Shiga toxin-producing Escherichia coli (STEC) O157 outbreak, The Netherlands, September - October 2005.
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Jager, C M de
Zwaluw, W K
Boer, E de
Wannet, W J B
Duynhoven, Y T H P van
MetadataShow full item record
TitleShiga toxin-producing Escherichia coli (STEC) O157 outbreak, The Netherlands, September - October 2005.
PubliekssamenvattingIn September 2005, the first national food-related outbreak of Shiga toxin (Stx)-producing Escherichia coli (STEC) O157 was investigated in the Netherlands. A total of 21 laboratory-confirmed cases (including one secondary case), and another 11 probable cases (two primary and nine secondary cases) were reported in patients who became ill between 11 September and 10 October 2005. Preliminary investigation suggested consumption of a raw beef product, steak tartare (in the Netherlands also known as 'filet americain'), and contact with other symptomatic persons as possible risk factors. A subsequent case-control study supported the hypothesis that steak tartare was the source of the outbreak (matched odds ratio (OR) 272, 95% confidence interval (CI) 3 - 23211). Consumption of ready-to-eat vegetables was also associated with STEC O157 infection (matched OR 24, 95% CI 1.1 - 528), but was considered a less likely source, as only 40% of the cases were exposed. Samples of steak tartare collected from one chain of supermarkets where it is likely that most patients (67%) bought steak tartare, all tested negative for STEC O157. However, sampling was done three days after the date of symptom onset of the last reported case. Since 88% of the cases became ill within a two week period, point source contamination may explain these negative results. It is concluded that steak tartare was the most likely cause of the first national food-related outbreak of STEC O157 in the Netherlands.
- Shiga toxin-producing Escherichia coli (STEC) O157 outbreak, The Netherlands, September - October 2005.
- Authors: Doorduyn Y, de Jager CM, van der Zwaluw WK, Friesema IH, Heuvelink AE, de Boer E, Wannet WJB, van Duynhoven YTHP
- Issue date: 2006 Jul
- Nationwide outbreak of STEC O157 infection in the Netherlands, December 2008-January 2009: continuous risk of consuming raw beef products.
- Authors: Greenland K, de Jager C, Heuvelink A, van der Zwaluw K, Heck M, Notermans D, van Pelt W, Friesema I
- Issue date: 2009 Feb 26
- Enhanced laboratory-based surveillance of Shiga-toxin-producing Escherichia coli O157 in The Netherlands.
- Authors: Van Duynhoven YT, De Jager CM, Heuvelink AE, Van Der Zwaluw WK, Maas HM, Van Pelt W, Wannet WJ
- Issue date: 2002 Jul
- Two multistate outbreaks of Shiga toxin--producing Escherichia coli infections linked to beef from a single slaughter facility - United States, 2008.
- Authors: Centers for Disease Control and Prevention (CDC).
- Issue date: 2010 May 14
- Phage types, virulence genes and PFGE profiles of Shiga toxin-producing Escherichia coli O157:H7 isolated from raw beef, soft cheese and vegetables in Lima (Peru).
- Authors: Mora A, León SL, Blanco M, Blanco JE, López C, Dahbi G, Echeita A, González EA, Blanco J
- Issue date: 2007 Mar 10