Public health approach to detection of non-O157 Shiga toxin-producing Escherichia coli: summary of two outbreaks and laboratory procedures.

Autor: SCHAFFZIN, J. K., CORONADO, F., DUMAS, N. B., ROOT, T. P., HALSE, T. A., SCHOONMAKER-BOPP, D. J., LURIE, M. M., NICHOLAS, D., GERZONICH, B., JOHNSON, G. S., WALLACE, B. J., MUSSER, K. A.
Zdroj: Epidemiology & Infection; Feb2012, Vol. 140 Issue 2, p283-289, 7p
Abstrakt: Routine laboratory testing may not detect non-O157 Shiga toxin-producing Escherichia coli (STEC) reliably. Active clinical, epidemiological, environmental health, and laboratory collaboration probably influence successful detection and study of non-O157 STEC infection. We summarized two outbreak investigations in which such coordinated efforts identified non-O157 STEC disease and led to effective control measures. Outbreak 1 involved illness associated with consuming unpasteurized apple cider from a local orchard. Public health personnel were notified by a local hospital; stool specimens from ill persons contained O111 STEC. Outbreak 2 involved bloody diarrhoea at a correctional facility. Public health personnel were notified by the facility infection control officer; O45 STEC was the implicated agent. These reports highlight the ability of non-O157 STEC to cause outbreaks and demonstrate that a coordinated effort by clinicians, infection-control practitioners, clinical diagnostic laboratorians, and public health personnel can lead to effective identification, investigation, and prevention of non-O157 STEC disease. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index