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Risk Factors for Salmonella Infection
The greatest risk factor for getting a Salmonella infection is ingesting the bacteria in contaminated food or water. Another high risk factor for people in industrialized countries is eating and drinking when visiting in a developing country where sources of food and drink may be contaminated. However, even industrialized countries like the U.S. can have outbreaks of Salmonella infection if a food or water source is not properly sanitized or screened for contamination. An example was a 2008-2009 outbreak of Salmonella infections that were traced to a peanut processing plant that sold processed peanut material (paste) that was subsequently put into many food products (candy, cookies, ice cream, cereals, dog food). This contaminated paste caused about 600-700 cases of salmonella in 46 states. More than 125 products were eventually recalled and the company plant closed. The most common source of contamination in the U.S. is from eggs and poultry products.
People older than 70 years of age and less than 20 years of age are in the highest risk groups. A large percentage of pediatric typhoid infections occur in children under 5 years of age. Older individuals may have underlying diseases and compromised immunity that lead to higher risk while children may have less gastric acidity which allows bacteria to better survive passage through the stomach and into the GI system beyond the stomach.
Eating raw meat, poultry, tuna, eggs, or eating unwashed vegetables or fruits, including seeded vegetables, sprouts, and nuts/seeds, also increases the risk of Salmonella infection. In 2008, raw tomatoes were linked to over 160 Salmonella infections. Salmonella can be cultured from animals, especially birds and reptiles; outbreaks have been linked to exposure to turtles, snakes, and other house pets, including iguanas, chicks, and ducklings. Many amphibians and reptiles contain Salmonella in their feces. Any dusty, dirty material may contain Salmonella as well as mycotic (fungal) organisms. Most amphibian, reptile, and bird feces may contain these infectious agents and may be the primary source of the bacteria for individuals who have close contact with these animals or their cages. Consequently, hand-washing and eating well-cleaned and thoroughly cooked foods decrease the risk of exposure to Salmonella and other infectious agents.
Medically Reviewed by a Doctor on 5/25/2016
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