Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022

In New Zealand, OXA-48–producing Escherichia coli is uncommon and typically associated with international travel. We investigated a cluster of 25 patients without recent travel history from Hutt Valley health district, New Zealand, who had multilocus sequence type 131 OXA-48–producing E. coli durin...

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Main Authors: Craig N. Thornley, Matthew Kelly, Max Bloomfield, Loushy Mangalasseril, Annette Nesdale, Claire Underwood, Kristin Dyet, Juliet Elvy, Jenny Szeto, Hermes Perez, Xioayun Ren, Rosemary Woodhouse, Rhys T. White
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2025-07-01
Series:Emerging Infectious Diseases
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Online Access:https://wwwnc.cdc.gov/eid/article/31/7/25-0289_article
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author Craig N. Thornley
Matthew Kelly
Max Bloomfield
Loushy Mangalasseril
Annette Nesdale
Claire Underwood
Kristin Dyet
Juliet Elvy
Jenny Szeto
Hermes Perez
Xioayun Ren
Rosemary Woodhouse
Rhys T. White
author_facet Craig N. Thornley
Matthew Kelly
Max Bloomfield
Loushy Mangalasseril
Annette Nesdale
Claire Underwood
Kristin Dyet
Juliet Elvy
Jenny Szeto
Hermes Perez
Xioayun Ren
Rosemary Woodhouse
Rhys T. White
author_sort Craig N. Thornley
collection DOAJ
description In New Zealand, OXA-48–producing Escherichia coli is uncommon and typically associated with international travel. We investigated a cluster of 25 patients without recent travel history from Hutt Valley health district, New Zealand, who had multilocus sequence type 131 OXA-48–producing E. coli during August 2018–December 2022. Eighteen had been admitted to Hutt Valley Hospital but did not share a common ward or hospital service. Eighteen had visited the same community-based commercial food premises (premises A); 7 of those had not been admitted to Hutt Valley Hospital. An inspection of premises A revealed multiple hazards, primarily around staff hand hygiene. Four food handlers were colonized with OXA-48–producing E. coli; whole-genome sequencing confirmed genomic links between case and food handler strains, with possible introduction to New Zealand circa 2017. Community-based food premises have a role in propagating OXA-48–producing E. coli in high-income countries, requiring consideration in control strategies.
format Article
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institution Kabale University
issn 1080-6040
1080-6059
language English
publishDate 2025-07-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj-art-4396e96b282e4eb98a4549fcf720d1d02025-08-20T03:26:53ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592025-07-013171300130810.3201/eid3107.250289Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022Craig N. ThornleyMatthew KellyMax BloomfieldLoushy MangalasserilAnnette NesdaleClaire UnderwoodKristin DyetJuliet ElvyJenny SzetoHermes PerezXioayun RenRosemary WoodhouseRhys T. White In New Zealand, OXA-48–producing Escherichia coli is uncommon and typically associated with international travel. We investigated a cluster of 25 patients without recent travel history from Hutt Valley health district, New Zealand, who had multilocus sequence type 131 OXA-48–producing E. coli during August 2018–December 2022. Eighteen had been admitted to Hutt Valley Hospital but did not share a common ward or hospital service. Eighteen had visited the same community-based commercial food premises (premises A); 7 of those had not been admitted to Hutt Valley Hospital. An inspection of premises A revealed multiple hazards, primarily around staff hand hygiene. Four food handlers were colonized with OXA-48–producing E. coli; whole-genome sequencing confirmed genomic links between case and food handler strains, with possible introduction to New Zealand circa 2017. Community-based food premises have a role in propagating OXA-48–producing E. coli in high-income countries, requiring consideration in control strategies. https://wwwnc.cdc.gov/eid/article/31/7/25-0289_articlebacteriafood safetyantimicrobial resistancecarbapenem-resistant EnterobacteriaceaeEscherichia colidisease outbreaks
spellingShingle Craig N. Thornley
Matthew Kelly
Max Bloomfield
Loushy Mangalasseril
Annette Nesdale
Claire Underwood
Kristin Dyet
Juliet Elvy
Jenny Szeto
Hermes Perez
Xioayun Ren
Rosemary Woodhouse
Rhys T. White
Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
Emerging Infectious Diseases
bacteria
food safety
antimicrobial resistance
carbapenem-resistant Enterobacteriaceae
Escherichia coli
disease outbreaks
title Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
title_full Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
title_fullStr Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
title_full_unstemmed Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
title_short Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022
title_sort community outbreak of oxa 48 producing escherichia coli linked to food premises new zealand 2018 2022
topic bacteria
food safety
antimicrobial resistance
carbapenem-resistant Enterobacteriaceae
Escherichia coli
disease outbreaks
url https://wwwnc.cdc.gov/eid/article/31/7/25-0289_article
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