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. In 1940, serovar Saintpaul was first isolated from turkey in US.
In the U.S. it ranks among the top 15 serovars causing human salmonellosis. In Oceania, this serovar is the fourth most common serovar in humans. In addition, S. Saintpaul is commonly reported in Europe and outbreaks have been linked to internationally imported food (e.g., from Mexico).
In Germany, a clonal line with a multidrug resistant phenotype was found in turkeys and human feces. This strain showed resistance to β-lactam antibiotics, aminoglycosides, nalidixic acid, and sulfamethoxazole, along with intermediate resistance to ciprofloxacin and third-generation cephalosporins.
NCBI PD link for serovar Saintpaul: https://www.ncbi.nlm.nih.gov/pathogens/isolates/#(taxgroup_name:%22Salmonella%20enterica%22)%20AND%20computed_types:(%22serotype=Saintpaul%22)
Genetic characteristics: Chen et al.
Animal reservoir: Unknown, but turkey and swine are likely to be reservoirs for serovar Saintpaul.
Geographical distribution: This serovar is globally distributed. Serovar Saintpaul ranks among the top ten most prevalent non-typhoidal Salmonella (NTS) serovars globally, causing approximately 1.6% of severe human infections despite over 1,400 known NTS serovars. Between 2011 and 2020, serovar Saintpaul was one of the 10 most frequently isolated Salmonella serovars in Brazil, accounting for 1,222 cases (0.16% of 62,030 isolates). In the Northern territory of Australia, it was the third most frequently reported serovar in 2014, representing 11% of all reported salmonellosis cases.
Human outbreaks: Multiple human outbreaks associated with serovar Saintpaul have been reported, linked to a variety of commodities. Below are some examples.
| Year | Location | Associated source | Number of cases |
|---|---|---|---|
| 2005 | UK | Unknown | 25 |
| 2023 | UK and Portugal | Cantaloupe melon | 98 (93 in the UK and 5 in Portugal) |
| 2016 | US: Utah | Raw milk | 9 |
2016 | Australia | 419 | |
| 2013 | US: multistate | Imported cucumber | 84 |
2009 | US: multistate | 235 | |
2008 | US: multistate & Canada | 1442 | |
2006 | Australia | 115 | |
1999 | Australia | 28 | |
1993 | Germany | Estimated 1000 |
1 Serovar Javiana and Rubislaw were also involved. The case number here does not reflect the total number of people only infected by Salmonella Saintpaul.
Border rejections: Multiple border rejections linked to serovar Saintpaul have been reported. A majority of these border rejections were associated with black pepper imported from Brazil to Germany and identified multiple Salmonella serovars including serovar Sainpaul. Below are some examples.
Year | Exporting country | Importing country | Associated source | Product category |
| 2023 | Vietnam | Italy | Frozen raw frog legs | Meat and meat products (other than poultry) |
| 2021 | Brazil | Germany | Black pepper1 | Herbs and spices |
| 2020 | Brazil | Germany | Black pepper2 | Herbs and spices |
| 2020 | Brazil | Germany | Black pepper3 | Herbs and spices |
| 2020 | Germany, Netherlands | Italy | Poultry and veal kebab4 | Meat and meat products (other than poultry) |
1 Salmonella Poona, Javiana and Saintpaul were found.
2 Salmonella Infantis, Freetown, Javiana, and Saintpaul were found.
3 Salmonella Saintpaul and Javiana were found.
4 Salmonella Derby and Saintpaul were found.
Recalls:
| Year | Location | Recalled food | Type |
|---|---|---|---|
| 2023 | Spain | Fresh turkey meat | Poultry meat and poultry meat products |
| 2008 | US: multistate | Jalapeno peppers1 | Fruits and vegetables |
1 This recall was caused by a multistate outbreak described above. Agricola Zaragoza, Inc. of McAllen, TX issued a recall of their Jalapeno peppers.
Relevant links:
- https://www.jstor.org/stable/30092155?seq=2
- https://pmc.ncbi.nlm.nih.gov/articles/PMC2876473/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC11942379/
- https://pubmed.ncbi.nlm.nih.gov/8774669/
- https://www.cdc.gov/salmonella/outbreaks/index.html
- https://www.clinicalcasereportsint.com/open-access/top-10-salmonella-serovars-associated-with-human-salmonellosis-in-brazil-2011-2020-8688.pdf
- https://www1.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi4101k.htm
- https://www.foodpoisoningnews.com/mystery-salmonella-outbreak-hospitalizes-five-sickens-25-across-uk/
- https://pubmed.ncbi.nlm.nih.gov/38705587/
- https://www.ksl.com/article/41279440/salmonella-outbreak-linked-to-raw-milk-sold-in-midway
- https://www.foodsafetynews.com/2021/11/salmonella-top-cause-of-foodborne-outbreaks-in-australia/
- https://archive.cdc.gov/www_cdc_gov/salmonella/saintpaul-04-13/index.html
- https://archive.cdc.gov/www_cdc_gov/salmonella/2009/raw-alfalfa-sprouts-5-8-2009.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5734a1.htm
- https://www.jstor.org/stable/25476916?seq=1
- https://pubmed.ncbi.nlm.nih.gov/11190815/
- https://pubmed.ncbi.nlm.nih.gov/8557082/#:~:text=Between%20April%20and%20September%201993,were%20found%20in%20the%20snacks.
- https://webgate.ec.europa.eu/rasff-window/screen/notification/616717
- https://webgate.ec.europa.eu/rasff-window/screen/notification/521476
- https://webgate.ec.europa.eu/rasff-window/screen/notification/452713
- https://webgate.ec.europa.eu/rasff-window/screen/notification/452474
- https://webgate.ec.europa.eu/rasff-window/screen/notification/423533
- https://webgate.ec.europa.eu/rasff-window/screen/notification/618965
- https://web.archive.org/web/20090710090159/http://www.fda.gov/Safety/Recalls/ArchiveRecalls/2008/ucm112471.htm