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Outbreak Caused by Clostridium perfringens Infection and Intoxication at a County Correctional Facility.

Outbreaks of foodborne illness caused by Clostridium perfringens are not usually the result of intoxication and testing of suspected menu items for colony count can often identify the causative item. We describe a large outbreak at a county correctional facility in which the data suggest that illnes...

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Published in:Journal of Environmental Health Vol. 80; no. 1; pp. 8 - 14
Main Authors: London, Adam E., Payne, Julie A., Hartl, Brian
Format: CEU pictorial research tables/charts Journal Article
Published: National Environmental Health Association Jul/Aug2017
Online Access:View this record in EBSCOhost
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      jtl: Journal of Environmental Health
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      dt: Jul/Aug2017
      vid: 80
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      pub: National Environmental Health Association
      place: Denver, Colorado
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        atl: Outbreak Caused by Clostridium perfringens Infection and Intoxication at a County Correctional Facility.
      aug:
        au:
          London, Adam E.
          Payne, Julie A.
          Hartl, Brian
        affil: Kent County Health Department
      sug:
        subj:
          Clostridium Infections
          Disease Outbreaks
          Correctional Facilities United States
          Food Contamination Adverse Effects
          Food Poisoning Symptoms
          United States
          Human
          Confidence Intervals
          Odds Ratio
          P-Value
          Food Analysis
          Bacterial Contamination
          Education, Continuing (Credit)
      ab: Outbreaks of foodborne illness caused by Clostridium perfringens are not usually the result of intoxication and testing of suspected menu items for colony count can often identify the causative item. We describe a large outbreak at a county correctional facility in which the data suggest that illness by intoxication contributed substantially to the outbreak: 29 out of 108 surveyed cases (26.9%) developed symptoms within 2.5 hr of when meal service began. Inmate testimony further suggests advanced food decay. Bacterial analyses of food samples indicated a smaller population of C. perfringens in the chicken taco meat mixture (<10 CFU/g, enterotoxin positive) compared with other items. Statistical analyses of food history data provided substantially more support for the chicken taco meat mixture as causative (odds ratio = 55.79, 95% confidence interval [19.72, 157.83], p < .001) than other menu items. Environmental investigation and testimony from inmates provided additional support implicating the chicken taco meat mixture.
      pubtype: Academic Journal
      doctype:
        CEU
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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