Wright Jennifer G, Tengelsen Leslie A, Smith Kirk E, Bender Jeff B, Frank Rodney K, Grendon John H, Rice Daniel H, Thiessen Ann Marie B, Gilbertson Catherine Jo, Sivapalasingam Sumathi, Barrett Timothy J, Besser Thomas E, Hancock Dale D, Angulo Frederick J
National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Emerg Infect Dis. 2005 Aug;11(8):1235-41. doi: 10.3201/eid1108.050111.
In 1999 and 2000, 3 state health departments reported 4 outbreaks of gastrointestinal illness due to Salmonella enterica serotype Typhimurium in employees, clients, and client animals from 3 companion animal veterinary clinics and 1 animal shelter. More than 45 persons and companion animals became ill. Four independent investigations resulted in the testing of 19 human samples and >200 animal samples; 18 persons and 36 animals were culture-positive for S. Typhimurium. One outbreak was due to multidrug-resistant S. Typhimurium R-type ACKSSuT, while the other 3 were due to multidrug-resistant S. Typhimurium R-type ACSSuT DT104. This report documents nosocomial transmission of S. Typhimurium and demonstrates that companion animal facilities may serve as foci of transmission for salmonellae between animals and humans if adequate precautions are not followed.
1999年和2000年,3个州的卫生部门报告了3家伴侣动物兽医诊所和1家动物收容所的员工、客户及其饲养动物因鼠伤寒沙门氏菌肠炎血清型引发的4起胃肠道疾病暴发。45人以上和伴侣动物患病。4项独立调查对19份人类样本和200多份动物样本进行了检测;18人及36只动物的鼠伤寒沙门氏菌培养呈阳性。1起暴发是由多重耐药鼠伤寒沙门氏菌R型ACKSSuT引起的,而其他3起是由多重耐药鼠伤寒沙门氏菌R型ACSSuT DT104引起的。本报告记录了鼠伤寒沙门氏菌的医院内传播,并表明如果不采取充分的预防措施,伴侣动物设施可能成为沙门氏菌在动物和人类之间传播的疫源地。