Shiga Toxin–Producing Escherichia coli O157, England and Wales, 1983–2012

Adams, Natalie L.; Byrne, Lisa; Smith, Geraldine A.; Elson, Richard; Harris, John P.; Salmon, Roland; Smith, Robert; O’Brien, Sarah J.; Adak, Goutam K.; Jenkins, Claire

doi:10.3201/eid2204.151485

i

Shiga Toxin–Producing Escherichia coli O157, England and Wales, 1983–2012

Supporting Files Public Domain

Apr 2016
By Adams, Natalie L. ; Byrne, Lisa ; Smith, Geraldine A. ; ...

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Adams, Natalie L. ; Byrne, Lisa ; Smith, Geraldine A. ; Elson, Richard ; Harris, John P. ; Salmon, Roland ; Smith, Robert ; O’Brien, Sarah J. ; Adak, Goutam K. ; Jenkins, Claire
Description:

We evaluated clinical Shiga toxin-producing Escherichia coli O157 infections in England and Wales during 1983-2012 to describe changes in microbiological and surveillance methods. A strain replacement event was captured; phage type (PT) 2 decreased to account for just 3% of cases by 2012, whereas PT8 and PT21/28 strains concurrently emerged, constituting almost two thirds of cases by 2012. Despite interventions to control and reduce transmission, incidence remained constant. However, sources of infection changed over time; outbreaks caused by contaminated meat and milk declined, suggesting that interventions aimed at reducing meat cross-contamination were effective. Petting farm and school and nursery outbreaks increased, suggesting the emergence of other modes of transmission and potentially contributing to the sustained incidence over time. Studies assessing interventions and consideration of policies and guidance should be undertaken to reduce Shiga toxin-producing E. coli O157 infections in England and Wales in line with the latest epidemiologic findings.
Subjects:

Bacteria Communicable Diseases England Enteric Infections Escherichia Coli O157 Foodborne Diseases Gastrointestinal Diseases Shiga-toxigenic Escherichia Coli Shiga Toxin–Producing Escherichia Coli O157, England And Wales, 1983–2012 STEC Synopsis Wales Zoonoses
Source:

Emerg Infect Dis. 22(4):590-597.
Pubmed ID:

26982243
Pubmed Central ID:

PMC4806951
Document Type:

Journal Article
Volume:

22
Issue:

4
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:382370f4b575c5f69bac64b110406104b5f8e837864399bde397cbcb46c063a9
Download URL:

https://stacks.cdc.gov/view/cdc/38720/cdc_38720_DS1.pdf
File Type:

[PDF - 640.09 KB ]

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