Shigella outbreak in a school associated with eating canteen food and person to person spread
In June 1993 an outbreak of Shigella sonnei infection at a primary school in south east England affected 42% of 327 pupils and staff. Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating...
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Veröffentlicht in: | Communicable disease and public health 1998-12, Vol.1 (4), p.279 |
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description | In June 1993 an outbreak of Shigella sonnei infection at a primary school in south east England affected 42% of 327 pupils and staff. Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating canteen food (relative risk 5.9; 95% confidence interval 3.4, -10.3). All strains examined were S. sonnei phage type 3, with the same antibiogram (ttSTSS), and were indistinguishable using colicin typing and biotyping (colicin type 9, E8) and pulse field gel electrophoresis. Molecular epidemiology suggested but could not confirm that the outbreak strain was introduced into the school population from the community. |
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Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating canteen food (relative risk 5.9; 95% confidence interval 3.4, -10.3). All strains examined were S. sonnei phage type 3, with the same antibiogram (ttSTSS), and were indistinguishable using colicin typing and biotyping (colicin type 9, E8) and pulse field gel electrophoresis. Molecular epidemiology suggested but could not confirm that the outbreak strain was introduced into the school population from the community.</description><identifier>ISSN: 1462-1843</identifier><identifier>PMID: 9854890</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Child ; Child, Preschool ; Disease Outbreaks ; Dysentery, Bacillary - epidemiology ; Dysentery, Bacillary - prevention & control ; Dysentery, Bacillary - transmission ; England - epidemiology ; Female ; Food Contamination ; Humans ; Male ; Risk Factors ; Schools ; Shigella sonnei</subject><ispartof>Communicable disease and public health, 1998-12, Vol.1 (4), p.279</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9854890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maguire, H C</creatorcontrib><creatorcontrib>Seng, C</creatorcontrib><creatorcontrib>Chambers, S</creatorcontrib><creatorcontrib>Cheasty, T</creatorcontrib><creatorcontrib>Double, G</creatorcontrib><creatorcontrib>Soltanpoor, N</creatorcontrib><creatorcontrib>Morse, D</creatorcontrib><title>Shigella outbreak in a school associated with eating canteen food and person to person spread</title><title>Communicable disease and public health</title><addtitle>Commun Dis Public Health</addtitle><description>In June 1993 an outbreak of Shigella sonnei infection at a primary school in south east England affected 42% of 327 pupils and staff. Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating canteen food (relative risk 5.9; 95% confidence interval 3.4, -10.3). All strains examined were S. sonnei phage type 3, with the same antibiogram (ttSTSS), and were indistinguishable using colicin typing and biotyping (colicin type 9, E8) and pulse field gel electrophoresis. Molecular epidemiology suggested but could not confirm that the outbreak strain was introduced into the school population from the community.</description><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Disease Outbreaks</subject><subject>Dysentery, Bacillary - epidemiology</subject><subject>Dysentery, Bacillary - prevention & control</subject><subject>Dysentery, Bacillary - transmission</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Food Contamination</subject><subject>Humans</subject><subject>Male</subject><subject>Risk Factors</subject><subject>Schools</subject><subject>Shigella sonnei</subject><issn>1462-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tKAzEUQLNQaq1-gnB_YGAmyWQmSym-oOBCXUq5k3vTRqfJMEkR_17BujpndeCciWWjjayaXqsLcZnzR11r1cp6IRa2b3Vv66V4f9mHHY8jQjqWYWb8hBABIbt9SiNgzskFLEzwFcoeGEuIO3AYC3MEnxIBRoKJ55wilPRvefpt0ZU49zhmvj5xJd7u717Xj9Xm-eFpfbuppkY2pbKO2sENeuitdtyRUk4r39VdIwnJONnb1mtpHHWG2VhpFClGj8q3FjWplbj5607H4cC0neZwwPl7e9pUP-7hT18</recordid><startdate>199812</startdate><enddate>199812</enddate><creator>Maguire, H C</creator><creator>Seng, C</creator><creator>Chambers, S</creator><creator>Cheasty, T</creator><creator>Double, G</creator><creator>Soltanpoor, N</creator><creator>Morse, D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>199812</creationdate><title>Shigella outbreak in a school associated with eating canteen food and person to person spread</title><author>Maguire, H C ; Seng, C ; Chambers, S ; Cheasty, T ; Double, G ; Soltanpoor, N ; Morse, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p121t-9cd5bcb4b894ce7d33c43f70712dad6c2895f426cd76ee69263d3eafa3f59a4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Disease Outbreaks</topic><topic>Dysentery, Bacillary - epidemiology</topic><topic>Dysentery, Bacillary - prevention & control</topic><topic>Dysentery, Bacillary - transmission</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Food Contamination</topic><topic>Humans</topic><topic>Male</topic><topic>Risk Factors</topic><topic>Schools</topic><topic>Shigella sonnei</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maguire, H C</creatorcontrib><creatorcontrib>Seng, C</creatorcontrib><creatorcontrib>Chambers, S</creatorcontrib><creatorcontrib>Cheasty, T</creatorcontrib><creatorcontrib>Double, G</creatorcontrib><creatorcontrib>Soltanpoor, N</creatorcontrib><creatorcontrib>Morse, D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Communicable disease and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maguire, H C</au><au>Seng, C</au><au>Chambers, S</au><au>Cheasty, T</au><au>Double, G</au><au>Soltanpoor, N</au><au>Morse, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shigella outbreak in a school associated with eating canteen food and person to person spread</atitle><jtitle>Communicable disease and public health</jtitle><addtitle>Commun Dis Public Health</addtitle><date>1998-12</date><risdate>1998</risdate><volume>1</volume><issue>4</issue><spage>279</spage><pages>279-</pages><issn>1462-1843</issn><abstract>In June 1993 an outbreak of Shigella sonnei infection at a primary school in south east England affected 42% of 327 pupils and staff. Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating canteen food (relative risk 5.9; 95% confidence interval 3.4, -10.3). All strains examined were S. sonnei phage type 3, with the same antibiogram (ttSTSS), and were indistinguishable using colicin typing and biotyping (colicin type 9, E8) and pulse field gel electrophoresis. Molecular epidemiology suggested but could not confirm that the outbreak strain was introduced into the school population from the community.</abstract><cop>England</cop><pmid>9854890</pmid></addata></record> |
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subjects | Adult Child Child, Preschool Disease Outbreaks Dysentery, Bacillary - epidemiology Dysentery, Bacillary - prevention & control Dysentery, Bacillary - transmission England - epidemiology Female Food Contamination Humans Male Risk Factors Schools Shigella sonnei |
title | Shigella outbreak in a school associated with eating canteen food and person to person spread |
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