An outbreak of Vero cytotoxin producing Escherichia coli O157 infection associated with takeaway sandwiches.

Hdl Handle:
http://hdl.handle.net/10147/324049
Title:
An outbreak of Vero cytotoxin producing Escherichia coli O157 infection associated with takeaway sandwiches.
Authors:
McDonnell, R J; Rampling, A; Crook, S; Cockcroft, P M; Wilshaw, G A; Cheasty, T; Stuart, J
Affiliation:
Public Health Laboratory, West Dorset Hospital, Dorchester.
Citation:
McDonnell RJ et al. An outbreak of Vero cytotoxin producing Escherichia coli O157 infection associated with takeaway sandwiches. Commun Dis Rep CDR Rev. 1997, 7 (13):R201-5
Journal:
Communicable disease report. CDR review
Issue Date:
12-Dec-1997
URI:
http://hdl.handle.net/10147/324049
PubMed ID:
9447785
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/9447785
Abstract:
An outbreak of food poisoning due to Escherichia coli O157 phage type 2 Vero cytotoxin 2 affected 26 people in southern counties of England in May and June 1995. The organism was isolated from faecal specimens from 23 patients, 16 of whom lived in Dorset and seven in Hampshire. Isolates were indistinguishable by phage typing, Vero cytotoxin gene typing, restriction fragment length polymorphism, and pulsed field gel electrophoresis. Three associated cases, linked epidemiologically to the outbreak, were confirmed serologically by detection of antibodies to E. coli O157 lipopolysaccharide. Twenty-two of the 26 patients were adults: four were admitted to hospital with haemorrhagic colitis. Four cases were children: two were admitted to hospital with haemolytic uraemic syndrome (HUS). There were no deaths. Although E. coli O157 was not isolated from any food samples, illness was associated with having eaten cold meats in sandwiches bought from two sandwich producers, in Weymouth and in Portsmouth. Both shops were supplied by the same wholesaler, who kept no records and obtained cooked meats from several sources in packs that did not carry adequate identification marks. It was, therefore, impossible to trace back to the original producer or to investigate further to determine the origin of contamination with E. coli O157. To protect the public health it is essential that all wholesale packs of ready-to-eat food carry date codes and the producer's identification mark. Detailed record keeping should be part of hazard analysis critical control point (HACCP) systems and should be maintained throughout the chain of distribution from the producer to retail outlets.
Item Type:
Article
Language:
en
Description:
An outbreak of food poisoning due to Escherichia coli O157 phage type 2 Vero cytotoxin 2 affected 26 people in southern counties of England in May and June 1995. The organism was isolated from faecal specimens from 23 patients, 16 of whom lived in Dorset and seven in Hampshire. Isolates were indistinguishable by phage typing, Vero cytotoxin gene typing, restriction fragment length polymorphism, and pulsed field gel electrophoresis. Three associated cases, linked epidemiologically to the outbreak, were confirmed serologically by detection of antibodies to E. coli O157 lipopolysaccharide. Twenty-two of the 26 patients were adults: four were admitted to hospital with haemorrhagic colitis. Four cases were children: two were admitted to hospital with haemolytic uraemic syndrome (HUS). There were no deaths. Although E. coli O157 was not isolated from any food samples, illness was associated with having eaten cold meats in sandwiches bought from two sandwich producers, in Weymouth and in Portsmouth. Both shops were supplied by the same wholesaler, who kept no records and obtained cooked meats from several sources in packs that did not carry adequate identification marks. It was, therefore, impossible to trace back to the original producer or to investigate further to determine the origin of contamination with E. coli O157. To protect the public health it is essential that all wholesale packs of ready-to-eat food carry date codes and the producer's identification mark. Detailed record keeping should be part of hazard analysis critical control point (HACCP) systems and should be maintained throughout the chain of distribution from the producer to retail outlets.
Keywords:
FOOD SAFETY; FOOD POISONING
MeSH:
Adolescent; Adult; Aged; Bacterial Toxins; Child; Child, Preschool; Cluster Analysis; Disease Outbreaks; England; Environmental Monitoring; Epidemiological Monitoring; Escherichia coli Infections; Escherichia coli O157; Female; Foodborne Diseases; Humans; Incidence; Male; Middle Aged; Shiga Toxin 1
ISSN:
1350-9349

