CDC Informs of Multistate Salmonella Outbreak Linked to Kratom

PUBLISHED: Feb 20, 2018
Relevant to: Ambulatory Care, Critical Access Hospitals, Hospitals, Medical Office

The US Centers for Disease Control (CDC), public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella I 4,[5],12:b:- infections.

Twenty-eight people infected with the outbreak strain of Salmonella I 4,[5],12:b:- have been reported from 20 states. Eleven hospitalizations have been reported. No deaths have been reported.

Epidemiologic evidence indicates that kratom is a likely source of this multistate outbreak. Kratom is a plant consumed for its stimulant effects and as an opioid substitute. Kratom is also known as Thang, Kakuam, Thom, Ketom, and Biak. Ill people in this outbreak report consuming kratom in pills, powder, or tea. No common brands or suppliers of kratom products have been identified at this time. The FDA recentely issued a warning about Kratom, more details about which can be found in the StayAlert! Notice published on February 7, 2018.

At this time, CDC recommends that people not consume kratom in any form. The investigation indicates that kratom products could be contaminated with Salmonella and could make people sick. CDC’s recommendation may change as more information becomes available.

StayAlert is monitoring this topic and will publish additional information as it becomes available.

Follow the links below for additional information. Included with today’s notice is an example policy related to the care and treatment of patients with suspected or actual Salmonella infection.

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