Early findings in outbreak of haemolytic uraemic syndrome among young children caused by Shiga toxin-producing Escherichia coli, Romania, January to February 2016

Author:

Peron Emilie123,Zaharia Alina34,Zota Lavinia Cipriana34,Severi Ettore5,Mårdh Otilia5,Usein Codruta6,Bălgrădean Mihaela78,Espinosa Laura5,Jansa Josep5,Scavia Gaia9,Rafila Alexandru710,Serban Amalia11,Pistol Adriana4

Affiliation:

1. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

2. Gastrointestinal, zoonosis and tropical diseases unit, Department of infectious diseases epidemiology, Robert Koch Institute, Berlin, Germany

3. These authors contributed equally to this article

4. National Center for Communicable Diseases Surveillance and Control, National Institute of Public Health, Bucharest, Romania

5. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

6. Cantacuzino National Institute of Research, Bucharest, Romania

7. University of Medicine and Pharmacy ‘Carol Davila’, Bucharest, Romania

8. Department of Nephrology and Dialysis, Children’s Emergency Hospital ‘M.S. Curie’, Bucharest, Romania

9. EU Reference Laboratory for Escherichia coli, Istituto Superiore di Sanità (ISS), Rome, Italy

10. National Institute of Infectious Diseases ‘Matei Bals’, Bucharest, Romania

11. Ministry of Health, General Directorate of Medical Assistance and Public Health, Bucharest, Romania

Abstract

As at 29 February 2016, 15 cases of haemolytic uraemic syndrome with onset between 25 January and 22 February were reported among children between five and 38 months in Romania, and three of them died. Cases were mostly from southern Romania. Six cases tested positive for Escherichia coli O26 by serology. Fruits, vegetables, meat and dairy products were among the possible common food exposures. Investigations are ongoing in Romania to control the outbreak.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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