PMID: 9546508Apr 18, 1998Paper

Risk factors for and prevention of sporadic infections with vero cytotoxin (shiga toxin) producing Escherichia coli O157

Lancet
S ParryT Cheasty

Abstract

Recent outbreaks of vero cytotoxin (shiga toxin) producing Escherichia coli O157 (VTEC O157) infection have stimulated debate on food safety. However, 90% of cases in England and Wales are sporadic. We report a case-control study of sporadic VTEC O157 infection. We compared 85 sporadic cases of VTEC O157 infection, identified through population surveillance, with 142 controls, randomly selected from general practitioners' lists. We matched cases and controls for age, sex, and family doctor's practice. Exposures to foods, water, animals, farms, and environmental factors were recorded. We visited the premises concerned when cases had eaten beefburgers or cooked sliced meats from caterers or had had contact with a farm. Consumption of a beefburger from a catering premises other than from a fast-food chain A (a national chain) and consumption of cold cooked sliced meat (eg, in a salad or sandwich) from caterers, but not butchers, was associated with VTEC O157 infection (odds ratios 4.63 [95% CI 1.33-30.14] and 3.36 [1.04-12.74], respectively). Policies for ensuring thorough cooking of burgers by one national fast-food chain differed from the other catering premises we visited. There was evidence of person-to-person spread and trans...Continue Reading

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Citations

Jun 16, 2001·International Journal of Food Microbiology·G A WillshawS J O'Brien
Aug 23, 2002·The New England Journal of Medicine·Sarah J O'Brien, Goutam K Adak
Dec 2, 2010·Foodborne Pathogens and Disease·Witold A Ferens, Carolyn J Hovde
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Jun 1, 2011·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·N J C StrachanD Chadwick
Jul 6, 2000·Symposium Series·S M Parry, S R Palmer
Jul 6, 2000·Symposium Series·R M ChalmersF J Bolton
Jan 24, 2012·BMC Public Health·Hassan VallyPatricia Desmarchelier
Mar 11, 2005·Emerging Infectious Diseases·Goutam K AdakSarah J O'Brien
Oct 20, 1998·Lancet·P S Mead, P M Griffin
Oct 24, 2001·Brain Research. Brain Research Protocols·I UtsunomiyaT Miyatake
Oct 13, 2006·Current Opinion in Infectious Diseases·J A AdachiC D Ericsson
Mar 18, 2008·Journal of the American Veterinary Medical Association·Heather Henderson
Mar 18, 2016·Emerging Infectious Diseases·Natalie L AdamsClaire Jenkins
Aug 10, 1999·Current Problems in Pediatrics·M Noguera-Obenza, T G Cleary
Aug 29, 2006·International Journal of Food Microbiology·Norval J C StrachanIain D Ogden
Feb 9, 2006·Preventive Veterinary Medicine·J C WoodG Gettinby
Mar 8, 2003·International Journal of Hygiene and Environmental Health·Sally F Bloomfield
Aug 19, 2007·Animal Health Research Reviews·Donna M DennoPhillip I Tarr
Oct 1, 2013·Applied and Environmental Microbiology·Camilla SekseAnne Margrete Urdahl

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