A systematic review of outbreak and non-outbreak studies of extraintestinal pathogenic Escherichia coli causing community-acquired infections

Epidemiology and Infection
D B George, Amee R Manges

Abstract

A systematic review of outbreak and non-outbreak studies of infections caused by extraintestinal pathogenic Escherichia coli (ExPEC) was conducted. This review examines the epidemiology, seasonality, source or mode of transmission, and temporal changes, based on E. coli serogroup, in ExPEC causing sporadic vs. outbreak-associated infections. Twelve outbreak and 28 non-outbreak studies were identified. The existence of ExPEC outbreaks was well supported. Three of four outbreak reports indicated peak periods during the winter months. Serogroups associated with outbreak infections ranged from 1% to 26% (average 11·4%) vs. (range 1-15%, average 3·5%) for serogroups associated with sporadic infections; the distribution of serogroups also differed for outbreak and non-outbreak infections. Study authors indicated that the outbreaks may have resulted from foodborne transmission, but direct evidence was unavailable. This review provides evidence that the epidemiology of endemic vs. epidemic ExPEC infections differs; however, study reporting quality limited epidemiological inferences.

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Citations

May 23, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Amee R Manges, James R Johnson
Apr 10, 2012·PloS One·Aparna LalMichael G Baker
Feb 12, 2014·Brazilian Journal of Microbiology : [publication of the Brazilian Society for Microbiology]·Fernanda Villas Boas PetroliniCarlos Henrique Gomes Martins
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Dec 19, 2015·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Amee R Manges
Oct 5, 2015·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Gloria Luz Paniagua-ContrerasSergio Vaca
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Jul 28, 2020·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Masoumeh RasoulinasabMohammad Mehdi Aslani
Nov 7, 2015·Microbiology Spectrum·Amee R Manges, James R Johnson

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