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Risk factors for sporadic Shiga toxin-producing Escherichia coli O157 infections in FoodNet sites, 1999–2000

  • A. C. VOETSCH (a1), M. H. KENNEDY (a1), W. E. KEENE (a2), K. E. SMITH (a3), T. RABATSKY-EHR (a4), S. ZANSKY (a5), S. M. THOMAS (a6), J. MOHLE-BOETANI (a7), P. H. SPARLING (a8), M. B. McGAVERN (a9) and P. S. MEAD (a1)...
Abstract
SUMMARY

To monitor risk factors for illness, we conducted a case-control study of sporadic Shiga toxin-producing Escherichia coli O157 (STEC O157) infections in 1999–2000. Laboratory-confirmed cases of STEC O157 infection were identified through active laboratory surveillance in all or part of seven states. Patients and age-matched controls were interviewed by telephone using a standard questionnaire. Information was collected on demographics, clinical illness, and exposures to food, water, and animals in the 7 days before the patient's illness onset. During the 12-month study, 283 patients and 534 controls were enrolled. STEC O157 infection was associated with eating pink hamburgers, drinking untreated surface water, and contact with cattle. Eating produce was inversely associated with infection. Direct or indirect contact with cattle waste continues to be a leading identified source of sporadic STEC O157 infections.

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Corresponding author
*Author for correspondence: Dr A. C. Voetsch, Centers for Disease Control and Prevention, Mailstop E46, 1600 Clifton Road, Atlanta, GA 30333, USA. (Email: avoetsch@cdc.gov)
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1.  PS Mead , Food-related illness and death in the United States. Emerging Infectious Diseases 1999; 5: 607625.

2.  L Slutsker , A nationwide case-control study of Escherichia coli O157:H7 infection in the United States. Journal of Infectious Diseases 1998; 177: 962966.

3.  BP Bell , A multistate outbreak of Escherichia coli O157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience. Journal of the American Medical Association 1994; 272: 13491353.

5.  CH Pai , Sporadic cases of hemorrhagic colitis associated with Escherichia coli O157:H7. Clinical, epidemiologic, and bacteriologic features. Annals of Internal Medicine 1984; 101: 738742.

8.  SH Cody , An outbreak of Escherichia coli O157:H7 infection from unpasteurized commercial apple juice. Annals of Internal Medicine 1999; 130: 202209.

11.  SJ Olsen , A waterborne outbreak of Escherichia coli O157:H7 infections and hemolytic uremic syndrome: implications for rural water systems. Emerging Infectious Diseases 2002; 8: 370375.

12.  DL Swerdlow , A waterborne outbreak in Missouri of Escherichia coli O157:H7 associated with bloody diarrhea and death. Annals of Internal Medicine 1992; 117: 812819.

13.  D Ackman , Swimming-associated haemorrhagic colitis due to Escherichia coli O157:H7 infection: evidence of prolonged contamination of a fresh water lake. Epidemiology and Infection 1997; 119: 18.

15.  WE Keene , A swimming-associated outbreak of hemorrhagic colitis caused by Escherichia coli O157:H7 and Shigella sonnei. New England Journal of Medicine 1994; 331: 579584.

16.  JA Crump , Outbreaks of Escherichia coli O157 infections at multiple county agricultural fairs: a hazard of mixing cattle, concession stands and children. Epidemiology and Infection 2003; 131: 10551062.

19.  HD Kassenborg , Farm visits and undercooked hamburgers as major risk factors for sporadic Escherichia coli O157:H7 infection: data from a case-control study in 5 FoodNet sites. Clinical Infectious Diseases 2004; 38 (Suppl. 3): S271278.

24.  LW Riley , Hemorrhagic colitis associated with a rare Escherichia coli serotype. New England Journal of Medicine 1983; 308: 681685.

28.  JM Rangel , Epidemiology of Escherichia coli O157:H7 outbreaks, United States, 1982–2002. Emerging Infectious Diseases 2005; 11: 603609.

30.  CR Friedman , Risk factors for sporadic Campylobacter infection in the United States: a case-control study in FoodNet sites. Clinical Infectious Diseases 2004; 38 (Suppl. 3): S285296.

31.  SL Roy , Risk factors for sporadic cryptosporidiosis among immunocompetent persons in the United States from 1999 to 2001. Journal of Clinical Microbiology 2004; 42: 29442951.

37.  M Hunt , O Soerheim , E. Slinde Color and heat denaturation of myoglobin forms in ground beef. Journal of Food Science 1999; 64: 847851.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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