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Volume 10, Number 3—March 2004
Dispatch

Enterotoxin-producing Escherichia coli O169:H41, United States

Mark E. Beatty*Comments to Author , Cheryl A. Bopp*, Joy G. Wells*, Kathy D. Greene*, Nancy D. Puhr*, and Eric D. Mintz*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia USA 30333

Main Article

Table

Characteristics of enterotoxigenic Escherichia coli (ETEC) outbreaks,a United States, 1996–2003

No. Mo/y Location Setting
(reference) Presumed source No ill % Diarrhea (bloody) % Vomiting Median incubation, h (range) Median illness duration, days (range) No isolates Serotype/toxin typeb Antimicrobial resistancec
1
3/96
Caribbean
Cruise ship
Drinking water
652
98 (9)
19


6
O169:H41/ST
Tc
1
O6:H16/ LT,ST
Sensitive
1
O27:H7/ST
St, Su, Tc
1
O34:H10/ST
Tc
2
4/97
Caribbean
Cruise ship (5)
Drinking water, ice
429
100 (6)
14

>3
8
O169:H41/ST
Tc
3
O148:H28/ LT,ST
Tc
1
O78:H12/ST
Ch, St, Su, Tc, TmS
1
O27:H7/ST
St, Su, Tc
3
4/97
California
Restaurant
Beans, enchilada, tacos, rice, tortilla chips
41
95
17
24 (5–85)
2 (0.3–4)
11
O27:H7/ST
Sensitive
4
6/97
Massachusetts
Boxed lunch
Tomato, mozzarella salad
33
97
33
48 (24–96)
3.7 (1-7)
5
O25:NM/ST
Sensitive
5
7/97
Minnesota
Catered party
Fresh vegetables
15
100
13
37 (8-158)
3.2 (0.4–6)
4
O169:H41/ST
Tc
6
4/98
Mexico-Hawaii
Cruise ship

397
96
33


3
O6:H16/ LT,ST
Sensitive
1
O6:H16/ LT,ST
St, Tc
2
O169:H41/ST
Tc
1
O148:H28/ LT,ST
St, Su, Tc
1
O148:H28/ LT,ST
Tc
1
O27:H7/ST
St, Su, Tc
7
6/98
Illinois
Catered parties
Potato, macaroni, egg salads
916
100
8
50 (40–76)
5 (2–9)
11
O6:H16/ LT,ST
Sensitive
8
8/98
Minnesota
Restaurant (6)
Parsley
66
100 (0)
6
25
8
7
O6:H16/ LT,ST
Ap, St, Su, Tc
1
O159:H4/LT
Ap, St, Su, Tc, TmS
1
O27:H7/ST
St, Su, Tc
9
9/98
Minnesota
Restaurant

5
100 (0)
0
48
6
3
O169:H41/ST
St, Su, Tc
10
5/00
Washington
Cruise ship
Basil
100
100
5
40 (27–67)
10 (0.5–21)
3
O169:H41/ST
Tc
11
6/00
New York
Banquet

40
97 (0)
3
48 (24–96)
3 (1–8)
5
O169:H41/ST
Tc
12
7/00
Utah
Wedding rehearsal

45
100
29
33 (18–59)
2.3 (1–3)
5
O27:H7/ST
St, Su, Tc
13
7/01
Wisconsin
Catered party
Quesadillas, fajitas, nacho chips, beans
21
100

38 (9–70)
6 (1–8)
3
O169:H41/ST
Tc
14
8/01
Illinois
Catered party

24
100
0


3
O169:H41/ST
Ap, Tc
1
O169:H41/ST
Tc
2
O6:H16/LT,ST
Sensitive
1
O25:NM/ST
Ap
15
10/02
Oregon
Catered party
Garlic chicken lasagna
40
98 (13)
15
72 (24–144)
5
3
O27:H7/ST
St, Su,Tc
16 8/03 Tennessee Catered party Catfish, coleslaw 41 81 (0) 5 2 2.5 12 0169:H49 Tc

aAn outbreak is defined as ≥3 ill persons infected with the same ETEC serotype and no other viral or bacterial pathogens, or >10 ill persons with the same serotype and no more than one other bacterial or viral pathogen identified.
bNM, nonmotile; LT, heat-labile toxin; ST, heat-stable toxin.
cAp, ampicillin; Amc, amoxicillin/clavulanic acid; Ch, chloramphenicol; St, streptomycin; Su, sulfisoxazole; Tc, tetracycline; TmS, trimethoprim-sulfamethoxazole.

Main Article

Page created: February 08, 2011
Page updated: February 08, 2011
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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