{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T07:01:19Z","timestamp":1771657279955,"version":"3.50.1"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":1372,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec id=\"S0195941700040315_abs1\"><jats:title>Background and Objectives.<\/jats:title><jats:p>Prepared ready-to-eat salads and ready-to-eat delicatessen-style meats present a high risk for <jats:italic>Listeria<\/jats:italic> contamination. Because no foodborne illness risk management guidelines exist specifically for US hospitals, a survey of New York City (NYC) hospitals was conducted to characterize policies and practices after a listeriosis outbreak occurred in a NYC hospital.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040315_abs2\"><jats:title>Methods.<\/jats:title><jats:p>From August through October 2008, a listeriosis outbreak in a NYC hospital was investigated. From February through April 2009, NYC's 61 acute-care hospitals were asked to participate in a telephone survey regarding food safety practices and policies, specifically service of high-risk foods to patients at increased risk for listeriosis.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040315_abs3\"><jats:title>Results.<\/jats:title><jats:p>Five patients with medical conditions that put them at high risk for listeriosis had laboratory-confirmed <jats:italic>Listeria monocytogenes<\/jats:italic> infection. The <jats:italic>Listeria<\/jats:italic> outbreak strain was isolated from tuna salad prepared in the hospital. Fifty-four (89%) of 61 hospitals responded to the survey. Overall, 81% of respondents reported serving ready-to-eat deli meats to patients, and 100% reported serving prepared ready-to-eat salads. Pregnant women, patients receiving immunosuppressive drugs, and patients undergoing chemotherapy were served ready-to-eat deli meats at 77%, 59%, and 49% of hospitals, respectively, and were served prepared ready-to-eat salads at 94%, 89%, and 73% of hospitals, respectively. Only 4 (25%) of 16 respondents reported having a policy that ready-to-eat deli meats must be heated until steaming hot before serving.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040315_abs4\"><jats:title>Conclusions.<\/jats:title><jats:p>Despite the potential for severe outcomes of <jats:italic>Listeria<\/jats:italic> infection among hospitalized patients, the majority of NYC hospitals had no food preparation policies to minimize risk. Hospitals should implement policies to avoid serving high-risk foods to patients at risk for listeriosis.<\/jats:p><\/jats:sec>","DOI":"10.1086\/658943","type":"journal-article","created":{"date-parts":[[2011,3,8]],"date-time":"2011-03-08T18:45:55Z","timestamp":1299609955000},"page":"380-386","source":"Crossref","is-referenced-by-count":29,"title":["Serving High-Risk Foods in a High-Risk Setting: Survey of Hospital Food Service Practices after an Outbreak of Listeriosis in a Hospital"],"prefix":"10.1017","volume":"32","author":[{"given":"Carolyn","family":"Cokes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"France","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasudha","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Kornstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faina","family":"Stavinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Balter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700040315_ref005","doi-asserted-by":"publisher","DOI":"10.1016\/j.fm.2006.06.002"},{"key":"S0195941700040315_ref007","first-page":"2478","volume-title":"Mandeli, Doughs, and Bennett's Principles and Practices of Infectious Diseases","author":"Lorber","year":"2005"},{"key":"S0195941700040315_ref009","doi-asserted-by":"crossref","first-page":"85","DOI":"10.2807\/esm.11.06.00631-en","article-title":"Significant increase of listeriosis in Germany\u2014 epidemiological patterns 2001-2005","volume":"11","author":"Koch","year":"2006","journal-title":"Euro Surveill"},{"key":"S0195941700040315_ref018","doi-asserted-by":"publisher","DOI":"10.1053\/jhin.2002.1234"},{"key":"S0195941700040315_ref014","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199806113382407"},{"key":"S0195941700040315_ref004","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2621.2005.tb11451.x"},{"key":"S0195941700040315_ref003","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X-63.9.1204"},{"key":"S0195941700040315_ref015","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/21.5.1289"},{"key":"S0195941700040315_ref017","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/21.Supplement_1.S84"},{"key":"S0195941700040315_ref008","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2005.01171.x"},{"key":"S0195941700040315_ref002","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2672.1990.tb02561.x"},{"key":"S0195941700040315_ref023","unstructured":"Government of South Australia Department of Health. 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