An outbreak of Salmonella typhimurium DT170 associated with kebab meat and yogurt relish

Epidemiol Infect. 1999 Jun;122(3):377-83. doi: 10.1017/s0950268899002253.

Abstract

During July 1995, an outbreak of Salmonella typhimurium definitive type (DT) 170, an unusual strain, occurred in South Wales. A case-control study found that illness was associated with eating kebabs (odds ratio undefined, P = 0.002), doner kebabs (odds ratio 7.9, 95 % confidence interval 1.5-20.5, P = 0.02) and kebabs with yoghurt based relish (odds ratio undefined, P = 0.009) but not with eating kebabs with mayonnaise-based relish (odds ratio 2.4, 95 % confidence interval 0.4-13.9, P = 0.53). Environmental investigations discovered a complex web of producers and wholesale suppliers. Kebab meat and yoghurt had been supplied to the two main implicated outlets by a single wholesaler. Samples of raw minced lamb and several environmental swabs taken at the wholesaler were positive for S. typhimurium DT170. Blood-stained, unsealed yoghurt pots were observed to be stored under a rack of raw lamb. Investigators of food poisoning outbreaks linked to takeaway food should consider cross-contaminated relishes and dressings as well as undercooked meat as potential vehicles of infection.

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Disease Outbreaks*
  • Female
  • Humans
  • Infant
  • Male
  • Meat / microbiology*
  • Middle Aged
  • Odds Ratio
  • Salmonella Food Poisoning / epidemiology*
  • Salmonella Food Poisoning / microbiology
  • Salmonella typhimurium / classification
  • Salmonella typhimurium / isolation & purification*
  • Sheep
  • Wales / epidemiology
  • Yogurt / microbiology*