Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018

Reports of Salmonella enterica I serotype 4,[5],12:i:- infections resistant to ampicillin, streptomycin, sulphamethoxazole, and tetracycline (ASSuT) have been increasing. We analyzed data from 5 national surveillance systems to describe the epidemiology, resistance traits, and genetics of infection...

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Main Authors: Ian D. Plumb, Allison C. Brown, Erin K. Stokes, Jessica C. Chen, Heather Carleton, Beth Tolar, Preethi Sundararaman, Amy Saupe, Daniel C. Payne, Hazel J. Shah, Jason P. Folster, Cindy R. Friedman
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/2/22-0950_article
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author Ian D. Plumb
Allison C. Brown
Erin K. Stokes
Jessica C. Chen
Heather Carleton
Beth Tolar
Preethi Sundararaman
Amy Saupe
Daniel C. Payne
Hazel J. Shah
Jason P. Folster
Cindy R. Friedman
author_facet Ian D. Plumb
Allison C. Brown
Erin K. Stokes
Jessica C. Chen
Heather Carleton
Beth Tolar
Preethi Sundararaman
Amy Saupe
Daniel C. Payne
Hazel J. Shah
Jason P. Folster
Cindy R. Friedman
author_sort Ian D. Plumb
collection DOAJ
description Reports of Salmonella enterica I serotype 4,[5],12:i:- infections resistant to ampicillin, streptomycin, sulphamethoxazole, and tetracycline (ASSuT) have been increasing. We analyzed data from 5 national surveillance systems to describe the epidemiology, resistance traits, and genetics of infections with this Salmonella strain in the United States. We found ASSuT-resistant Salmonella 4,[5],12:i:- increased from 1.1% of Salmonella infections during 2009–2013 to 2.6% during 2014–2018; the proportion of Salmonella 4,[5],12:i:- isolates without this resistance pattern declined from 3.1% to 2.4% during the same timeframe. Among isolates sequenced during 2015–2018, a total of 69% were in the same phylogenetic clade. Within that clade, 77% of isolates had genetic determinants of ASSuT resistance, and 16% had genetic determinants of decreased susceptibility to ciprofloxacin, ceftriaxone, or azithromycin. Among outbreaks related to the multidrug-resistant clade, 63% were associated with pork consumption or contact with swine. Preventing Salmonella 4,[5],12:i:- carriage in swine would likely avert human infections.
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spelling doaj.art-3fbdbc401a2f44aa86fdf9a336b83e182023-01-23T18:21:51ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-02-0129231432210.3201/eid2902.220950Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018Ian D. PlumbAllison C. BrownErin K. StokesJessica C. ChenHeather CarletonBeth TolarPreethi SundararamanAmy SaupeDaniel C. PayneHazel J. ShahJason P. FolsterCindy R. Friedman Reports of Salmonella enterica I serotype 4,[5],12:i:- infections resistant to ampicillin, streptomycin, sulphamethoxazole, and tetracycline (ASSuT) have been increasing. We analyzed data from 5 national surveillance systems to describe the epidemiology, resistance traits, and genetics of infections with this Salmonella strain in the United States. We found ASSuT-resistant Salmonella 4,[5],12:i:- increased from 1.1% of Salmonella infections during 2009–2013 to 2.6% during 2014–2018; the proportion of Salmonella 4,[5],12:i:- isolates without this resistance pattern declined from 3.1% to 2.4% during the same timeframe. Among isolates sequenced during 2015–2018, a total of 69% were in the same phylogenetic clade. Within that clade, 77% of isolates had genetic determinants of ASSuT resistance, and 16% had genetic determinants of decreased susceptibility to ciprofloxacin, ceftriaxone, or azithromycin. Among outbreaks related to the multidrug-resistant clade, 63% were associated with pork consumption or contact with swine. Preventing Salmonella 4,[5],12:i:- carriage in swine would likely avert human infections. https://wwwnc.cdc.gov/eid/article/29/2/22-0950_articleSalmonellabacteriaantimicrobial resistancefood safetySalmonella 4,[5],12:i:-Salmonella Typhimurium
spellingShingle Ian D. Plumb
Allison C. Brown
Erin K. Stokes
Jessica C. Chen
Heather Carleton
Beth Tolar
Preethi Sundararaman
Amy Saupe
Daniel C. Payne
Hazel J. Shah
Jason P. Folster
Cindy R. Friedman
Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
Emerging Infectious Diseases
Salmonella
bacteria
antimicrobial resistance
food safety
Salmonella 4,[5],12:i:-
Salmonella Typhimurium
title Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
title_full Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
title_fullStr Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
title_full_unstemmed Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
title_short Increased Multidrug-Resistant Salmonella enterica I Serotype 4,[5],12:i:- Infections Associated with Pork, United States, 2009–2018
title_sort increased multidrug resistant salmonella enterica i serotype 4 5 12 i infections associated with pork united states 2009 2018
topic Salmonella
bacteria
antimicrobial resistance
food safety
Salmonella 4,[5],12:i:-
Salmonella Typhimurium
url https://wwwnc.cdc.gov/eid/article/29/2/22-0950_article
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