Assessment of physician knowledge and practices concerning Shiga toxin-producing Escherichia coli infection and enteric illness, 2009, Foodborne Diseases Active Surveillance Network (FoodNet)

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Paula ClogherL Hannah Gould

Abstract

Shiga toxin-producing Escherichia coli (STEC) infections cause acute diarrheal illness and sometimes life-threatening hemolytic uremic syndrome (HUS). Escherichia coli O157 is the most common STEC, although the number of reported non-O157 STEC infections is growing with the increased availability and use of enzyme immunoassay testing, which detects the presence of Shiga toxin in stool specimens. Prompt and accurate diagnosis of STEC infection facilitates appropriate therapy and may improve patient outcomes. We mailed 2400 surveys to physicians in 8 Foodborne Diseases Active Surveillance Network (FoodNet) sites to assess their knowledge and practices regarding STEC testing, treatment, and reporting, and their interpretation of Shiga toxin test results. Of 1102 completed surveys, 955 were included in this analysis. Most (83%) physicians reported often or always ordering a culture of bloody stool specimens; 49% believed that their laboratory routinely tested for STEC O157, and 30% believed that testing for non-O157 STEC was also included in a routine stool culture. Forty-two percent of physicians were aware that STEC, other than O157, can cause HUS, and 34% correctly interpreted a positive Shiga toxin test result. All STEC knowled...Continue Reading

References

Apr 20, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ban Mishu AllosRobert V Tauxe
Apr 20, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Thomas W HennessyUNKNOWN Emerging Infections Program FoodNet Working Group
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Sep 20, 2005·The Journal of Infectious Diseases·John T BrooksNancy A Strockbine
May 1, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lyn JamesSusan I Gerber
Oct 16, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·L Hannah GouldPatricia M Griffin
Dec 29, 2010·Foodborne Pathogens and Disease·Dina HoeferUNKNOWN Emerging Infections Program FoodNet Working Group
Jan 5, 2011·Emerging Infectious Diseases·Elaine ScallanPatricia M Griffin

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Citations

Jun 29, 2013·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·P RosinUNKNOWN Shiga toxin-producing Escherichia coli Experts of European Union Food- and Waterborne Diseases and Zoonoses Network
Nov 8, 2017·Journal of Paediatrics and Child Health·Stephen B FreedmanUNKNOWN Pediatric Emergency Research Canada (PERC) and the Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC)
Feb 26, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Cliodna Am McNultyMark Evans
Jan 25, 2020·Toxins·Adrien JosephAlexandre Hertig
Aug 22, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Fabienne Beatrice FischerDaniel Mäusezahl
Dec 6, 2019·Journal of the Pediatric Infectious Diseases Society·Bryan T NyczSamuel R Dominguez

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