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
Hauptverfasser: Maguire, H C, Seng, C, Chambers, S, Cheasty, T, Double, G, Soltanpoor, N, Morse, D
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container_issue 4
container_start_page 279
container_title Communicable disease and public health
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creator Maguire, H C
Seng, C
Chambers, S
Cheasty, T
Double, G
Soltanpoor, N
Morse, D
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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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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