Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-17T11:35:35.464Z Has data issue: false hasContentIssue false

An outbreak of Escherichia coli O157 associated with a children's paddling pool

Published online by Cambridge University Press:  15 May 2009

D. H. Brewster
Affiliation:
Department of Public Health, Borders Health Board, Melrose TD6 9BP
M. I. Brown
Affiliation:
Microbiology Department. Borders General Hospital, Melrose TD6 9BS
D. Robertson
Affiliation:
Environmental Services Department, Ettrick and Lauderdale District Council, Galashids TD1 3AS
G. L. Houghton
Affiliation:
Environmental Services Department, Ettrick and Lauderdale District Council, Galashids TD1 3AS
J. Bimson
Affiliation:
Infection Control Nursing Officer, Borders Health Board, Melrose TD6 9BS
J. C. M. Sharp
Affiliation:
Communicable Diseases (Scotland) Unit, Ruchill Hospital. Glasgow G20 9NB
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In May 1992. a small, circumscribed community outbreak of infection due to verotoxin-producing Escherichia coli O157 phage type 49 occurred in a semi-rural area of south-east Scotland. On the basis of stool cultures, six cases were identified, one of whom was asymptomatic. One child developed the haemolytic uraemic syndrome. Although the source of infection of the index case was not established nor could the extent of person-to-person spread be fully determined, the clinical, microbiological and epidemiological evidence available indicated that a children's paddling pool served as the focal point in the transmission of infection causing the outbreak.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1994

References

REFERENCES

1.Duncan, L, Mai, V, Carter, A, Carlson, JAK, Borczyk, A, Karmali, M. Outbreak of gastrointestinal disease - Ontario. Can Dis Wkly Rep 1987; 13: 58.Google Scholar
2.Marsh, J, MacLeod, AF, Hanson, MF, Emmanuel, FXS, Frost, JA, Thomas, A. A restaurant-associated outbreak of E. coli O157 infection. J Public Hlth Med 1992: 14: 7883.Google ScholarPubMed
3. Anonymous. Preliminary report: Foodborne outbreak of Escherichia coli O157.H7 infections from hamburgers - Western United States. 1993. MMWR 1993: 42: 85–6.Google Scholar
4.Morgan, D, Newman, CP, Hutchinson, DN, Walker, AM, Rowe, B. Majid, F. Verotoxin producing Escherichia coli O157 infections associated with the consumption of yoghurt. Epidemiol Infect 1993: 111: 181–7.CrossRefGoogle Scholar
5.Dev, VJ. Main, M, Gould, IM. Waterborne outbreak of Escherichia coli O157. Lancet 1991: 337: 1412.CrossRefGoogle ScholarPubMed
6.Rice, EW, Johnson, CH, Wild, DK, Reasonet, DJ. Survival of Escherichia coli O157. H7 in drinking water associated with a waterborne disease outbreak of hemorrhagic colitis. Lett Appl Microbiol 1992; 15: 3840.CrossRefGoogle Scholar
7.Spika, JS, Parsons, JE. Nordenberg, D. Wells, JG, Gunn, RA, Blake, PA. Hemolytic uremie syndrome and diarrhoea associated with Escherichia coli O157.H7 in a day care center. J Paediatr 1986; 109: 287–91.CrossRefGoogle Scholar
8.Kohli, HS, Chaudhuri, AKR, Todd, WTA, Mitchell, AAB, Liddell, KG. The Hartwoodhill hospital E. coli outbreak. Comm Dis Env Hlth Scot Wkly Rep 1993: 27: 811.Google Scholar
9.Lerman, Y. Cohen, D, Gluck, A, Ohad, E, Sechter, I. A cluster of cases of Escherichia coli O157 infection in a day-care center in a communal settlement (Kibbutz) in Israel. J Clin Microbiol 1992; 30: 520–1.CrossRefGoogle Scholar
10.Harter, L, Frost, F, Grunenfolder, G, Perkins-Jones, K, Libby, J. Giardiasis in an infant and toddler swim class. Am J Public Health 1984; 74: 155–6.CrossRefGoogle Scholar
11.Porter, JD. Ragazzoni, HP. Buchanon, JD, Waskin, HA. Juranek, DD. Parkin, WE. Giardia transmission in a swimming pool. Am J Public Hlth 1988: 78: 659–62.CrossRefGoogle Scholar
12.Greensmith, CT, Stanwick, RS. Elliot, BE. Fast, MV. Giardiasis associated with the use of a water slide. Pediatr Infect Dis J 1988; 7: 91–4.CrossRefGoogle ScholarPubMed
13.Sorvillo, FJ, Fujioka, K. Tormey, M et al. , Swimming-associated cryptosporidiosis - Los Angeles County. MMWR 1990; 39: 343–5.Google Scholar
14.Joce, RE, Bruce, J, Kiely, D et al. , An outbreak of cryptosporidiosis associated with a swimming pool. Epidemiol Infect 1991: 107: 497508.CrossRefGoogle ScholarPubMed
15.Kappus, KD, Marks, JS, Holman, RC et al. , An outbreak of Norwalk gastroenteritis associated with swimming in a pool and secondary person-to-person transmission. Am J Epidemiol 1982: 116: 834–9.CrossRefGoogle Scholar
16.Mahoney, FJ, Farley, TA. Kelso, KY. Wilson, SA, Horan, JM. McFarland, LM. An outbreak of hepatitis A associated with swimming in a public pool. J Infect Dis 1992; 165: 613–18.CrossRefGoogle Scholar
17.Lenaway, DD. Brockmann, R. Dolan, GJ, Cruz-Uribe, F. An outbreak of an enterovirus-like illness at a community wading pool: implications for public health inspection programs. Am J Public Health 1989: 79: 889–90.CrossRefGoogle Scholar
18.Salmon, RL. Farrell, ID, Hutchison, JGP et al. A christening party outbreak of haemorrhagic colitis and haemolvtic uraemic syndrome associated with Escherichia coli O157.H7. Epidemiol Infect 1989; 103: 249–54.CrossRefGoogle Scholar
19.Bisset, JG. Brown, MI. Bimson, MJ et al. An outbreak of haemorrhagic colitis due to E. coli O157 in two residential homes for the elderly in the Borders. Comm Dis Env Hlth Scot Wkly Rep 1992: 26: 56.Google Scholar