Cited by 1,263Escherichia coli research studiesSalmonella and Campylobacter epidemiologyListeria monocytogenes in Food Safety

Epidemiology of Escherichia coli O157:H7 Outbreaks, United States, 1982–2002

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Rangel, Josefa M., Sparling, Phyllis H., Crowe, Collen, Griffin, Patricia M., Swerdlow, David L.·2005·Emerging Infectious Diseases

Abstract

Escherichia coli O157:H7 causes 73,000 illnesses in the United States annually. We reviewed E. coli O157 outbreaks reported to Centers for Disease Control and Prevention (CDC) to better understand the epidemiology of E. coli O157. E. coli O157 outbreaks (>or=2 cases of E. coli O157 infection with a common epidemiologic exposure) reported to CDC from 1982 to 2002 were reviewed. In that period, 49 states reported 350 outbreaks, representing 8,598 cases, 1,493 (17%) hospitalizations, 354 (4%) hemolytic uremic syndrome cases, and 40 (0.5%) deaths. Transmission route for 183 (52%) was foodborne, 74 (21%) unknown, 50 (14%) person-to-person, 31 (9%) waterborne, 11 (3%) animal contact, and 1 (0.3%) laboratory-related. The food vehicle for 75 (41%) foodborne outbreaks was ground beef, and for 38 (21%) outbreaks, produce.

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  • According to 20 years of epidemiological investigation of STEC O157:H7 between 1982 and 2002 in the United States, hemolytic uremic syndrome was found in 4% of 8,598 cases, with mortality of 0.5%.

    “According to 20 years of epidemiological investigation of STEC O157:H7 between 1982 and 2002 in the United States, hemolytic uremic syndrome was found in 4% of 8,598 cases, with mortality of 0.5% [12].”

    From Guideline for the Antibiotic Use in Acute Gastroenteritis (2019) · cites this paper as [12]

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  1. [25]U.S. Food and Drug Administration. Hazard Analysis and Critical Control Point (HACCP); procedures for the safe and sanitary processing and importing of juice; food labeling: warning notice statements; labeling of juice products; proposed rules. Fed Regist. 1998; 63: 20449– 86.
  2. [29]Centers for Disease Control and Prevention. Reducing the risk for transmission of enteric pathogens at petting zoos, open farms, animal exhibits, and other venues where the public has contact with farm animals. MMWR Morb Mortal Wkly Rep. 2001; 50: 297.

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Authors
Rangel, J. M., Sparling, P. H., Crowe, C., Griffin, P. M., & Swerdlow, D. L.
Affiliations
  • Cincinnati Children's Hospital Medical Center (US)
  • United States Department of Agriculture (US)
  • Centers for Disease Control and Prevention (US)
Corresponding author
Rangel, Josefa M.
Venue
Emerging Infectious Diseases
Published
2005-04
Volume
11
Issue
4
Pages
603-609
ISSN
  • 1080-6040 (ISSN-L)
  • 1080-6059
OpenAlex
W2144963709
Cited by
1,263
References
28
Citations by year
2026: 11 · 2025: 50 · 2024: 40 · 2023: 53 · 2022: 32 · 2021: 38 · 2020: 36 · 2019: 65 · 2018: 54 · 2017: 66 · 2016: 63 · 2015: 96 · 2014: 94 · 2013: 95 · 2012: 91
FWCI
26.75
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Emerging infectious diseases (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Lincoln (University of Nebraska) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Cincinnati Children's Hospital Medical Center
  • Centers for Disease Control and Prevention
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Listeria monocytogenes in Food Safety
Keywords
Escherichia coli O157:H7, foodborne outbreak, hemolytic uremic syndrome, ground beef, produce contamination, human-to-human transmission, waterborne transmission, animal contact, hospitalization, outbreak epidemiology
MeSH terms
Animals, Cattle, Dairy Products, Disease Outbreaks, Disease Reservoirs, Escherichia coli Infections, Food Microbiology, Hemolytic-Uremic Syndrome, Humans, Laboratory Infection, Meat, United States, Vegetables, Water Microbiology, Escherichia coli O157

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