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15 January 2008

Volume 46, Number 2
Clinical Infectious Diseases 2008;46:268–273
© 2007 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2008/4602-0019$15.00
DOI: 10.1086/524737
FOOD SAFETY INVITED ARTICLE

Powdered Infant Formula as a Source of Salmonella Infection in Infants

Sarah M. Cahill,1

I. Kaye Wachsmuth,2

Maria de Lourdes Costarrica,1 and

Peter Karim Ben Embarek3

1Food and Agriculture Organization of the United Nations, Rome, Italy; 2International Public Health Consultant, Private Practice, DeLand, Florida; and 3World Health Organization, Geneva, Switzerland

Powdered infant formula is not sterile and may be intrinsically contaminated with pathogens, such as Salmonella enterica, that can cause serious illness in infants. In recent years, at least 6 outbreaks of Salmonella infection in infants that have been linked to the consumption of powdered infant formula have been reported. Many of these outbreaks were identified because the Salmonella strains were unique in some way (e.g., a rare serotype) and a well‐established Salmonella surveillance network, supported by laboratories capable of serotyping isolates, was in place. Another common feature of the outbreaks was the low level of salmonellae detected in the implicated formula (salmonellae may be missed in routine testing). These outbreaks likely represent only a small proportion of the actual number of Salmonella infections in infants that have been linked to powdered infant formula. Managing this problem requires a multidimensional approach in which manufacturers, regulators, and caregivers to infants can all play a role.

Received 18 May 2007; accepted 29 September 2007; electronically published 12 December 2007.

Reprints or correspondence: Dr. Sarah M. Cahill, Food Quality and Standards Service, Nutrition and Consumer Protection Div., Food and Agriculture Organization of the United Nations, Viale delle Terme di Caracalla, 00153 Rome, Italy ().

Frederick J. Angulo, Section Editor

Cited by

Peter Gerner-Smidt, Jean M. Whichard. (2009) Foodborne Disease Trends and Reports. Foodborne Pathogens and Disease 5:6, 703-707
Online publication date: 1-Jan-2009.
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