TABLE OF CONTENTS - Food and Drug …

1 TABLE OF & and Laboratory Testing DATAP ercent Positive SamplesSite and Bacterium, and Meat Type, & Campylobacter by Meat Type, SALMONELLA DATAS almonella by Serotype and Meat Type, in ResistanceSalmonella by Meat Type, Top Serotypes within Meat Type, to Multiple Antimicrobial AgentsMultidrug Resistance Patterns, to Multiple Classes by Meat Type, Distributions Chicken Breast, Turkey, Beef, Chop, Beta Lactam DATAC ampylobacter Species by Meat Type, jejuni and C. coli Isolated by Month from Chicken Breast, in ResistanceCampylobacter Species by Meat Type, jejuni and C.

2 Coli from Chicken Breast, to Multiple Antimicrobial AgentsCampylobacter jejuni and C. coli Resistant to Multiple Classes by Meat Type, Distributions in Chicken BreastCampylobacter jejuni, coli, DATAE nterococcus Species by Meat Type, in Resistance Enterococcus by Meat Type, faecalis by Meat Type, 50 Enterococcus faecium by Meat Type, hirae by Meat Type, to Multiple Antimicrobial AgentsEnterococcus faecalis Resistant to Multiple Classes by Meat Type, faecium Resistant to Multiple Classes by Meat Type, Distributions by SpeciesChicken Breast, Turkey.

3 56 Ground Beef, Chop, COLI DATAE scherichia coli Prevalence by Meat Type, in Resistance Escherichia coli by Meat Type, to Multiple Antimicrobial AgentsMultidrug Resistance Patterns, to Multiple Classes by Meat Type, DistributionsChicken Breast, Turkey, Beef, Chop, Beta Lactam Profiles For Salmonella Sheet Analysis List of Abbreviations Used General Abbreviations AR Antimicrobial Resistance BAP Blood Agar Plate CCA Campy-Cefex Agar Plate CDC Centers for Disease Control and Prevention CLSI Clinical and Laboratory Standards Institute CVM Center for Veterinary Medicine EAP Enterococcosel Agar Plate EIP Emerging Infections Program EMB Eosin Methylene Blue ESBL Extended Spectrum Beta Lactamase FDA food and drug

4 Administration FoodNet Foodborne Diseases Active Surveillance Network MIC Minimum Inhibitory Concentration NARMS National Antimicrobial Resistance Monitoring System PCR Polymerase Chain Reaction PFGE Pulsed Field Gel Electrophoresis PulseNet National Molecular Subtyping Network for Foodborne Disease Surveillance QC Quality Control RVR10 Rappaport-Vassiliadis Medium USDA United States Department of Agriculture XLD Xylose Lysine Deoxyc holate Antimicrobial Abbreviations AMC Amoxicillin/Clavulanic Acid KAN Kanamycin AMP Ampicillin LIN Lincomycin AXO Ceftriaxone LZD Linezolid AZI Azithromycin NAL Nalidixic Acid CHL Chloramphenicol NIT Nitrofurantoin CIP Ciprofloxacin PEN Penicillin CLI Clindamycin QDA Quinupristin/Dalfopristin COT Trimethoprim/Sulfamethoxazole STR Streptomycin DAP Daptomycin TEL Telithromycin DOX Doxycycline TET Tetracycline ERY Erythromycin

5 TGC Tigecycline FFN Florfenicol TIO Ceftiofur FIS Sulfisoxazole TYL Tylosin FOX Cefoxitin VAN Vancomycin GEN Gentamicin Meat Types Abbreviations CK Retail Chicken GT Ground Turkey GB Ground Beef PC Pork Chop State Abbreviations CA California NM New Mexico CO Colorado NY New York CT Connecticut OR Oregon GA Georgia PA Pennsylvania MD Maryland TN Tennessee MN Minnesota food and drug Administration Jason Abbott Sherry Ayers Sonya Bodeis-Jones Emily Crarey Sharon Friedman Stuart Gaines Michael Grabenstein David Heller Carol Henderson Claudine Kabera Claudia Lam Patrick McDermott Shawn McDermott Sampa Mukherjee Melissa Pitcher Crystal Rice-Trujillo Jonathan Sabo Heather Tate Thu Thuy-Tran Shenia Young Shaohua Zhao Centers for Disease Control and Prevention Beth Karp Felicita Medalla Allison O Donnell Regan Rickert Special thanks to Laura

