{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T18:55:13Z","timestamp":1774378513482,"version":"3.50.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T00:00:00Z","timestamp":1515369600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A salmonellosis outbreak occurred at a California prison in April and May 2016. In a cohort study of 371 inmates, persons who consumed dishes from the prison kitchen made from ground meat had a higher attack rate (15%) than those who did not (4%) (risk ratio 3.4, 95% CI 1.1\u201310.6). The ground meat product was composed exclusively of beef, mechanically separated chicken (MSC) and textured vegetable protein; eight of eight lots of the product collected from the prison and processing facility were contaminated with <jats:italic>Salmonella enterica<\/jats:italic> of eight serotypes and 17 distinct PFGE patterns, including multidrug-resistant <jats:italic>S.<\/jats:italic> Infantis. Either the MSC or the beef could have been the source of the particular strains of <jats:italic>S. enterica<\/jats:italic> isolated from patients or the product. The microbiological evidence is most consistent with MSC as the source of the high levels of <jats:italic>S. enterica<\/jats:italic> in the epidemiologically linked meat product. Our findings contribute to the growing body of evidence about the hazard posed by the use of products containing raw mechanically separated poultry in kitchens in institutions.<\/jats:p>","DOI":"10.1017\/s0950268817002941","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T02:21:09Z","timestamp":1515378069000},"page":"430-436","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":12,"title":["Outbreak epidemiologically linked with a composite product of beef, mechanically separated chicken and textured vegetable protein contaminated with multiple serotypes of <i>Salmonella enterica<\/i> including multidrug-resistant Infantis, California 2016"],"prefix":"10.1017","volume":"146","author":[{"given":"J. A.","family":"Hutchinson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Wheeler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. C.","family":"Mohle-Boetani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,1,8]]},"reference":[{"key":"S0950268817002941_ref7","volume-title":"Evaluating the Safety of Antimicrobial New Animal Drugs with Regard to their Microbiological Effects on Bacteria of Human Health Concern","year":"2003"},{"key":"S0950268817002941_ref12","doi-asserted-by":"publisher","DOI":"10.3201\/eid1106.041231"},{"key":"S0950268817002941_ref4","doi-asserted-by":"publisher","DOI":"10.3201\/eid1908.121511"},{"key":"S0950268817002941_ref11","doi-asserted-by":"publisher","DOI":"10.1086\/427263"},{"key":"S0950268817002941_ref10","doi-asserted-by":"publisher","DOI":"10.5863\/1551-6776-19.2.83"},{"key":"S0950268817002941_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/2047-2994-3-9"},{"key":"S0950268817002941_ref2","volume-title":"Campylobacteriosis Outbreak \u2013 May 2006","author":"Yuan","year":"2007"},{"key":"S0950268817002941_ref6","unstructured":"USDA-FSIS (2016) Serotypes profile of Salmonella isolates from meat and poultry products \u2013 January 1998 through December 2014."},{"key":"S0950268817002941_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303816"},{"key":"S0950268817002941_ref3","volume-title":"Investigation of a Salmonellosis Outbreak at Pelican Bay State Prison, April\u2013May, 2012","year":"2012"},{"key":"S0950268817002941_ref8","volume-title":"Undetermined Source for Salmonella Infantis Infections Among Detention Center Inmates \u2014 South Carolina, 2016","author":"Grigg","year":"2016"},{"key":"S0950268817002941_ref13","doi-asserted-by":"publisher","DOI":"10.1086\/497599"},{"key":"S0950268817002941_ref16","first-page":"386","article-title":"The public health value of reducing salmonella levels in raw meat and poultry","volume":"34","author":"McEntire","year":"2014","journal-title":"Food Protection Trends"},{"key":"S0950268817002941_ref15","doi-asserted-by":"publisher","DOI":"10.1089\/fpd.2015.2008"},{"key":"S0950268817002941_ref14","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X-67.12.2735"},{"key":"S0950268817002941_ref5","unstructured":"USDA-FSIS (2016) Progress report on Salmonella and Campylobacter testing of raw meat and poultry products \u2013 CY 1998\u20132014."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268817002941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T15:27:38Z","timestamp":1555342058000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268817002941\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,8]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["S0950268817002941"],"URL":"https:\/\/doi.org\/10.1017\/s0950268817002941","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,8]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2018\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}