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Outbreaks of food poisoning in adults due to Escherichia coli O111 and campylobacter associated with coach trips to northern France

Published online by Cambridge University Press:  01 August 1997

J. P. WIGHT
Affiliation:
Directorate of Policy and Public Health, Sheffield Health Authority, 5 Old Fulwood Road, Sheffield S10 3TG
P. RHODES
Affiliation:
Public and Environmental Health Department, Sheffield City Council, Town Hall Chambers, Barkers Pool, Sheffield S1 1EN
P. A. CHAPMAN
Affiliation:
Public Health Laboratory, Herries Road, Sheffield S5 7BQ
S. M. LEE
Affiliation:
Public Health Laboratory, Herries Road, Sheffield S5 7BQ
P. FINNER
Affiliation:
Public Health Laboratory, Herries Road, Sheffield S5 7BQ
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Abstract

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Thirty-seven out of 48 people on a coach excursion to northern France developed gastrointestinal symptoms within 4 days of the trip. Twenty-six had stool samples positive for Escherichia coli O111, 8 were also positive for Campylobacter species, and 1 was positive for campylobacter alone. Strains of E. coli were positive for the effacing and attaching protein (eaeA) gene, but negative for other E. coli virulence genes, and therefore belonged to the enteropathogenic E. coli (EPEC) group. Twenty-two out of 37 people in a second party which followed the same itinerary 2 weeks later also became ill. One had a stool sample positive for E. coli O111. Analytical epidemiology suggested that the source of infections was a restaurant in northern France at which both parties had eaten.

Type
Research Article
Copyright
© 1997 Cambridge University Press