title: Outbreak of Escherichia coli O157:H7 in a child care center in Cook County, Illinois, with prolonged shedding and household transmission.
abstract: During the investigation of an outbreak of Escherichia coli O157:H7 in a child care center, illness logs were reviewed and parents interviewed to identify classroom and household exposures. Costs incurred by the center and the public health laboratory were estimated from self-administered questionnaires. We conclude that household transmission played a role in this outbreak and estimate the cost of investigation and intervention at over $6,000 per case.
authors.affiliation: Illinois Department of Public Health, Chicago, IL.
authors.forename: Lauren
authors.initials: L
authors.lastname: Gallagher
authors.forename: Kenneth
authors.initials: K
authors.lastname: Soyemi
authors.forename: Craig
authors.initials: C
authors.lastname: Conover
authors.forename: Connie
authors.initials: C
authors.lastname: Austin
authors.forename: Lori
authors.initials: L
authors.lastname: Saathoff-Huber
authors.forename: Sean
authors.initials: S
authors.lastname: Nelson
authors.forename: Maria
authors.initials: M
authors.lastname: Chudoba
authors.forename: Michael
authors.initials: M
authors.lastname: Vernon
mesh_terms: D000328:Adult; D002656:Child Day Care Centers; D002675:Child, Preschool; D004196:Disease Outbreaks; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000382:microbiology / Q000635:transmission*; D019453:Escherichia coli O157 / Q000302:isolation & purification*; D005191:Family Characteristics; D017048:Health Care Costs; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D007223:Infant; D017053:Infection Control / Q000191:economics / Q000379:methods
keywords: Day care; Hemolytic uremic syndrome; Mass screening; Shiga toxin-producing E coli