{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:49:25Z","timestamp":1791316165603,"version":"4.3.1"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T00:00:00Z","timestamp":1389052800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>\n                    Non-O157 Shiga toxin-producing\n                    <jats:italic>Escherichia coli<\/jats:italic>\n                    (STEC) infections are increasingly detected, but sources are not well established. We summarize outbreaks to 2010 in the USA. Single-aetiology outbreaks were defined as \u2a7e2 epidemiologically linked culture-confirmed non-O157 STEC infections; multiple-aetiology outbreaks also had laboratory evidence of \u2a7e2 infections caused by another enteric pathogen. Twenty-six states reported 46 outbreaks with 1727 illnesses and 144 hospitalizations. Of 38 single-aetiology outbreaks, 66% were caused by STEC O111 (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a014) or O26 (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a011), and 84% were transmitted through food (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a017) or person-to-person spread (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a015); food vehicles included dairy products, produce, and meats; childcare centres were the most common setting for person-to-person spread. Of single-aetiology outbreaks, a greater percentage of persons infected by Shiga toxin 2-positive strains had haemolytic uraemic syndrome compared with persons infected by Shiga toxin 1-only positive strains (7%\n                    <jats:italic>vs.<\/jats:italic>\n                    0\u00b78%). Compared with single-aetiology outbreaks, multiple-aetiology outbreaks were more frequently transmitted through water or animal contact.\n                  <\/jats:p>","DOI":"10.1017\/s0950268813003233","type":"journal-article","created":{"date-parts":[[2014,1,7]],"date-time":"2014-01-07T09:35:53Z","timestamp":1389087353000},"page":"2270-2280","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":183,"title":["Outbreaks of non-O157 Shiga toxin-producing\n                    <i>Escherichia coli<\/i>\n                    infection: USA"],"prefix":"10.1017","volume":"142","author":[{"given":"R. E.","family":"LUNA-GIERKE","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. M.","family":"GRIFFIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. H.","family":"GOULD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"HERMAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. A.","family":"BOPP","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"STROCKBINE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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