Outbreak of Fluoroquinolone-Resistant Campylobacter jejuni Infections Associated with Raw Milk Consumption from a Herdshare Dairy — Colorado, 2016

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Burakoff, Alexis ; Brown, Kerri ; Knutsen, Joyce ; Hopewell, Christina ; Rowe, Shannon ; Bennett, Christy ; Cronquist, Alicia
• Description:
  In August 2016, a local public health agency (LPHA) notified the Colorado Department of Public Health and Environment (CDPHE) of two culture-confirmed cases of Campylobacter infection among persons who consumed raw (unpasteurized) milk from the same herdshare dairy. In Colorado, the sale of raw milk is illegal; however, herdshare programs, in which a member can purchase a share of a herd of cows or goats, are legal and are not regulated by state or local authorities. In coordination with LPHAs, CDPHE conducted an outbreak investigation that identified 12 confirmed and five probable cases of Campylobacter jejuni infection. Pulsed-field gel electrophoresis (PFGE) patterns for the 10 cases with available isolates were identical using the enzyme Sma. In addition, two milk samples (one from the dairy and one obtained from an ill shareholder) also tested positive for the outbreak strain. Five C. jejuni isolates sent to CDC for antimicrobial susceptibility tTesting were resistant to ciprofloxacin, tetracycline, and nalidixic acid (1). Although shareholders were notified of the outbreak and cautioned against drinking the milk on multiple occasions, milk distribution was not discontinued. Although its distribution is legal through herdshare programs, drinking raw milk is inherently risky (2). The role of public health in implementing control measures associated with a product that is known to be unsafe remains undefined.
• Subjects:
  Adolescent Adult Aged Animals Campylobacter Infections Campylobacter Jejuni Child Disease Outbreaks Drug Resistance, Bacterial Female Fluoroquinolones Foodborne Diseases Food Microbiology Full Report Humans Male Middle Aged Milk Raw Foods Young Adult

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• Source:
  MMWR Morbidity Mortal Weekly Rep. 67(5):146-148.
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6705a2
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  29420460
• Pubmed Central ID:
  PMC5812469
• Document Type:
  Journal Article
• Place as Subject:
  Colorado
• Pages in Document:
  3 pdf pages
• Volume:
  67
• Issue:
  5
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:c9424b2237d776af6ae709710c5b96479c3e3f059f0e391488e988ddd2985cf261dc444368183b5501aeec9dd79ec291db5eab2f79fae19ccfc1648823101b3b
• Download URL:
  https://stacks.cdc.gov/view/cdc/55106/cdc_55106_DS1.pdf
• File Type:
  [PDF - 137.77 KB ]