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Cited by 455

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

An Outbreak of Escherichia coli O157:H7 Infections Associated with Leaf Lettuce Consumption

Ackers, Marta‐Louise, Mahon, Barbara E., Leahy, Ellen, Goode, Brant, Damrow, Todd, Hayes, Peggy S., Bibb, William F., Rice, Daniel H., Barrett, Timothy J., Hutwagner, Lori, Griffin, Patricia M., Slutsker, Laurence·1998·The Journal of Infectious Diseases

Abstract

In July 1995, 40 Montana residents were identified with laboratory-confirmed Escherichia coli O157:H7 infection; 52 residents had bloody diarrhea without laboratory confirmation. The median age of those with laboratory-confirmed cases was 42 years (range, 4- 86); 58% were female. Thirteen patients were hospitalized, and 1 developed hemolytic-uremic syndrome. A case-control study showed that 19 (70%) of 27 patients but only 8 (17%) of 46 controls reported eating purchased (not home-grown) leaf lettuce before illness (matched odds ratio, 25.3; 95% confidence interval, 3.9-1065.6). Pulsed-field gel electrophoresis identified a common strain among 22 of 23 isolates tested. Implicated lettuce was traced to two sources: a local Montana farm and six farms in Washington State that shipped under the same label. This outbreak highlights the increasing importance of fresh produce as a vehicle in foodborne illness. Sanitary growing and handling procedures are necessary to prevent these infections.

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Metadata

Authors
Ackers, M., Mahon, B. E., Leahy, E., Goode, B., Damrow, T., Hayes, P. S., Bibb, W. F., Rice, D. H., Barrett, T. J., Hutwagner, L., Griffin, P. M., & Slutsker, L.
Venue
The Journal of Infectious Diseases
Published
1998-06
Volume
177
Issue
6
Pages
1588-1593
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2069589023
Cited by
455
References
11
FWCI
7.77
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: An Outbreak of Escherichia coli O157:H7 Infections Associated with Leaf Lettuce Consumption. https://app.cochat.ai/papers/10.1086/515323
The paper
Ackers, M., Mahon, B. E., Leahy, E., Goode, B., Damrow, T., Hayes, P. S., Bibb, W. F., Rice, D. H., Barrett, T. J., Hutwagner, L., Griffin, P. M., & Slutsker, L. (1998). An Outbreak of Escherichia coli O157:H7 Infections Associated with Leaf Lettuce Consumption. The Journal of Infectious Diseases. https://doi.org/10.1086/515323

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.