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. 1994 Jun;112(3):441–447. doi: 10.1017/s0950268800051141

An outbreak of Escherichia coli O157 associated with a children's paddling pool.

D H Brewster 1, M I Brown 1, D Robertson 1, G L Houghton 1, J Bimson 1, J C Sharp 1
PMCID: PMC2271503  PMID: 8005210

Abstract

In May 1992, a small, circumscribed community outbreak of infection due to verotoxin-producing Escherichia coli O157 phage type 49 occurred in a semi-rural area of south-east Scotland. On the basis of stool cultures, six cases were identified, one of whom was asymptomatic. One child developed the haemolytic uraemic syndrome. Although the source of infection of the index case was not established nor could the extent of person-to-person spread be fully determined, the clinical, microbiological and epidemiological evidence available indicated that a children's paddling pool served as the focal point in the transmission of infection causing the outbreak.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Centers for Disease Control (CDC) Swimming-associated cryptosporidiosis--Los Angeles County. MMWR Morb Mortal Wkly Rep. 1990 May 25;39(20):343–345. [PubMed] [Google Scholar]
  2. Dev V. J., Main M., Gould I. Waterborne outbreak of Escherichia coli O157. Lancet. 1991 Jun 8;337(8754):1412–1412. doi: 10.1016/0140-6736(91)93092-n. [DOI] [PubMed] [Google Scholar]
  3. Greensmith C. T., Stanwick R. S., Elliot B. E., Fast M. V. Giardiasis associated with the use of a water slide. Pediatr Infect Dis J. 1988 Feb;7(2):91–94. doi: 10.1097/00006454-198802000-00005. [DOI] [PubMed] [Google Scholar]
  4. Harter L., Frost F., Grunenfelder G., Perkins-Jones K., Libby J. Giardiasis in an infant and toddler swim class. Am J Public Health. 1984 Feb;74(2):155–156. doi: 10.2105/ajph.74.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Joce R. E., Bruce J., Kiely D., Noah N. D., Dempster W. B., Stalker R., Gumsley P., Chapman P. A., Norman P., Watkins J. An outbreak of cryptosporidiosis associated with a swimming pool. Epidemiol Infect. 1991 Dec;107(3):497–508. doi: 10.1017/s0950268800049190. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kappus K. D., Marks J. S., Holman R. C., Bryant J. K., Baker C., Gary G. W., Greenberg H. B. An outbreak of Norwalk gastroenteritis associated with swimming in a pool and secondary person-to-person transmission. Am J Epidemiol. 1982 Nov;116(5):834–839. doi: 10.1093/oxfordjournals.aje.a113474. [DOI] [PubMed] [Google Scholar]
  7. Lenaway D. D., Brockmann R., Dolan G. J., Cruz-Uribe F. An outbreak of an enterovirus-like illness at a community wading pool: implications for public health inspection programs. Am J Public Health. 1989 Jul;79(7):889–890. doi: 10.2105/ajph.79.7.889. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lerman Y., Cohen D., Gluck A., Ohad E., Sechter I. A cluster of cases of Escherichia coli O157 infection in a day-care center in a communal settlement (Kibbutz) in Israel. J Clin Microbiol. 1992 Feb;30(2):520–521. doi: 10.1128/jcm.30.2.520-521.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mahoney F. J., Farley T. A., Kelso K. Y., Wilson S. A., Horan J. M., McFarland L. M. An outbreak of hepatitis A associated with swimming in a public pool. J Infect Dis. 1992 Apr;165(4):613–618. doi: 10.1093/infdis/165.4.613. [DOI] [PubMed] [Google Scholar]
  10. Marsh J., MacLeod A. F., Hanson M. F., Emmanuel F. X., Frost J. A., Thomas A. A restaurant-associated outbreak of E. coli O157 infection. J Public Health Med. 1992 Mar;14(1):78–83. [PubMed] [Google Scholar]
  11. Morgan D., Newman C. P., Hutchinson D. N., Walker A. M., Rowe B., Majid F. Verotoxin producing Escherichia coli O 157 infections associated with the consumption of yoghurt. Epidemiol Infect. 1993 Oct;111(2):181–187. doi: 10.1017/s0950268800056880. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Porter J. D., Ragazzoni H. P., Buchanon J. D., Waskin H. A., Juranek D. D., Parkin W. E. Giardia transmission in a swimming pool. Am J Public Health. 1988 Jun;78(6):659–662. doi: 10.2105/ajph.78.6.659. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Salmon R. L., Farrell I. D., Hutchison J. G., Coleman D. J., Gross R. J., Fry N. K., Rowe B., Palmer S. R. A christening party outbreak of haemorrhagic colitis and haemolytic uraemic syndrome associated with Escherichia coli O 157.H7. Epidemiol Infect. 1989 Oct;103(2):249–254. doi: 10.1017/s0950268800030600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Spika J. S., Parsons J. E., Nordenberg D., Wells J. G., Gunn R. A., Blake P. A. Hemolytic uremic syndrome and diarrhea associated with Escherichia coli O157:H7 in a day care center. J Pediatr. 1986 Aug;109(2):287–291. doi: 10.1016/s0022-3476(86)80386-9. [DOI] [PubMed] [Google Scholar]

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