A multistate outbreak of Escherichia coli O157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience.

@article{Bell1994AMO,
  title={A multistate outbreak of Escherichia coli O157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience.},
  author={Beth P. Bell and Marcia J. Goldoft and Patricia M. Griffin and Mike A Cornejo and David C. Gordon and Phillip I Tarr and Cheryl Bartleson and James H. Lewis and Timothy J. Barrett and J. Gipson Wells},
  journal={JAMA},
  year={1994},
  volume={272 17},
  pages={1349-53}
}
OBJECTIVE To determine the source of and describe a large outbreak of Escherichia coli O157:H7 infections in Washington State. DESIGN Case-control study; environmental investigation; provider-based surveillance for E coli O157:H7 infections. SETTING Chain of fast-food restaurants, hospitals, physician offices, local laboratories, and local health departments. PARTICIPANTS Patients with diarrhea and neighborhood controls. A case was defined as diarrhea with culture-confirmed E coli O157:H7… CONTINUE READING
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