

@article {14175,
	title = {Outbreak of {Vero} cytotoxin-producing {Escherichia} coli {O}157 in a child day care facility.},
	journal = {Communicable disease and public health / PHLS},
	volume = {5},
	number = {1},
	year = {2002},
	month = {mar},
	pages = {54{\textendash}8},
	abstract = {In December 1998, an outbreak of Vero cytotoxin-producing Escherichia coli (VTEC) O157 in a cr{\`e}che affected ten out of 45 children and one out of five staff members. Eight cases were symptomatic and three were asymptomatic. There were two asymptomatic adult family contacts of child cases. All specimens were identified as VTEC O157:H7, phage type 32. None of the cases were seriously ill and none developed haemolytic uraemic syndrome (HUS). One child continued to excrete the organism for 14 weeks. The origin of the outbreak was not found but epidemiological investigation was suggestive of person-to-person spread. All children and staff were screened and excluded from the cr{\`e}che until microbiological clearance was obtained. An inspection of the cr{\`e}che revealed overcrowding and inadequacies in cleaning and in the food preparation facilities. These problems were remedied before children were re-admitted to the cr{\`e}che. This outbreak demonstrates the ease with which VTEC O157 can be transmitted between small children. Two specific features of this outbreak were notable: (1) the mild self-limiting nature of the illness and (2) the prolonged shedding of the bacterium by one child.},
	keywords = {Adult, Child, Child Day Care Centers, Child Day Care Centers: statistics \& numerical dat, Disease Outbreaks, Escherichia coli Infections, Escherichia coli Infections: epidemiology, Escherichia coli Infections: transmission, Escherichia coli O157, Escherichia coli O157: isolation \& purification, Escherichia coli O157: pathogenicity, Feces, Feces: microbiology, Female, Great Britain, Great Britain: epidemiology, Humans, Infant, Male, Preschool, Risk Factors, Shiga Toxin 1, Shiga Toxin 1: biosynthesis, Time Factors},
	issn = {1462-1843},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/12070979},
	author = {O{\textquoteright}Donnell, J M and Thornton, L and McNamara, E B and Prendergast, T and Igoe, D and Cosgrove, C}
}
