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Volume 31, Number 7—July 2025

Synopsis

Community Outbreak of OXA-48–Producing Escherichia coli Linked to Food Premises, New Zealand, 2018–2022

Craig N. ThornleyComments to Author , Matthew Kelly, Max Bloomfield, Loushy Mangalasseril, Annette Nesdale, Claire Underwood, Kristin Dyet, Juliet Elvy, Jenny Szeto, Hermes Perez, Xioyun Ren, Rosemary Woodhouse, and Rhys T. White
Author affiliation: Health New Zealand Te Whatu Ora, Lower Hutt, New Zealand (C.N. Thornley, M. Kelly, L. Mangalasseril, A. Nesdale, C. Underwood); Awanui Labs Wellington, Wellington, New Zealand (M. Bloomfield); Institute of Environmental Science and Research, Porirua, New Zealand (K. Dyet, J. Elvy, J. Szeto, H. Perez, X. Ren, R. Woodhouse, R.T. White); Awanui Labs Dunedin, Dunedin, New Zealand (J. Elvy)

Main Article

Table 1

Characteristics of 25 case-patients with OXA-48–producing Escherichia coli in study of community outbreak of linked to food premises, Hutt Valley, New Zealand, August 2018–December 2022

Category No. (%) patients
Sex
F 18 (72.0)
M
7 (28.0)
Ethnicity
New Zealand European 20 (80.0)
Māori 4 (16.0)
Samoan
1 (4.0)
Specimen positive for OXA-48–producing E. coli
Urine sample collected in community 7 (28.0)
Urine sample collected in hospital 11 (44.0)
Stool sample collected in hospital through loose stool 5 (20.0)
Blood culture 1 (4.0)
Tissue specimen 1 (4.0)
Stool sample collected in hospital through contact tracing
1 (4.0)
Infection associated with OXA-48–producing E. coli
Uncomplicated urinary tract infection 11 (44.0)
Pyelonephritis/urosepsis 2 (8.0)
Osteomyelitis 1 (4.0)
No illness due to OXA-48–producing E. coli
11 (44.0)
Hospital exposure
Hutt Valley Hospital admission 18 (72.0)
Wellington Regional Hospital admission 4 (16.0)
Any hospital admission in Wellington region 21 (84.0)
Healthcare use outside region or outside New Zealand
0
Other selected exposures*
Exposure to specific community food premises (premises A) 18 (75.0)
Untreated drinking water 1 (4.2)
Recreational water exposure 5 (20.8)
Exposure to domestic animals 8 (33.3)
Exposure to farm animals 2 (8.3)

*Data on nonhealthcare exposures were available for only 24 cases, because 1 case-patient died before an interview could be undertaken.

Main Article

Page created: May 31, 2025
Page updated: June 17, 2025
Page reviewed: June 17, 2025
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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