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Salmonella outbreak Iowa (USA) 2018

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Treatment

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Treatment of salmonella infections depends on age and pre-disposition of the infected person and severity of the symptoms[1]. One of the side-effects from salmonella infection is dehydration, making the replacement of fluids and electrolytes the main treatment for less severe infections[2]. In severe cases, patients are treated with antibiotics, rehydrated with intravenous (IV) fluids and hospitalized. In cases where the infection spreads from the intestines to the bloodstream, a quick treatment with antibiotics is required to prevent risk of death[1].

Possible complications include resistances to certain antibiotics in the salmonella streaks, that might require treatment with different antibiotics than the commonly prescribed antibiotics. In this case, whole-genome sequencing (WGS) analysis identified no antibiotic resistance in 112 of 127 isolates[3].

Prevention and Structural Consequences

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Following the incident, the FSIS reviewed and revised foodborne illness related procedures to accelerate response times, clarify responsibilities and improve communication[4]. Measures include enhanced communication processes with partners[5][6], advice to strengthen collaboration with industry and updated guidelines on sampling[4]. The PulseNet national laboratory network[7] connects foodborne illness cases to detect outbreaks using DNA fingerprinting of bacteria that make people sick. Since establishment in 1996 PulseNet has been instrumental in detecting thousands of local and multistate outbreaks, identifying Salmonella 2018[3] among others.

Due to the salmonella occurring in ready-made convenience foods, prevention on the consumer side was not possible.

References

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  1. ^ a b "Salmonella Infections". John Hopkins Medicine. Retrieved 21 October 2020.{{cite web}}: CS1 maint: url-status (link)
  2. ^ "Diagnosis and Treatment". Centers for Disease Control and Prevention. 8 April 2019. Retrieved 23 October 2020.{{cite web}}: CS1 maint: url-status (link)
  3. ^ a b "Multistate Outbreak of Salmonella Typhimurium Linked to Chicken Salad | February 2018 | Salmonella | CDC". Centers for Disease Control and Prevention. 31 January 2019. Retrieved 20 October 2020.{{cite web}}: CS1 maint: url-status (link)
  4. ^ a b "Salmonella Typhimurium Illness Outbreak Associated with Chicken Salad, 2018". United States Department of Agriculture Food Safety and Inspection Service. 12 June 2019. Retrieved 19 October 2020.{{cite web}}: CS1 maint: url-status (link)
  5. ^ "Template for Including FSIS in Foodborne Illness Outbreak Response Procedures". United States Department of Agriculture Food Safety and Inspection Service. 28 April 2020. Retrieved 1 November 2020.{{cite web}}: CS1 maint: url-status (link)
  6. ^ "Information Helpful to FSIS During Foodborne Illness Investigations". United States Department of Agriculture Food Safety and Inspection Service. 17 October 2018. Retrieved 1 November 2020.{{cite web}}: CS1 maint: url-status (link)
  7. ^ "PulseNet". Centers for Disease Control and Prevention. 16 October 2019. Retrieved 1 November 2020.{{cite web}}: CS1 maint: url-status (link)