Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 27 May 2018

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

An outbreak of community-acquired food-borne illness caused by MRSA

The first report of a community-acquired outbreak of acute gastroenteritis caused by methicillin-resistant Staphylococcus aureus has been published by researchers from Tennessee and Georgia, USA.

News image

fiogf49gjkf04

This was reported in the latest issue of Emerging Infectious Diseases, a journal produced by the Centers for Disease Control and Prevention.

Infection with MRSA has been reported in the United States for over 30 years.

Initially, MRSA infections were primarily a problem of hospitals and nursing homes; by 1997, 50% of healthcare-acquired S. aureus isolates in the United States were methicillin resistant.

Beginning in the early 1980s, cases of community-acquired MRSA were reported, primarily in people with a history of injection drug use and other high-risk patients.

More recently, community-acquired MRSA has been described in both adults and children who have not had extensive exposure to hospitals or other apparent risk factors.

In this unique report, a food handler, food specimen, and 3 ill patrons were all found to be culture-positive for the same toxin-producing strain of MRSA.

A family purchased shredded barbecued pork and coleslaw, and 3-4 hours after eating the meal, 3 adults had nausea, vomiting, and stomach cramps.

Market employees were interviewed, and stool cultures were obtained from the three ill family members.

MRSA is becoming increasingly common in the community.
Emerging Infectious Diseases

Specimens of barbecued pork and coleslaw were collected from the market, and nasopharyngeal swabs were collected for culture from three food preparers.

Twelve cultures of S. aureus, recovered from stool samples of the ill family members, food specimens, and nasal swabs of the food preparers, were sent to the Centers for Disease Control and Prevention for further testing.

Comparison of all the isolates, by pulsed-field gel electrophoresis, showed that 5 of the isolates were indistinguishable. These isolates were those from the stool cultures of three family members, the coleslaw; and from the nasal swab of a food preparer.

The food handler, who was carrying the outbreak strain of MRSA, performed various tasks at the store, including preparing foods and handling barbecued pork and coleslaw.

She reported no recent gastrointestinal illness or chronic health problems, history of admission to a hospital, or use of antibiotics in the previous 6 months. She also denied close contact with people who lived or worked in healthcare facilities or other group settings.

She did, however, visit an elderly relative, who resided in a nursing home, approximately 2 to 3 times each month before the outbreak. She reported that this relative had a staphylococcal infection and had subsequently died.

Timothy F. Jones, of the Tennessee Department of Health, Nashville, Tennessee, said on behalf of fellow authors, "This outbreak suggests that as MRSA becomes increasingly common in the community, it will be implicated in expressions of all the clinical manifestations of staphylococcal infection."

"While antibiotic-resistant strains are not expected to be clinically more virulent or challenging in the setting of acute outbreaks of gastroenteritis, MRSA may cause soft-tissue and other infections in the community that are difficult to treat," it was concluded.

Emerging Infectious Diseases 2002; 8(1)
09 January 2002

Go to top of page Email this page Email this page to a colleague

 25 May 2018 
Colorectal cancer–specific mortality
 25 May 2018 
Technology to increase colorectal cancer screening
 25 May 2018 
Post‐operative complications in elderly IBD
 24 May 2018 
Patient-reported outcome measures in IBD trials
 24 May 2018 
Alcohol consumption and outcomes in drug-induced liver injury
 24 May 2018 
Precision medicine for tumors
 23 May 2018 
Management of perianal fistulas in Crohn’s disease
 23 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 23 May 2018 
High body mass index is and ulcerative colitis
 22 May 2018 
Worldwide H.pylori prevalence
 22 May 2018 
PPI and risk of stroke
 22 May 2018 
Online tool predicts bowel dysfunction severity prior to anterior resection
 21 May 2018 
Depressive symptoms in IBD youth
 21 May 2018 
PPI use and cognitive decline
 21 May 2018 
Fecal incontinence and quality of life in IBD
 18 May 2018 
Esophageal dilatation in clinical practice 
 17 May 2018 
IBD and later extraintestinal manifestations
 17 May 2018 
Repeat stool DNA testing
 17 May 2018 
IBS and chronic fatigue following GI infection
 16 May 2018 
Factors associated with fecal incontinence
 16 May 2018 
Diagnostic delay in Crohn's disease
 16 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 15 May 2018 
Guidelines for management of Crohn's
 15 May 2018 
Hep B in the Grey Zone
 15 May 2018 
New therapies for CDI
 14 May 2018 
Blood test for the diagnosis of fibrotic NASH
 14 May 2018 
Outcomes at bariatric centers of excellence
 14 May 2018 
Management of perianal fistulas in Crohn’s
 11 May 2018 
Detection of undiagnosed celiac disease
 11 May 2018 
Alcohol consumption and drug-induced liver injury
 10 May 2018 
Colorectal cancer screening
 10 May 2018 
Fibrosis in patients with chronic hepatitis B
 09 May 2018 
Fecal incontinence
 09 May 2018 
Health problems and IBS
 09 May 2018 
Esophageal dilatation in clinical practice 
 07 May 2018 
Omitting antibiotics in uncomplicated acute diverticulitis
 07 May 2018 
Health problems and IBS
 07 May 2018 
Assessment of diminutive colorectal polyps
 04 May 2018 
National Institutes of Health workshop and obesity
 04 May 2018 
Factors associated with fecal incontinence
 04 May 2018 
Colorectal cancer screening and ethnic inequities
 03 May 2018 
Gastrointestinal ultrasound in IBD
 03 May 2018 
Ultransonography in postsurgical recurrence in Crohn's
 02 May 2018 
Symptom assessment in cirrhotic ascites
 02 May 2018 
Hep C antiviral treatment and liver cancer risk
 02 May 2018 
Chronic Hep B
 01 May 2018 
European guidelines on pancreatic cystic neoplasms
 01 May 2018 
Interferon‐free regimens in Hep C
 01 May 2018 
Age at IBD onset and extraintestinal complications
 30 April 2018 
Formula for preterm infants
 30 April 2018 
Primary antibiotic resistance and sequential therapy for H. pylori
 27 April 2018 
Eastern and western practices for endoscopic resection of colorectal lesions
 27 April 2018 
Anxiety scale for chronic esophageal disease
 27 April 2018 
Disease activity in eosinophilic esophagitis
 26 April 2018 
Obesity and physical activity in diverticulosis
 26 April 2018 
Primary sclerosing cholangitis in the USA
 25 April 2018 
Aspirin and pancreatic cancer
 25 April 2018 
Central mediators of irinotecan-induced steatohepatitis
 25 April 2018 
Neuroimaging in Hep C
 24 April 2018 
Scoring system identifies cancer risk in Barrett's

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us