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Outbreak of Fluoroquinolone-Resistant Campylobacter jejuni Infections Associated with Raw Milk Consumption from a Herdshare Dairy - Colorado, 2016.

Abstract In August 2016, a local public health agency (LPHA) notified the Colorado Department of Public Health and Environment (CDPHE) of two culture-confirmed cases of Campylobacter infection among persons who consumed raw (unpasteurized) milk from the same herdshare dairy. In Colorado, the sale of raw milk is illegal; however, herdshare programs, in which a member can purchase a share of a herd of cows or goats, are legal and are not regulated by state or local authorities. In coordination with LPHAs, CDPHE conducted an outbreak investigation that identified 12 confirmed and five probable cases of Campylobacter jejuni infection. Pulsed-field gel electrophoresis (PFGE) patterns for the 10 cases with available isolates were identical using the enzyme Sma. In addition, two milk samples (one from the dairy and one obtained from an ill shareholder) also tested positive for the outbreak strain. Five C. jejuni isolates sent to CDC for antimicrobial susceptibility testing were resistant to ciprofloxacin, tetracycline, and nalidixic acid (1). Although shareholders were notified of the outbreak and cautioned against drinking the milk on multiple occasions, milk distribution was not discontinued. Although its distribution is legal through herdshare programs, drinking raw milk is inherently risky (2). The role of public health in implementing control measures associated with a product that is known to be unsafe remains undefined.
PMID
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Authors

Mayor MeshTerms

Disease Outbreaks

Food Microbiology

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 29420460
OWN - NLM
STAT- MEDLINE
DCOM- 20180213
LR  - 20180213
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 67
IP  - 5
DP  - 2018 Feb 9
TI  - Outbreak of Fluoroquinolone-Resistant Campylobacter jejuni Infections Associated 
      with Raw Milk Consumption from a Herdshare Dairy - Colorado, 2016.
PG  - 146-148
LID - 10.15585/mmwr.mm6705a2 [doi]
AB  - In August 2016, a local public health agency (LPHA) notified the Colorado
      Department of Public Health and Environment (CDPHE) of two culture-confirmed
      cases of Campylobacter infection among persons who consumed raw (unpasteurized)
      milk from the same herdshare dairy. In Colorado, the sale of raw milk is illegal;
      however, herdshare programs, in which a member can purchase a share of a herd of 
      cows or goats, are legal and are not regulated by state or local authorities. In 
      coordination with LPHAs, CDPHE conducted an outbreak investigation that
      identified 12 confirmed and five probable cases of Campylobacter jejuni
      infection. Pulsed-field gel electrophoresis (PFGE) patterns for the 10 cases with
      available isolates were identical using the enzyme Sma. In addition, two milk
      samples (one from the dairy and one obtained from an ill shareholder) also tested
      positive for the outbreak strain. Five C. jejuni isolates sent to CDC for
      antimicrobial susceptibility testing were resistant to ciprofloxacin,
      tetracycline, and nalidixic acid (1). Although shareholders were notified of the 
      outbreak and cautioned against drinking the milk on multiple occasions, milk
      distribution was not discontinued. Although its distribution is legal through
      herdshare programs, drinking raw milk is inherently risky (2). The role of public
      health in implementing control measures associated with a product that is known
      to be unsafe remains undefined.
FAU - Burakoff, Alexis
AU  - Burakoff A
FAU - Brown, Kerri
AU  - Brown K
FAU - Knutsen, Joyce
AU  - Knutsen J
FAU - Hopewell, Christina
AU  - Hopewell C
FAU - Rowe, Shannon
AU  - Rowe S
FAU - Bennett, Christy
AU  - Bennett C
FAU - Cronquist, Alicia
AU  - Cronquist A
LA  - eng
PT  - Journal Article
DEP - 20180209
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
RN  - 0 (Fluoroquinolones)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Animals
MH  - Campylobacter Infections/drug therapy/*epidemiology
MH  - Campylobacter jejuni/*drug effects
MH  - Child
MH  - Colorado/epidemiology
MH  - *Disease Outbreaks
MH  - Drug Resistance, Bacterial
MH  - Female
MH  - Fluoroquinolones/*pharmacology
MH  - *Food Microbiology
MH  - Foodborne Diseases/drug therapy/*epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Milk/*microbiology
MH  - Raw Foods
MH  - Young Adult
COIS- No conflicts of interest were reported.
EDAT- 2018/02/09 06:00
MHDA- 2018/02/14 06:00
CRDT- 2018/02/09 06:00
PHST- 2018/02/09 06:00 [entrez]
PHST- 2018/02/09 06:00 [pubmed]
PHST- 2018/02/14 06:00 [medline]
AID - 10.15585/mmwr.mm6705a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2018 Feb 9;67(5):146-148. doi: 10.15585/mmwr.mm6705a2.