Khatib R, Naber M, Shellum N, Ashton L, Knowles K, Giardina V, Wilson F M
St. John Hospital and Medical Center, Detroit, MI 48236.
Infect Control Hosp Epidemiol. 1994 Aug;15(8):534-5. doi: 10.1086/646972.
An outbreak of gastroenteritis at a large teaching hospital affected at least 52 workers. Investigation implicated a tuna salad, and the circumstances suggested Clostridium perfringens as the etiologic agent. The risk of such outbreaks may be reduced by cooling of ingredients prior to mixing and refrigeration in small steel containers.