A Waterborne Outbreak of Gastroenteritis in Adults Associated With Escherichia Coli

Schroeder, StevenA.; Caldwell, JacquesR.; Vernon, ThomasM.; White, P. Bruce; Granger, StephenI.; Bennett, JohnV.

doi:10.1016/s0140-6736(68)92181-8

Cited by 37 publications

(6 citation statements)

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“…coli have been shown in individual cases and outbreaks (Schroeder et al, 1968). Nevertheless, in a high percentage of cases no bacterial pathogen is found (Gorbach et al, 1971).…”

Section: Discussionmentioning

confidence: 99%

Bacterial microflora of the upper gastrointestinal tract in infants with protracted diarrhoea

Challacombe¹,

Richardson²,

Rowe³

et al. 1974

Archives of Disease in Childhood

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“…coli have been shown in individual cases and outbreaks (Schroeder et al, 1968). Nevertheless, in a high percentage of cases no bacterial pathogen is found (Gorbach et al, 1971).…”

Section: Discussionmentioning

confidence: 99%

Bacterial microflora of the upper gastrointestinal tract in infants with protracted diarrhoea

Challacombe¹,

Richardson²,

Rowe³

et al. 1974

Archives of Disease in Childhood

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“…However, a few outbreaks have been reported. A water-borne outbreak due to E. coli 0111 affected adults attending a conference centre in the United States (Schroeder et al 1968) and two food-borne outbreaks have been reported in Britain (Report, 1974;Vernon, 1969).…”

Section: Infantile Enteropathogenic E Coli (Epec) Epidemiologymentioning

confidence: 99%

Escherichia colidiarrhoea

Gross

Rowe

1985

J. Hyg.

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Ever since Escherich (1885) first isolated the organism now known asEscherichia colifrom the stools of infants, medical microbiologists have been faced with the problem of distinguishing between those strains capable of causing diarrhoea and those that are harmless gut commensals. Epidemiological investigations were greatly facilitated by the description by Kauffmann (1947) of a serotyping scheme forE. coli, and Taylor (1961) later reported that 17 0 serogroups ofE. colihad been implicated as possible causes of epidemic infantile enteritis. These infantile enteropathogenicE. coli(EPEC), having been discovered by epidemiological studies using serotyping, belonged by definition to a restricted range of serogroups. More recently it was shown that otherE. colistrains may produce enterotoxins, and these enterotoxigenicE. coli(ETEC) usually belong to particular serogroups which are different from those associated with EPEC.E. colistrains belonging to a third range of serogroups may cause an illness resembling shigella dysentery, and these may be regarded as entero-invasiveE. coli(EIEC).E. colistrains that cause diarrhoea may therefore be considered as three groups, as follows.

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“…These categories include enteropathogenic E. coli, enterotoxigenic E. coli, enteroinvasive E. coli, enteroag‐gregative E. coli, diffuse adherent E. coli, and enterohemorrhagic E. coli (also known as shiga toxin‐producing E. coli ). The most commonly occurring of these is the enterohemorrhagic strain known as E. coli O157, which has been the causative agent in several waterborne disease outbreaks (Barwick et al, 2000; Swerdlow et al, 1992; CDC, 1991; O'Mahony et al, 1986; Rosenberg et al, 1977; Schroeder et al, 1968). The pathogenic E. coli strains produce symptoms ranging from mild diarrhea to severe watery or bloody diarrhea, cramping, headache, and in some cases hemolytic uremic syndrome, which may result in kidney failure or even death (Barwick et al, 2000; Paton & Paton, 1998).…”

Section: Introductionmentioning

confidence: 99%

E. coli as a public health indicator of drinking water quality

Standridge¹

2008

Journal AWWA

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Public health practitioners and water providers have been testing water for microbial contaminants for more than a century. In the United States, public water testing is regulated by federal law. The specifics of the federal law are enforced through such rules as the Total Coliform Rule (TCR). A negotiated rule‐making process to amend the TCR is under way. As this process proceeds, it is important that stakeholders have access to the latest information pertinent to the discussion. This article provides information to be used in evaluating Escherichia coli for inclusion in the amended rule as a potential indicator for drinking water monitoring. Advances in the techniques used for coliform and E. coli testing, new understanding about distribution system biofilms, newly emerged waterborne pathogens, and international changes in the use of E. coli as an indicator all combine to underscore the importance of reconsidering the role of E. coli as an indicator organism.

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A Waterborne Outbreak of Gastroenteritis in Adults Associated With Escherichia Coli

Cited by 37 publications

References 1 publication

Bacterial microflora of the upper gastrointestinal tract in infants with protracted diarrhoea

Bacterial microflora of the upper gastrointestinal tract in infants with protracted diarrhoea

Escherichia colidiarrhoea

E. coli as a public health indicator of drinking water quality

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