A christening party outbreak of haemorrhagic colitis and haemolytic uraemic syndrome associated with <i>Escherichia coli</i> O 157. H7

Salmon, R. L.; Farrell, I. D.; Hutchison, J. G. P.; Coleman, David; Gross, R. J.; Fry, Norman K.; Rowe, B.; Palmer, Sam

doi:10.1017/s0950268800030600

Cited by 56 publications

(28 citation statements)

References 19 publications

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“…No other children were reported to have been in the pool. The incubation periods of between 3 and 7 days were compatible with those reported by others in outbreaks of E. coli 0157 infection attributed to foodborne [2,18] and person-to-person [8] transmission.…”

Section: Discussionsupporting

confidence: 88%

An outbreak ofEscherichia coliO157 associated with a children's paddling pool

Brewster

Brown

Robertson³

et al. 1994

Epidemiol. Infect.

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SUMMARYIn May 1992, a small, circumscribed community outbreak of infection due to verotoxin-producing Escherichia coli 0157 phage type 49 occurred in a semi-rural area of south-east Scotland. On the basis of stool cultures, six cases were identified, one of whom was asymptomatic. One child developed the haemolytic uraemic syndrome. Although the source of infection of the index case was not established nor could the extent of person-to-person spread be fully determined, the clinical, microbiological and epidemiological evidence available indicated that a children's paddling pool served as the focal point in the transmission of infection causing the outbreak.

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Section: Discussionsupporting

confidence: 88%

An outbreak ofEscherichia coliO157 associated with a children's paddling pool

Brewster

Brown

Robertson³

et al. 1994

Epidemiol. Infect.

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“…Two outbreaks of infection have been reported: possible sources of infection were the handling, though not consumption of unwashed potatoes [22], and sliced turkey roll [23]; neither source was confirmed microbiologically. In May-June 1992 there was a suspicion, though not epidemiologically proven, that 5 cases of VT' E. coli 0157 infection in the Sheffield area, 3 of phage type 2 and 2 of phage type 8, may have been associated with consumption of beef originating from a South Yorkshire abattoir.…”

Section: Characterization Of Isolates Of E Coli 0157 Human Isolatesmentioning

confidence: 99%

Cattle as a possible source of verocytotoxin-producingEscherichia coliO157 infections in man

Chapman¹,

Siddons²,

Wright³

et al. 1993

Epidemiol. Infect.

355

217

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SUMMARYIn May-June 1992 cases of infection with verocytotoxin-producing (VT+) Escherichia coli 0157 in South Yorkshire could have been associated with prior consumption of beef from a local abattoir. During investigation of the abattoir, bovine rectal swabs and samples of meat and surface swabs from beef carcasses were examined for E. coli 0157, isolates of which were tested for toxigenicity, plasmid content and phage type. E. coli 0157 was isolated from 84 (4%) of 2103 bovine rectal swabs; of these 84, 78 (93%) were VT', the most common phage types being 2 and 8, the types implicated in the cluster of human cases. Positive cattle were from diverse sources within England. E. coli 0157 was isolated from 7 (30%) of 23 carcasses of rectal swab-positive cattle and from 2 (8%) of 25 carcasses of rectal swab-negative cattle. The study has shown that cattle may be a reservoir of VT+ E. coli 0157, and that contamination of carcasses during slaughter and processing may be how beef and beef products become contaminated and thereby transmit the organism to man.

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“…The first noted outbreak of HUS in Britain occurred in 1982 in the West Midlands [6] and of HC in 1985 in East Anglia [7]. Subsequent outbreaks and sporadic cases in the UK have been reported [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Vero cytotoxin-producingEscherichia coli, particularly serogroup O 157, associated with human infections in the United Kingdom: 1989–91

et al. 1993

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SUMMARYThis survey reports the results of investigations performed by the Laboratory of Enteric Pathogens (LEP), to identify evidence of human infection with Vero cytotoxin-producing Escherichia coli (VTEC) in the UK during the period 1989-91. Bacterial isolates, faecal specimens and serum samples were received from patients suffering from diarrhoea, bloody diarrhoea and haemolytic uraemic syndrome. Using serotyping, Vero cytotoxin gene probing and an ELISA for serum antibodies to E. coli 0 157, evidence of infection was detected in 232, 428 and 615 individuals in 1989, 1990 and 1991 respectively. Of these individuals, 15% were reported as having HUS. Vero cytotoxin-producing E. coli 0 157 was the most frequently encountered serogroup, with isolations from a total of 1092 individuals over the 3-year period. The incidence of VTEC infection increased

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A christening party outbreak of haemorrhagic colitis and haemolytic uraemic syndrome associated with Escherichia coli O 157. H7

Cited by 56 publications

References 19 publications

An outbreak ofEscherichia coliO157 associated with a children's paddling pool

An outbreak ofEscherichia coliO157 associated with a children's paddling pool

Cattle as a possible source of verocytotoxin-producingEscherichia coliO157 infections in man

Vero cytotoxin-producingEscherichia coli, particularly serogroup O 157, associated with human infections in the United Kingdom: 1989–91

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