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*{+}Background:+* _Salmonella enterica_ subsp. _enterica_ serovar Saintpaul (antigenic formula 1,4,\[5\],12:e,h:1,2) is a serovar of the O:4 (B) serogroup. Serovar_S_. Saintpaul is a commonglobally _Salmonella_ serovar with global distribution. Recently, distributed srovar. Reports of _S._ Saintpaul hashave beenincreased increasinglyrecently, reported from several countries and studies have shownthese reports have found that [turkeys |http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876473/]and ground turkey are important sources of this serovar_S._ Saintpaul. In addition, in several countries, _S._ Saintpaul hadhave caused large outbreaks associated with produce (e.g., [cucumbers|http://www.cdc.gov/salmonella/saintpaul-04-13/index.html], [alfalfa sprouts|http://www.cdc.gov/salmonella/saintpaul-alfalfa/index.html], [peppers|http://www.cdc.gov/salmonella/saintpaul-jalapeno/index.html]). A clonal line with a multidrug resistant phenotype was found to be predominant in turkeys and human feces in Germany. This strain showed resistance to β-lactam antibiotics, aminoglycosides, nalidixic acid, and sulfamethoxazole, along with intermediate resistance to ciprofloxacin and third-generation cephalosporins.

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Outbreaks: Several outbreaks have been linked to S. Saintpaul; many of these outbreaks have caused disease in a very large number of patients. Sources of these outbreaks include different produce and water.

Year

Location

Associated source

Number of cases

2013

US-multistate

Imported cucumber

84

2009

US-multistate

Raw alfalfa sprouts

235

2008

US-multistate & Canada

Raw produce (jalapeño and serrano peppers from Mexico)

1442

2005

Australia

Tap water

26

2006

Australia

Cantaloupe

115

1999

Australia

Drinking water

28

1993

Germany

Paprika & paprika-powdered potato chips (serovar Javiana and Rubislaw were also involved)

1000

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