Shiga Toxin-Producing Escherichia coli Outbreaks in the United States, 2010-2017

被引：41

作者：

Tack, Danielle M. ^{[1
]}

Kisselburgh, Hannah M. ^{[1
,2
]}

Richardson, LaTonia C. ^{[1
]}

Geissler, Aimee ^{[1
]}

Griffin, Patricia M. ^{[1
]}

Payne, Daniel C. ^{[1
]}

Gleason, Brigette L. ^{[1
]}

机构：

[1] Ctr Dis Control & Prevent, Atlanta, GA 30329 USA

[2] Univ Colorado Anschutz, Colorado Sch Publ Hlth, Aurora, CO 80045 USA

来源：

MICROORGANISMS | 2021年 / 9卷 / 07期

关键词：

Shiga toxin-producing Escherichia coli (STEC); O157; non-O157; foodborne; outbreaks; epidemiology; INFECTIONS; O157; DISEASE; STEC; O121; O111; O103; O145; O45; O26;

D O I：

10.3390/microorganisms9071529

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

Shiga toxin-producing Escherichia coli (STEC) cause illnesses ranging from mild diarrhea to ischemic colitis and hemolytic uremic syndrome (HUS); serogroup O157 is the most common cause. We describe the epidemiology and transmission routes for U.S. STEC outbreaks during 2010-2017. Health departments reported 466 STEC outbreaks affecting 4769 persons; 459 outbreaks had a serogroup identified (330 O157, 124 non-O157, 5 both). Among these, 361 (77%) had a known transmission route: 200 foodborne (44% of O157 outbreaks, 41% of non-O157 outbreaks), 87 person-to-person (16%, 24%), 49 animal contact (11%, 9%), 20 water (4%, 5%), and 5 environmental contamination (2%, 0%). The most common food category implicated was vegetable row crops. The distribution of O157 and non-O157 outbreaks varied by age, sex, and severity. A significantly higher percentage of STEC O157 than non-O157 outbreaks were transmitted by beef (p = 0.02). STEC O157 outbreaks also had significantly higher rates of hospitalization and HUS (p < 0.001).

引用

页数：13

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