Full metadata record

DC FieldValue Language
dc.contributor.authorMcDonnell, R Jen_GB
dc.contributor.authorRampling, Aen_GB
dc.contributor.authorCrook, Sen_GB
dc.contributor.authorCockcroft, P Men_GB
dc.contributor.authorWilshaw, G Aen_GB
dc.contributor.authorCheasty, Ten_GB
dc.contributor.authorStuart, Jen_GB
dc.date.accessioned2014-07-31T13:23:50Z-
dc.date.available2014-07-31T13:23:50Z-
dc.date.issued1997-12-12-
dc.identifier.citationMcDonnell RJ et al. An outbreak of Vero cytotoxin producing Escherichia coli O157 infection associated with takeaway sandwiches. Commun Dis Rep CDR Rev. 1997, 7 (13):R201-5en_GB
dc.identifier.issn1350-9349-
dc.identifier.pmid9447785-
dc.identifier.urihttp://hdl.handle.net/10147/324049-
dc.descriptionAn outbreak of food poisoning due to Escherichia coli O157 phage type 2 Vero cytotoxin 2 affected 26 people in southern counties of England in May and June 1995. The organism was isolated from faecal specimens from 23 patients, 16 of whom lived in Dorset and seven in Hampshire. Isolates were indistinguishable by phage typing, Vero cytotoxin gene typing, restriction fragment length polymorphism, and pulsed field gel electrophoresis. Three associated cases, linked epidemiologically to the outbreak, were confirmed serologically by detection of antibodies to E. coli O157 lipopolysaccharide. Twenty-two of the 26 patients were adults: four were admitted to hospital with haemorrhagic colitis. Four cases were children: two were admitted to hospital with haemolytic uraemic syndrome (HUS). There were no deaths. Although E. coli O157 was not isolated from any food samples, illness was associated with having eaten cold meats in sandwiches bought from two sandwich producers, in Weymouth and in Portsmouth. Both shops were supplied by the same wholesaler, who kept no records and obtained cooked meats from several sources in packs that did not carry adequate identification marks. It was, therefore, impossible to trace back to the original producer or to investigate further to determine the origin of contamination with E. coli O157. To protect the public health it is essential that all wholesale packs of ready-to-eat food carry date codes and the producer's identification mark. Detailed record keeping should be part of hazard analysis critical control point (HACCP) systems and should be maintained throughout the chain of distribution from the producer to retail outlets.en_GB
dc.description.abstractAn outbreak of food poisoning due to Escherichia coli O157 phage type 2 Vero cytotoxin 2 affected 26 people in southern counties of England in May and June 1995. The organism was isolated from faecal specimens from 23 patients, 16 of whom lived in Dorset and seven in Hampshire. Isolates were indistinguishable by phage typing, Vero cytotoxin gene typing, restriction fragment length polymorphism, and pulsed field gel electrophoresis. Three associated cases, linked epidemiologically to the outbreak, were confirmed serologically by detection of antibodies to E. coli O157 lipopolysaccharide. Twenty-two of the 26 patients were adults: four were admitted to hospital with haemorrhagic colitis. Four cases were children: two were admitted to hospital with haemolytic uraemic syndrome (HUS). There were no deaths. Although E. coli O157 was not isolated from any food samples, illness was associated with having eaten cold meats in sandwiches bought from two sandwich producers, in Weymouth and in Portsmouth. Both shops were supplied by the same wholesaler, who kept no records and obtained cooked meats from several sources in packs that did not carry adequate identification marks. It was, therefore, impossible to trace back to the original producer or to investigate further to determine the origin of contamination with E. coli O157. To protect the public health it is essential that all wholesale packs of ready-to-eat food carry date codes and the producer's identification mark. Detailed record keeping should be part of hazard analysis critical control point (HACCP) systems and should be maintained throughout the chain of distribution from the producer to retail outlets.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/9447785en_GB
dc.rightsArchived with thanks to Communicable disease report. CDR reviewen_GB
dc.subjectFOOD SAFETYen_GB
dc.subjectFOOD POISONINGen_GB
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshBacterial Toxins-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshCluster Analysis-
dc.subject.meshDisease Outbreaks-
dc.subject.meshEngland-
dc.subject.meshEnvironmental Monitoring-
dc.subject.meshEpidemiological Monitoring-
dc.subject.meshEscherichia coli Infections-
dc.subject.meshEscherichia coli O157-
dc.subject.meshFemale-
dc.subject.meshFoodborne Diseases-
dc.subject.meshHumans-
dc.subject.meshIncidence-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshShiga Toxin 1-
dc.titleAn outbreak of Vero cytotoxin producing Escherichia coli O157 infection associated with takeaway sandwiches.en_GB
dc.typeArticleen
dc.contributor.departmentPublic Health Laboratory, West Dorset Hospital, Dorchester.en_GB
dc.identifier.journalCommunicable disease report. CDR reviewen_GB

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