title: Outbreaks of food poisoning in adults due to Escherichia coli O111 and campylobacter associated with coach trips to northern France.
abstract: Thirty-seven out of 48 people on a coach excursion to northern France developed gastrointestinal symptoms within 4 days of the trip. Twenty-six had stool samples positive for Escherichia coli O111, 8 were also positive for Campylobacter species, and 1 was positive for campylobacter alone. Strains of E. coli were positive for the effacing and attaching protein (eaeA) gene, but negative for other E. coli virulence genes, and therefore belonged to the enteropathogenic E. coli (EPEC) group. Twenty-two out of 37 people in a second party which followed the same itinerary 2 weeks later also became ill. One had a stool sample positive for E. coli O111. Analytical epidemiology suggested that the source of infections was a restaurant in northern France at which both parties had eaten.
authors.affiliation: Sheffield Health Authority.
authors.forename: J P
authors.initials: JP
authors.lastname: Wight
authors.forename: P
authors.initials: P
authors.lastname: Rhodes
authors.forename: P A
authors.initials: PA
authors.lastname: Chapman
authors.forename: S M
authors.initials: SM
authors.lastname: Lee
authors.forename: P
authors.initials: P
authors.lastname: Finner
mesh_terms: D018829:Adhesins, Bacterial; D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D015373:Bacterial Typing Techniques; D001681:Biological Assay; D002167:Campylobacter / Q000302:isolation & purification / Q000472:pathogenicity; D002169:Campylobacter Infections / Q000175:diagnosis / Q000453:epidemiology*; D002352:Carrier Proteins; D002478:Cells, Cultured; D002648:Child; D002522:Chlorocebus aethiops; D004196:Disease Outbreaks; D004926:Escherichia coli / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000453:epidemiology*; D029968:Escherichia coli Proteins; D005243:Feces / Q000382:microbiology; D005260:Female; D005516:Food Microbiology; D005517:Foodborne Diseases / Q000453:epidemiology / Q000382:microbiology; D005602:France / Q000453:epidemiology; D005759:Gastroenteritis / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019081:O Antigens / Q000276:immunology; D010957:Plasmids; D012306:Risk; D014195:Travel; D014709:Vero Cells; D014774:Virulence / Q000235:genetics
chemical_list: D018829:Adhesins, Bacterial; D001425:Bacterial Outer Membrane Proteins; D002352:Carrier Proteins; D029968:Escherichia coli Proteins; D019081:O Antigens; C073819:eaeA protein, E coli