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Epidemiology of Escherichia coli O157:H7 Outbreaks, United States, 1982–2002
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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% [12].”
From Guideline for the Antibiotic Use in Acute Gastroenteritis (2019) · cites this paper as [12]
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Metadata
- 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.
- ORCID
- Swerdlow, David L.
- Venue
- Emerging Infectious Diseases
- Published
- 2005-04
- Volume
- 11
- Issue
- 4
- Pages
- 603-609
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- PMC
- PMC3320345
- 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
- diamond
- doi.org
- 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 › Immunology and Microbiology › Microbiology › Escherichia coli research studies
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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