Department of Agriculture National Veterinary Services Laboratories, Ames, IA, USA.
Thomas EdlingPetco Animal Supplies, San Diego, CA, USA.
Casey Barton BehraveshCenters for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0003-2270-5573
Centers for Disease Control and Prevention · USUnited States Department of Agriculture · USUnited States Department of State · USWisconsin Division of Public Health · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Reptiles are one of the fastest growing sectors in the United States pet industry. Reptile-associated salmonellosis (RAS) continues to be an important public health problem, especially among children. We investigated an outbreak of human Salmonella infections resulting from serotypes Cotham and Kisarawe, predominately occurring among children. An outbreak of illnesses was identified in persons with exposure to pet bearded dragon lizards. Human and animal health officials, in cooperation with the pet industry, conducted epidemiologic, traceback and laboratory investigations. Onsite sampling was conducted at two US breeding facilities, one foreign breeding facility, and a large pet retail chain. A total of 166 patients in 36 states were identified with illness onset dates from 02/2012-06/2014. The median patient age was 3 years (range, <1-79 years), 57% were aged ≤5 years, and 37% were aged ≤1 year. Forty-four patients (37%) were hospitalized, predominantly children. Sampling at breeding facilities and a national pet store chain resulted in isolation of outbreak serotypes at each facility; isolation proportions ranged from 2%-24% of samples collected at each facility.Epidemiologic, microbiologic and traceback evidence linked an outbreak of uncommon Salmonella serotypes to contact with pet bearded dragons. The high proportion of infants involved in this outbreak highlights the need to educate owners about the risk of RAS in children and the potential for household contamination by pet reptiles or their habitats. Strategies should be developed to improve breeding practices, biosecurity and monitoring protocols to reduce Salmonella in the pet reptile trade.

Indexed as

PetsZoonosesAdolescentAdultAgedAnimalsCarrier StateChildChild, PreschoolDisease OutbreaksFemaleHumansInfantInfant, NewbornLizardsMalebearded dragonoutbreakpaediatricreptilesSalmonellazoonoses

Identifiers

PMID32304287
PMCPMC11325769
OpenAlexW3016529115

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.