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Abstract

As at 29 February 2016, 15 cases of haemolytic uraemic syndrome with onset between 25 January and 22 February were reported among children between five and 38 months in Romania, and three of them died. Cases were mostly from southern Romania. Six cases tested positive for O26 by serology. Fruits, vegetables, meat and dairy products were among the possible common food exposures. Investigations are ongoing in Romania to control the outbreak.

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/content/10.2807/1560-7917.ES.2016.21.11.30170
2016-03-17
2019-09-23
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.11.30170
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References

  1. Caprioli A, Luzzi I, Rosmini F, Resti C, Edefonti A, Perfumo F, et al. Community-wide outbreak of hemolytic-uremic syndrome associated with non-O157 verocytotoxin-producing Escherichia coli. J Infect Dis. 1994;169(1):208-11.  https://doi.org/10.1093/infdis/169.1.208  PMID: 8277184 
  2. Jenssen GR, Hovland E, Bjerre A, Bangstad HJ, Nygard K, Vold L. Incidence and etiology of hemolytic-uremic syndrome in children in Norway, 1999-2008--a retrospective study of hospital records to assess the sensitivity of surveillance. BMC Infect Dis. 2014;14(1):265.  https://doi.org/10.1186/1471-2334-14-265  PMID: 24884396 
  3. Tarr PI, Gordon CA, Chandler WL. Shiga-toxin-producing Escherichia coli and haemolytic uraemic syndrome. Lancet. 2005;365(9464):1073-86. PMID: 15781103 
  4. Doorduyn Y, de Jager CM, van der Zwaluw WK, Friesema IH, Heuvelink AE, de Boer E, et al. Shiga toxin-producing Escherichia coli (STEC) O157 outbreak, The Netherlands, September-October 2005. Euro Surveill. 2006;11(7):182-5. PMID: 16966799 
  5. Askar M, Faber MS, Frank C, Bernard H, Gilsdorf A, Fruth A, et al. Update on the ongoing outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli (STEC) serotype O104, Germany, May 2011. Euro Surveill. 2011;16(22):19883. PMID: 21663710 
  6. Rubino S, Cappuccinelli P, Kelvin DJ. Escherichia coli (STEC) serotype O104 outbreak causing haemolytic syndrome (HUS) in Germany and France. J Infect Dev Ctries. 2011;5(6):437-40.  https://doi.org/10.3855/jidc.2172  PMID: 21727641 
  7. Aldabe B, Delmas Y, Gault G, Vendrely B, Llanas B, Charron M, et al. Household transmission of haemolytic uraemic syndrome associated with Escherichia coli O104:H4, south-western France, June 2011. Euro Surveill. 2011;16(31):19934. PMID: 21871216 
  8. Jenkins C, Dallman TJ, Launders N, Willis C, Byrne L, Jorgensen F, et al. Public Health Investigation of Two Outbreaks of Shiga Toxin-Producing Escherichia coli O157 Associated with Consumption of Watercress. Appl Environ Microbiol. 2015;81(12):3946-52.  https://doi.org/10.1128/AEM.04188-14  PMID: 25841005 
  9. Centers for Disease Control and Prevention (CDC). Outbreak of Escherichia coli O104:H4 infections associated with sprout consumption - Europe and North America, May-July 2011. MMWR Morb Mortal Wkly Rep. 2013;62(50):1029-31. PMID: 24352067 
  10. Frank C, Milde-Busch A, Werber D. Results of surveillance for infections with Shiga toxin-producing Escherichia coli (STEC) of serotype O104:H4 after the large outbreak in Germany, July to December 2011. Euro Surveill. 2014;19(14):20760.  https://doi.org/10.2807/1560-7917.ES2014.19.14.20760  PMID: 24739983 
  11. European Centre for Disease Prevention and Control (ECDC). Annual epidemiological report. Food- and waterborne diseases and zoonoses. Stockholm: ECDC. 2014. Available from: http://ecdc.europa.eu/en/publications/Publications/food-waterborne-diseases-annual-epidemiological-report-2014.pdf
  12. Pollock KG, Bhojani S, Beattie TJ, Allison L, Hanson M, Locking ME, et al. Highly virulent Escherichia coli O26, Scotland. Emerg Infect Dis. 2011;17(9):1777-9.  https://doi.org/10.3201/eid1709.110199  PMID: 21888827 
  13. Germinario CCA, Chironna M, Gallone MS, Tafuri S, Desiante F, Calabrese G, et al. Community-wide Outbreak of Haemolytic Uremic Syndrome Associated with Shiga Toxin 2-Producing Escherichia coli O26:H11 in Southern Italy, Summer 2013. Euro Surveill. 2016; (Forthcoming).
  14. Allerberger F, Friedrich AW, Grif K, Dierich MP, Dornbusch HJ, Mache CJ, et al. Hemolytic-uremic syndrome associated with enterohemorrhagic Escherichia coli O26:H infection and consumption of unpasteurized cow’s milk. Int J Infect Dis. 2003;7(1):42-5.  https://doi.org/10.1016/S1201-9712(03)90041-5  PMID: 12718809 
  15. De Schrijver K, Buvens G, Possé B, Van den Branden D, Oosterlynck O, De Zutter L, et al. Outbreak of verocytotoxin-producing E. coli O145 and O26 infections associated with the consumption of ice cream produced at a farm, Belgium, 2007. Euro Surveill. 2008;13(7):8041. PMID: 18445416 
Early findings in outbreak of haemolytic uraemic syndrome among young children caused by Shiga toxin-producing Escherichia coli, Romania, January to February 2016
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Emilie+Peron&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Peron Emilie</a>, <a href="/search?value1=Alina+Zaharia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zaharia Alina</a>, <a href="/search?value1=Lavinia+Cipriana+Zota&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zota Lavinia Cipriana</a>, <a href="/search?value1=Ettore+Severi&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Severi Ettore</a>, <a href="/search?value1=Otilia+M%C3%A5rdh&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mårdh Otilia</a>, <a href="/search?value1=Codruta+Usein&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Usein Codruta</a>, <a href="/search?value1=Mihaela+B%C4%83lgr%C4%83dean&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bălgrădean Mihaela</a>, <a href="/search?value1=Laura+Espinosa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Espinosa Laura</a>, <a href="/search?value1=Josep+Jansa&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jansa Josep</a>, <a href="/search?value1=Gaia+Scavia&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Scavia Gaia</a>, <a href="/search?value1=Alexandru+Rafila&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rafila Alexandru</a>, <a href="/search?value1=Amalia+Serban&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Serban Amalia</a>, <a href="/search?value1=Adriana+Pistol&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pistol Adriana</a></span>. Early findings in outbreak of haemolytic uraemic syndrome among young children caused by Shiga toxin-producing Escherichia coli, Romania, January to February 2016. <a href="/content/ecdc">Euro Surveill.</a> 2016;21(11):pii=30170. <a href="https://doi.org/10.2807/1560-7917.ES.2016.21.11.30170" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2016.21.11.30170</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 04 Mar 2016;&nbsp;&nbsp; <span class="generated">Accepted</span>: 17 Mar 2016 </span> </p>
/content/10.2807/1560-7917.ES.2016.21.11.30170
/content/10.2807/1560-7917.ES.2016.21.11.30170
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