Abstract
Ten out of 18 babies at risk developed enteritis in an outbreak in a special-care baby unit. Salmonella, Shigella, and Escherichia coli belonging to the traditional infantile enteropathogenic serogroups were not found in faeces from the babies and the staff, and no virus particles were found by electron microscopy. Detailed serotyping of E. coli showed that five of the 10 babies with diarrhoea and one of the eight without diarrhoea were excreting E. coli O6.H16. All six isolates of this serotype produced both heat-labile and heat-stable enterotoxin. Enterotoxigenic strains of E. coli O6.H16 have caused outbreaks of enteritis in adults in the USA and Japan.
MeSH Terms
Disease Outbreaks/epidemiology
England
Enteritis/epidemiology,etiology,microbiology
Enterotoxins/biosynthesis
Escherichia coli/isolation & purification,metabolism
Escherichia coli Infections/epidemiology
Feces/microbiology
Hospitals, Maternity
Humans
Infant
Infant, Newborn
Nurseries, Hospital
Serotyping
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Rowe B
Gross R J
Scotland S M
Wright A E
Shillom G N
Hunter N J
References (10)
10 references, click to expand
-
Enterotoxigenic Escherichia coli causing infantile enteritis in Britain.
Lancet. 1977 Jan 8;1(8002):90-1
PMID: 63727
-
Outbreaks of acute enteritis due to heat-stable enterotoxin-producing strains of Escherichia coli.
Microbiol Immunol. 1977;21(3):175-8
PMID: 327216
-
A NEW Escherichia coli O-group, O159, associated with outbreaks of enteritis in infants.
Scand J Infect Dis. 1976;8(3):195-8
PMID: 788145
-
Cyclic adenosine monophosphate and alteration of Chinese hamster ovary cell morphology: a rapid, sensitive in vitro assay for the enterotoxins of Vibrio cholerae and Escherichia coli.
Infect Immun. 1974 Aug;10(2):320-7
PMID: 4368545
-
Enterotoxin testing of Escherichia coli causing epidemic infantile enteritis in the U.K.
Lancet. 1976 Mar 20;1(7960):629-31
PMID: 55904
-
Detection of heat-labile Escherichia coli enterotoxin with the use of adrenal cells in tissue culture.
Science. 1974 Jan 25;183(4122):334-6
PMID: 4587905
-
Test for Escherichia coli enterotoxin using infant mice: application in a study of diarrhea in children in Honolulu.
J Infect Dis. 1972 Apr;125(4):407-11
PMID: 4553083
-
Infantile diarrhea produced by heat-stable enterotoxigenic Escherichia coli.
N Engl J Med. 1976 Oct 14;295(16):849-53
PMID: 785259
-
Human diarrheal disease caused by enterotoxigenic Escherichia coli.
Annu Rev Microbiol. 1975;29:333-53
PMID: 1101807
-
Special Escherichia coli serotypes among enterotoxigenic strains from diarrhoea in adults and children.
Med Microbiol Immunol. 1976 Jun 1;162(2):73-80
PMID: 778571