Evidence map›Paper›PMID 33866980›Full record

ArticleEpidemiology and infection2021

Epidemiological investigation of recurrent outbreaks of haemolytic uraemic syndrome caused by Shiga toxin-producing

C Sawyer, B Vishram, C Jenkins, F Jorgensen, L Byrne, A F W Mikhail, T J Dallman, K Carroll, L Ahyow, Q Vahora and 2 more

Open access · goldAbstract read
In one paragraph

Article in Epidemiology and infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. EnteroBase: hierarchical clustering of 100 000s of bacterial genomes into species/subspecies and populations.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

C SawyerHealth Protection Division, Public Health Wales, Tyndall Street, CardiffCF10 4BZ, UK.
B VishramNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.
C JenkinsNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.ORCID 0000-0001-8600-9169
F JorgensenPublic Health England Food Water and Environmental Microbiology Laboratory Porton, SalisburySP4 0JG, UK.
L ByrneNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.ORCID 0000-0001-5320-2085
A F W MikhailNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.
T J DallmanNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.
K CarrollPHE South East, Surrey and Sussex HPT, Parkside, Chart Way, HorshamRH12 1XA, UK.ORCID 0000-0001-5095-4169
L AhyowEast Midlands Health Protection Team, Public Health England, NottinghamNG2 4LA, UK.
Q VahoraPHE South East, Surrey and Sussex HPT, Parkside, Chart Way, HorshamRH12 1XA, UK.
G GodboleNational Infections Service, Public Health England, 61 Colindale Ave, LondonNW9 5HT, UK.
S BalasegaramField Services, National Infection Service, Public Health England, London, UK.
Public Health England · GBEast Sussex County Council · GBDefence Science and Technology Laboratory · GB

Funding

Department of Health
6 · The paper itself

Abstract

Recurrent outbreaks of haemolytic uraemic syndrome (HUS) caused by Shiga toxin-producing Escherichia coli (STEC) serotype O55:H7 occurred in England between 2014 and 2018. We reviewed the epidemiological evidence to identify potential source(s) and transmission routes of the pathogen, and to assess the on-going risk to public health. Over the 5-year period, there were 43 confirmed and three probable cases of STEC O55:H7. The median age of cases was 4 years old (range 6 months to 69 years old) and over half of all cases were female (28/46, 61%). There were 36/46 (78.3%) symptomatic cases, and over half of all cases developed HUS (25/46, 54%), including two fatal cases. No common food or environmental exposures were identified, although the majority of cases lived in rural or semi-rural environments and reported contact with both wild and domestic animals. This investigation informed policy on the clinical and public health management of HUS caused by STEC other than serotype O157:H7 (non-O157 STEC) in England, including comprehensive testing of all household contacts and household pets and more widespread use of polymerase chain reaction assays for the rapid diagnosis of STEC-HUS.

Indexed as

AdolescentAdultAgedAnimalsChildChild, PreschoolDisease OutbreaksEnglandEscherichia coli InfectionsFemaleHemolytic-Uremic SyndromeHumansInfantMaleMiddle AgedPhylogenyFood-borne zoonosesgastrointestinal infectionsoutbreakspublic health emerging infectionsShiga-like toxin-producing E. coli

Identifiers

PMID33866980
PMCPMC8161408
OpenAlexW3154851490

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.