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Trip to food store a risk factor for Salmonella
Last Updated: 2006-12-20 14:00:21 -0400 (Reuters Health)
NEW YORK (Reuters Health) - Exposure to reptiles and being in close proximity to meat and poultry in the supermarket are two modifiable risk factors for Salmonella infection in infants, according to what may be the largest reported study of infant Salmonella infection.
Salmonella is estimated to cause 1.4 million illnesses and 400 deaths each year in the United States. "Rates of Salmonella infection are highest in infants, but little is known about potential sources of infection in this high-risk population," note Dr. Timothy F. Jones of the Tennessee Department of Health in Nashville and colleagues in the journal Pediatrics for December.They assessed diet and environmental exposures in the 5 days before onset of Salmonella infection in 442 infants from eight states and 928 age-matched controls who did not contract Salmonella."Compared with healthy controls, infants with Salmonella infection were less likely to have been breastfed and more likely to have had exposure to reptiles, to have ridden in a shopping cart next to meat or poultry, or to have consumed concentrated liquid infant formula during the 5-day exposure period," they report.Travel outside the United States was associated with Salmonella infection in infants 3 to 6 months and older than 6 months of age. Attending day care with a child with diarrhea was also associated with infection in infants older than 6 months of age."Many of the risk factors identified in this study," write Jones and colleagues, "are potentially modifiable through targeted preventive education and behavioral change among the caretakers of infants.""Attention should be directed at developing practical and effective measures to prevent Salmonella infection in this high-risk population," they conclude.
SOURCE: Pediatrics December 2006.
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