6 Alvey, Denise Benton, Mary Bartholomew, Judy Li and Junshan Qiu for providing outstanding web support and statistical consultation. Participating State and Local Health Departments California Richard Alexander Melody Hung-Fan Maribel Rickard Colorado Dee Jae Dutton Joe Gossack Dave Heltzel Hugh Maguire Connecticut Diane Barden George Goad Aristea Kinney Mona Mandour Laurn Mank Ruthanne Marcus Michael A. Pascucilla Georgia James Benson Hope Dishman Cherie Drenzek Elizabeth Franko Mary Hodel Gladys Maldonado Becky Meyer Mahin Park Lynett Poventud Melissa Tobin-D angelo Maryland David Blythe Beverly Jolbitado Carrianne Jung Amanda Palmer Patricia Ryan Chengru Zhu Minnesota Craig Braymen Karen Everstine Gary Horvath LeeAnn Johnson Billie Juni Fe Leano Stephanie Meyer David Read Kirk Smith New Mexico Adreiena Armijo Lisa

7 Butler Nicole Espinoza Frederick Gentry Carlos Gonzales Jennifer Hollander Sarah Khanlian Robert Mansmann Cynthia Nicholson Erica Swanson Paul Torres New York Ariel Endlich-Frazier Charles MacGowan Dale Morse Geetha Nattanmai Marsha Peck Timothy Root Suzanne Solghan Shelley Zansky Oregon Elizabeth Baldwin Marianna Cavanaugh Dawn Daly Emilio DeBess Vicki A. Hafits Barbara Olson Helen Packett Richard Trump Robert Vega Veronica Williams Pennsylvania Lisa Dettinger Susan Johnston Nkuchia M.

8 M ikanatha Barry Perry Stanley Reynolds Carol Sandt Deepanker Tewari Tennessee Parvin Arjmandi Robyn Atkinson Henry Davis Gail Dewberry John Dunn Stephanie Estes Samir Hanna Henrietta Hardin Tim Jones Ryan Mason Kenneth Mitchell Julie Montgomery Bobby Price Sheri Roberts NARMS Retail Meat Working Group 5 NARMS Retail Meat Annual Report 2011 Introduction The primary purpose of the NARMS retail meat surveillance program is to monitor the prevalence and trends of antimicrobial resistance among foodborne isolates of Salmonella, Campylobacter, Enterococcus and Escherichia coli.

9 NARMS retail meat surveillance is an ongoing collaboration between the food and drug Administration/Center for Veterinary Medicine (FDA/CVM), the Centers for Disease Control and Prevention (CDC), and State public health laboratories in California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New Mexico, New York, Oregon, Tennessee, and Pennsylvania. From January to December, each site purchased approximately 40 food samples per month, which are comprised of 10 samples each from chicken, ground turkey, ground beef, and pork chops.

10 All sites culture the meat and poultry samples for Salmonella and only poultry samples are cultured for Campylobacter. In 2011, 4 of the 11 participating laboratories (Georgia, Oregon, Maryland and Tennessee) also cultured meat and poultry samples for E. coli and Enterococcus. Bacterial isolates were sent to FDA/CVM for serotyping, antimicrobial susceptibility testing, and genetic analysis. As a public health monitoring system, the primary objectives of NARMS are to: Monitor trends in antimicrobial resistance among foodborne bacteria from humans, retail meats, and animals Disseminate timely information on antimicrobial resistance to promote interventions that reduce resistance among foodborne bacteria Conduct research to better understand the emergence, persistence, and spread of antimicrobial resistance Assist the FDA in making