A deadly outbreak of multi-drug resistant Salmonella that sickened 225 people across the US beginning in 2018 may have been spurred by a sharp rise in the use of certain antibiotics in cows a year earlier, infectious disease investigators reported this week.
From June 2018 to March of 2019, officials at the Centers for Disease Control and Prevention identified an outbreak of Salmonella enterica serotype Newport. The strain was resistant to several antibiotics, most notably azithromycin—a recommended treatment for Salmonella enterica infections. Before the outbreak, azithromycin-resistance in this germ was exceedingly rare. In fact, it was only first seen in the US in 2016.
Yet in the 2018-2019 outbreak, it reached at least 225 people in 32 states. Of those sickened, at least 60 were hospitalized and two died. (Researchers didn’t have complete health data on everyone sickened in the outbreak)