Skip to main content Accessibility help
×
Home

Crab meat: a novel vehicle for E. coli O157 identified in an outbreak in South West England, August 2011

  • P. MATULKOVA (a1) (a2), M. GOBIN (a1), J. TAYLOR (a3), F. OSHIN (a3), K. O'CONNOR (a4) and I. OLIVER (a1) (a5)...

Summary

In August 2011, we investigated an outbreak of Escherichia coli O157 in Plymouth, England, utilizing a case-control study and food traceback. Nine cases, eight laboratory-confirmed with E. coli O157 phage type 21/28 verocytotoxin 2 and one epidemiologically linked, had onsets from 30 July 2011 to 15 August 2011. We compared cases (n = 8) with controls (n = 28) of similar age and sex (median age 61 vs. 55 years, females 75% vs. 61%). Cases were 58 times more likely to have eaten crab (88% vs. 11%; odds ratio 58, 95% confidence interval 4-2700). Eight cases consumed crab sourced from the same supplier who was not registered with the local authority. This outbreak pointed to crab as a possible vehicle of E. coli O157 infection. We ensured the withdrawal of crab meat sourced from unregistered suppliers from food venues by 25 August 2011. We also emphasized the importance of only using registered suppliers to the food venues. Since then no further associated cases have been reported.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Crab meat: a novel vehicle for E. coli O157 identified in an outbreak in South West England, August 2011
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Crab meat: a novel vehicle for E. coli O157 identified in an outbreak in South West England, August 2011
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Crab meat: a novel vehicle for E. coli O157 identified in an outbreak in South West England, August 2011
      Available formats
      ×

Copyright

Corresponding author

*Author for correspondence: Dr P. Matulkova, 2 Rivergate, Temple Quay, Bristol BS1 6EH, UK. (Email: Petra.Matulkova@nhs.net)

References

Hide All
1.Hawker, J, et al. Communicable Disease Control and Health Protection Handbook, 3rd edn. Chichester, UK: Wiley-Blackwell, 2012, pp. 111117.
2.Heymann, DL (ed.). Control of Communicable Diseases Manual, 19th edn. Washington DC: American Public Health Association, 2008, pp. 181186.
3.Verma, A, et al. An outbreak of E. coli O157 associated with a swimming pool: an unusual vehicle of transmission. Epidemiology and Infection 2007; 135: 989992.
4.Ihekweazu, C, et al. Outbreak of E. coli O157 infection in the south west of the UK: risks from streams crossing seaside beaches. Eurosurveillance 2006; 11: 128130.
5.Health Protection Agency. HPA electronic foodborne and non-foodborne gastrointestinal outbreak surveillance system (eFOSS). Foodborne outbreak epidemiological data. (http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/FoodborneOutbreakSurveillanceAndRiskAssessment/FoodborneOutbreaks/). Accessed 7 February 2012.
6.Health Protection Agency. Gastrointestinal diseases programme board. Protocol for the enhanced surveillance of vero cytotoxin-producing Escherichia coli (VTEC) infection in England, November 2008. (http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1224056070978). Accessed 7 February 2012.
7.Lindstedt, BA, et al. DNA fingerprinting of Shiga-toxin producing Escherichia coli O157 based on multiple-locus variable-number tandem-repeats analysis (MLVA). Annals of Clinical Microbiology and Antimicrobials 2003; 2: 12.
8.Gourmelon, M, et al. First isolation of Shiga toxin 1d producing Escherichia coli variant strains in shellfish from coastal areas in France. Journal of Applied Microbiology 2006; 100: 8597.
9.Bennani, M, et al. First detection of Shiga toxin-producing Escherichia coli in shellfish and coastal environments of Morocco. Applied Biochemistry and Biotechnology 2011; 165: 290299.
10.Fu, LL, et al. Temporal genetic variability and host sources of Escherichia coli associated with fecal pollution from domesticated animals in the shellfish culture environment of Xiangshan Bay, East China Sea. Environmental Pollution 2011; 159: 28082814.
11.Manna, SK, Das, R, Manna, C. Microbiological quality of finfish and shellfish with special reference to shiga toxin-producing Escherichia coli O157. Journal of Food Science 2008; 73: M283286.
12.Ammon, A. Surveillance of enterohaemorrhagic E. coli (EHEC) infections and haemolytic uraemic syndrome (HUS) in Europe. Eurosurveillance 1997; 2: 9196.
13.Jackson, LA, et al. Where's the beef? The role of cross-contamination in 4 chain restaurant–associated outbreaks of Escherichia coli O157:H7 in the Pacific Northwest. Archives of Internal Medicine 2000; 160: 23802385.
14.Buchholz, U, et al. German outbreak of Escherichia coli O104:H4 associated with sprouts. New England Journal of Medicine 2011; 365: 17631770.
15.Vogt, RL, Dippold, L. Escherichia coli O157:H7 outbreak associated with consumption of ground beef, June-July 2002. Public Health Reports 2005; 120: 174178.
16.Jay, MT, et al. A multistate outbreak of Escherichia coli O157:H7 infection linked to consumption of beef tacos at a fast-food restaurant chain. Clinical Infectious Diseases 2004; 39: 17.
17.Sartz, L, et al. An outbreak of Escherichia coli O157:H7 infection in southern Sweden associated with consumption of fermented sausage; aspects of sausage production that increase the risk of contamination. Epidemiology and Infection 2008; 136: 370380.
18.Cieslak, PR, et al. Hamburger-associated Escherichia coli O157:H7 infection in Las Vegas: a hidden epidemic. American Journal of Public Health 1997; 87: 176–80.
19.Espie, E, et al. Escherichia coli O157 outbreak associated with fresh unpasteurized goats’ cheese. Epidemiology and Infection 2006; 134: 143146.
20.Centers for Disease Prevention and Control. Outbreak of Escherichia coli O157:H7 infection associated with eating fresh cheese curds – Wisconsin, June 1998. Morbidity and Mortality Weekly Report 2000; 49: 911913.
21.Hilborn, ED, et al. An outbreak of Escherichia coli O157:H7 infections and haemolytic uraemic syndrome associated with consumption of unpasteurized apple cider. Epidemiology and Infection 2000; 124: 3136.
22.Ackers, ML, et al. An outbreak of Escherichia coli O157:H7 infections associated with leaf lettuce consumption. Journal of Infectious Diseases 1998; 177: 15881593.
23.Hilborn, ED, et al. A multistate outbreak of Escherichia coli O157:H7 infections associated with consumption of mesclun lettuce. Archives of Internal Medicine 1999; 159: 17581764.
24.Breuer, T, et al. A multistate outbreak of Escherichia coli O157:H7 infections linked to alfalfa sprouts grown from contaminated seeds. Emerging Infectious Diseases 2001; 7: 977982.
25.Sproston, EL, et al. Slugs: potential novel vectors of Escherichia coli O157. Applied and Environmental Microbiology 2006; 72: 144149.
26.National Health Service. Public board meeting. Integrated public health needs and performance in NHS South of England (http://www.southofengland.nhs.uk/wp-content/uploads/2012/03/SoE12_20-Integrated-PH-Needs-and-Performance-in-NHS-South-of-England-2.pdf). Accessed 29 March 2012.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed