Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Payne, Christopher J.I. ; Petrovic, Marko ; Roberts, Richard J. ; Paul, Ashish ; Linnane, Eithne ; ... More +
Payne, Christopher J.I. ; Petrovic, Marko ; Roberts, Richard J. ; Paul, Ashish ; Linnane, Eithne ; Walker, Mark ; Kirby, David ; Burgess, Anthony ; Smith, Robert M.M. ; Cheasty, Thomas ; Willshaw, Geraldine ; Salmon, Roland L. Less -
Description:
An outbreak of Vero cytotoxin-producing Escherichia coli O157 (VTEC O157) gastroenteritis in visitors to an open farm in North Wales resulted in 17 primary and 7 secondary cases of illness. E. coli O157 Vero cytotoxin type 2, phage type 2 was isolated from 23 human cases and environmental animal fecal samples. A case-control study of 16 primary case-patients and 36 controls (all children) showed a significant association with attendance on the 2nd day of a festival, eating ice cream or cotton candy (candy floss), and contact with cows or goats. On multivariable analysis, only the association between illness and ice cream (odds ratio [OR]=11.99, 95% confidence interval [CI] 1.04 to 137.76) and cotton candy (OR=51.90, 95% CI 2.77 to 970.67) remained significant. In addition to supervised handwashing, we recommend that foods on open farms only be eaten in dedicated clean areas and that sticky foods be discouraged.
Subject:
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Adult
Agriculture
Case-control Studies
Child
Child, Preschool
Communicable Disease Control
Disease Outbreaks
Escherichia Coli Infections
Escherichia Coli O157
Farms
Female
Food Handling
Food Microbiology
Gastroenteritis
Hemolytic-Uremic Syndrome
Humans
Male
Research
Risk Factors
Shiga Toxins
Wales
Zoonoses
Case-Control Studies
Gastroenteritis
Risk Factors

Source:
Emerg Infect Dis. 9(5):526-530.
Document Type:
Journal Article
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:f4c1149e0612229e1fd290b089dcd469764686a81825e7d659a0b4f502c037e7
File Type:

Supporting Files

• 	02-0237.nxml	txt
  	license.txt	txt

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