Secondary transmissions during the outbreak of Shiga toxin-producing Escherichia coli O104 in Hesse, Germany, 2011

A M Hauri; U Götsch; I Strotmann; J Krahn; G Bettge-Weller; H J Westbrock; O Bellinger; H Uphoff

doi:10.2807/ese.16.31.19937-en

Surveillance and outbreak reports Open Access

Like 0

Download

Secondary transmissions during the outbreak of Shiga toxin-producing Escherichia coli O104 in Hesse, Germany, 2011
A M Hauri¹ , U Götsch² , I Strotmann³ , J Krahn⁴ , G Bettge-Weller¹ , H J Westbrock¹ , O Bellinger² , H Uphoff¹
View Affiliations Hide Affiliations

Affiliations: ¹ Hesse State Health Office, Dillenburg, Germany ² Public Health Authority, Frankfurt, Germany ³ Public Health Authority, Kassel, Germany ⁴ Public Health Authority, Darmstadt-Dieburg, Germany

Correspondence:
A Hauri
anja.hauri hlpug.hessen.de
View Citation Hide Citation

Citation style for this article: Hauri A M, Götsch U, Strotmann I, Krahn J, Bettge-Weller G, Westbrock H J, Bellinger O, Uphoff H. Secondary transmissions during the outbreak of Shiga toxin-producing Escherichia coli O104 in Hesse, Germany, 2011. Euro Surveill. 2011;16(31):pii=19937. https://doi.org/10.2807/ese.16.31.19937-en Received: 25 Jul 2011

Abstract

During the recent outbreak of Shiga toxin-producing Escherichia coli (STEC) O104:H4 in Germany most cases notified in the State of Hesse (6 million inhabitants) were linked to satellite clusters or had travelled to the outbreak area in northern Germany. Intensified surveillance was introduced to rapidly identify cases not linked to known clusters or cases and thus to obtain timely information on possible further contaminated vehicles distributed in Hesse, as well to describe the risk of secondary transmission among known cases. As of 2 August 2011*, 56 cases of haemolytic uraemic syndrome (HUS) including two fatal cases, and 124 cases of STEC gastroenteritis meeting the national case definitions have been reported in Hesse. Among the 55 HUS and 81 STEC gastroenteritis cases that met the outbreak case definition, one HUS case and eight STEC gastroenteritis cases may have acquired their infection through secondary transmission. They include six possible transmissions within the family, two possible nosocomial and one possible laboratory transmission. Our results do not suggest an increased transmissibility of the outbreak strain compared to what is already known about E. coli O157 and other STEC serotypes.