title: Verotoxin producing Escherichia coli O 157 infections associated with the consumption of yoghurt.
abstract: Sixteen cases of verotoxin producing Escherichia coli (VTEC) O 157:H7 Phage Type 49 infection were identified in the North West of England from 1 September to 1 November 1991, eight of whom lived in or around the same large town. Eleven of the cases were aged 10 years or less, and five of the affected children developed haemolytic uraemic syndrome. A case control study demonstrated a strong association between VTEC O 157:H7 PT 49 infection and the consumption of a locally produced live yoghurt. This is the first time that an outbreak of VTEC O 157 infection has been linked to the consumption of yoghurt and this vehicle of infection should be considered when investigating such outbreaks in future.
authors.affiliation: Public Health Laboratory Service, Communicable Disease Surveillance Centre, London.
authors.forename: D
authors.initials: D
authors.lastname: Morgan
authors.forename: C P
authors.initials: CP
authors.lastname: Newman
authors.forename: D N
authors.initials: DN
authors.lastname: Hutchinson
authors.forename: A M
authors.initials: AM
authors.lastname: Walker
authors.forename: B
authors.initials: B
authors.lastname: Rowe
authors.forename: F
authors.initials: F
authors.lastname: Majid
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001427:Bacterial Toxins / Q000096:biosynthesis*; D016022:Case-Control Studies; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology / Q000382:microbiology; D004196:Disease Outbreaks; D004739:England / Q000453:epidemiology; D004926:Escherichia coli / Q000378:metabolism*; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D005506:Food Contamination; D005516:Food Microbiology; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000382:microbiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012307:Risk Factors; D022622:Shiga Toxin 1; D011795:Surveys and Questionnaires; D015014:Yogurt / Q000382:microbiology*
chemical_list: D001427:Bacterial Toxins; D022622:Shiga Toxin 1