Alfalfa sprouts and Salmonella Kottbus infection: a multistate outbreak following inadequate seed disinfection with heat and chlorine.

Raw sprouts have been implicated in a number of foodborne disease outbreaks. Because contaminated seeds are usually responsible, many sprout producers attempt to disinfect seeds before germination and detect sprout contamination during production. In March 2001, we detected an increased number of Salmonella serotype Kottbus isolates in California. Overall, we identified 31 cases from three western states. To identify the cause, we conducted a case-control study with the first 10 identified case-patients matched to 20 controls by age, sex, and residential area. Our case-control study found illness to be statistically associated with alfalfa sprout consumption. The traceback investigation implicated a single sprouter, where environmental studies yielded Salmonella Kottbus from ungerminated seeds and floor drains within the production facility. Pulsed-field gel electrophoresis patterns of all patient, seed, and floor drain Salmonella Kottbus isolates were indistinguishable. Most implicated sprouts were from seeds that underwent heat treatment and soaking with a 2,000-ppm sodium hypochlorite solution rather than the Food and Drug Administration (FDA)-recommended 20,000-ppm calcium hypochlorite soak. Other implicated seeds had been soaked in a calcium hypochlorite solution that, when tested, measured only 11,000 ppm. The outbreak might have been averted when screening tests of sprout irrigation water detected Salmonella in January; however, confirmatory testing of these samples was negative (but testing improperly utilized refrigerated irrigation water). Producers should use the enrichment broth of positive screening samples, not refrigerated irrigation water, for confirmatory testing. Until other effective disinfection technologies are developed, producers should adhere to FDA recommendations for sprout seed disinfection.

Two processing methods for the isolation of Salmonella from naturally contaminated alfalfa seeds.

Two processing methods were examined for the recovery of Salmonella from naturally contaminated alfalfa seed. Seed samples, from each of three investigations, were processed by sprouting and shredding before preenrichment and culture. In lot A, Salmonella serotype Newport was isolated from 3 of 30 sample units with the sprouting method and 2 of 30 with the shredding method. In lot B, three serotypes in various combinations were isolated from 10 of 30 sample units with the sprouting method and 9 of 30 with the shredding method. In lot C, Salmonella group C1 was isolated from 27 of 30 sample units with the sprouting method and 24 of 30 with the shredding method. Additionally, serotype Newport was found in one lot C sample unit. Using shredded seed data, a most probable number (MPN) for Salmonella contamination per lot was calculated. Serotype Newport was estimated at 0.07 MPN/100 g in lot A; the concentration for three serotypes was estimated to be 0.36 MPN/100 g in lot B; Salmonella group C1 was estimated at 1.8 MPN/100 g in lot C. Our success in isolating Salmonella from alfalfa seeds was likely attributed to the volume of material tested and the quick acquisition of the seeds after the outbreak was identified. Shredding the seeds was easier and yielded definitive results more quickly than sprouting.

Detection and isolation of Salmonella from naturally contaminated alfalfa seeds following an outbreak investigation.

Naturally contaminated alfalfa seeds, epidemiologically linked to foodborne disease outbreaks in Oregon and British Columbia, were tested for the presence of Salmonella. Ten sample units from the suspected lot were sprouted and grown for 4 days. After enrichment of the grown sprouts, an enzyme immunoassay (EIA) and culture method (modified procedure of the Food and Drug Administration Bacteriological Analytical Manual) were used for the detection and isolation of Salmonella. Four of the 10 sample units were positive with the EIA; however, 5 of the 10 sample units were culture positive (four were positive for Salmonella serotype Newport and a fifth was positive for Salmonella serotype Albany and serotype Schwarzengrund). The positive alfalfa seed sample units were further tested after shredding, soaking, and washing before culturing. Results suggest that sprouting and shredding methods may yield greater detection and recovery rates of Salmonella, but more research with a larger sample size is warranted.