Factors Affecting Surveillance Data on Escherichia coli O157 Infections Collected from FoodNet Sites, 1996–1999

To determine the burden of illness caused by Escherichia coli O157 infections in populations in Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas, we initiated active, laboratory-based surveillance and surveyed laboratories, physicians, and the general public regarding the...

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Veröffentlicht in:Clinical infectious diseases 2004-04, Vol.38 (Supplement-3), p.S157-S164
Hauptverfasser: Bender, Jeffrey B., Smith, Kirk E., McNees, Alex A., Rabatsky-Ehr, Therese R., Segler, Suzanne D., Hawkins, Marguerite A., Spina, Nancy L., Keene, William E., Kennedy, Malinda H., Van Gilder, Thomas J., Hedberg, Craig W.
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container_end_page S164
container_issue Supplement-3
container_start_page S157
container_title Clinical infectious diseases
container_volume 38
creator Bender, Jeffrey B.
Smith, Kirk E.
McNees, Alex A.
Rabatsky-Ehr, Therese R.
Segler, Suzanne D.
Hawkins, Marguerite A.
Spina, Nancy L.
Keene, William E.
Kennedy, Malinda H.
Van Gilder, Thomas J.
Hedberg, Craig W.
description To determine the burden of illness caused by Escherichia coli O157 infections in populations in Foodborne Diseases Active Surveillance Network (FoodNet) surveillance areas, we initiated active, laboratory-based surveillance and surveyed laboratories, physicians, and the general public regarding the factors associated with the diagnosis and surveillance of infection with E. coli O157. We evaluated survey responses and site-specific incidence, outbreak, and demographic data during 1996–1999. A total of 1425 laboratory-confirmed cases of E. coli O157 infection and 32 outbreaks were reported from the 5 original FoodNet sites. The average annual incidence ranged from 0.5 cases/100,000 population in Georgia to 4.4 cases/100,000 population in Minnesota. After excluding outbreak-associated cases, the annual incidence of sporadic, laboratory-confirmed E. coli O157 infections remained relatively stable during 1996–1999, with a range of 1.9–2.3 cases/100,000 population. Regional differences in incidence partly resulted from differing physician and laboratory practices and from site-specific exposure factors (e.g., living on or visiting farms).
doi_str_mv 10.1086/381582
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source MEDLINE; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Child
Diarrhea
Disease outbreaks
Escherichia coli
Escherichia coli Infections - epidemiology
Escherichia coli Infections - microbiology
Escherichia coli O157 - isolation & purification
Female
Food Microbiology
Foodborne Diseases - epidemiology
Foodborne illnesses
Georgia - epidemiology
Hospitalization
Humans
Incidence
Infections
Infectious diseases
Information Services
Male
Medical practice
Minnesota - epidemiology
Physicians
Population Surveillance
Preventive medicine
Surveillance
title Factors Affecting Surveillance Data on Escherichia coli O157 Infections Collected from FoodNet Sites, 1996–1999
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