1982 - 2002年美国大肠杆菌O157:H7疫情的流行病学情况 - Suppr

Epidemiology of Escherichia coli O157:H7 outbreaks, United States, 1982-2002.

作者信息

Rangel Josefa M, Sparling Phyllis H, Crowe Collen, Griffin Patricia M, Swerdlow David L

机构信息

Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

出版信息

Emerg Infect Dis. 2005 Apr;11(4):603-9. doi: 10.3201/eid1104.040739.

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.

在美国，每年有7.3万人感染大肠杆菌O157:H7。我们回顾了向美国疾病控制与预防中心（CDC）报告的大肠杆菌O157疫情，以便更好地了解大肠杆菌O157的流行病学情况。我们回顾了1982年至2002年期间向CDC报告的大肠杆菌O157疫情（≥2例有共同流行病学暴露的大肠杆菌O157感染病例）。在此期间，49个州报告了350起疫情，涉及8598例病例，其中1493例（17%）住院治疗，354例（4%）出现溶血尿毒综合征，40例（0.5%）死亡。183起疫情（52%）的传播途径为食源性，74起（21%）不明，50起（14%）为人传人，31起（9%）为水源性，11起（3%）为动物接触，1起（0.3%）与实验室相关。在75起（41%）食源性疫情中，传播媒介为绞碎牛肉，38起（21%）疫情的传播媒介为农产品。