{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T19:06:05Z","timestamp":1782759965221,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,29]],"date-time":"2019-12-29T00:00:00Z","timestamp":1577577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a cluster of pediatric cryptosporidiosis infections among solid organ transplant recipients at a summer camp in Georgia, USA. A retrospective cohort study was conducted to investigate the risk factors for infection. A total of 118 campers attended the camp during July 23\u201028, 2017. The overall attack rate among campers during the outbreak was 11% (13\/118). Sanger\u2010based amplicon sequencing of stool specimens from 7 (80%) campers identified <jats:italic>Cryptosporidium hominis<\/jats:italic> as the suspected etiologic agent. All infected campers were heart or kidney transplant recipients receiving immunosuppressive therapy. The median reported symptom duration was 12\u00a0days (range 6\u201018\u00a0days) and 9 (69.2%) were hospitalized for at least one night (median length of stay 5\u00a0days, range 2\u201016\u00a0days). There were no deaths or acute rejection events attributed to infection. The results of the epidemiologic and environmental investigation suggest a recreational pool as the presumed source, although there was no direct evidence to support this. Many long\u2010term interventions were implemented, and there have been no further outbreaks at the camp in the following two years. This outbreak demonstrates that cryptosporidiosis may be associated with notable burden in pediatric transplant recipients, and illustrates the challenges associated with source identification and containment.<\/jats:p>","DOI":"10.1111\/petr.13649","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T06:29:49Z","timestamp":1577687389000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cryptosporidiosis among solid organ transplant recipient attendees at a summer camp"],"prefix":"10.1111","volume":"24","author":[{"given":"John","family":"McAteer","sequence":"first","affiliation":[{"name":"Department of Pediatrics School of Medicine Emory University Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Jernigan","sequence":"additional","affiliation":[{"name":"Division of Nephrology School of Medicine Emory University Atlanta Georgia"},{"name":"Children's Healthcare of Atlanta Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Mao","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Atlanta Georgia"},{"name":"Sibley sHeart Center Cardiology Children's Healthcare of Atlanta Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Services Children's Healthcare of Atlanta Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee J.","family":"Watson","sequence":"additional","affiliation":[{"name":"Quality and Patient Safety Children's Healthcare of Atlanta Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rochelle","family":"Liverman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics School of Medicine Emory University Atlanta Georgia"},{"name":"Children's Healthcare of Atlanta Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Tobin\u2010D Angelo","sequence":"additional","affiliation":[{"name":"Georgia Department of Public Health Acute Disease Epidemiology Section Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hope","family":"Dishman M.","sequence":"additional","affiliation":[{"name":"Georgia Department of Public Health Acute Disease Epidemiology Section Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andi","family":"Shane","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Atlanta Georgia"},{"name":"Division of Pediatric Infectious Diseases School of Medicine Emory University Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8631-0020","authenticated-orcid":false,"given":"Inci","family":"Yildirim","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Atlanta Georgia"},{"name":"Division of Pediatric Infectious Diseases School of Medicine Emory University Atlanta Georgia"},{"name":"Department of Epidemiology Rollins School of Public Health Emory University School of Medicine Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra013170"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e328357e569"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.17.1.72-97.2004"},{"issue":"3","key":"e_1_2_8_5_1","first-page":"1","article-title":"Cryptosporidiosis surveillance \u2013 United States, 2011\u20132012","volume":"64","author":"Painter JE","year":"2015","journal-title":"MMWR Suppl"},{"key":"e_1_2_8_6_1","first-page":"304","volume-title":"Red Book: 2018 Report of the Committee on Infectious Diseases","author":"American Academy of","year":"2018"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6719a3"},{"key":"e_1_2_8_8_1","unstructured":"Centersfor Disease Control and Prevention.Parasites\u2010Cryptosporidium.https:\/\/www.cdc.gov\/parasites\/crypto\/index.html. Accessed June 19 2019."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2221-1691(13)60179-3"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.15.1.145-154.2002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01690873"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199503303321304"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1086\/315033"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268815000813"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09603120500155716"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1550-7408.2002.tb00224.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5500\/wjt.v6.i3.460"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpetr.13649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.13649","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T08:09:40Z","timestamp":1694160580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.13649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,29]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1111\/petr.13649"],"URL":"https:\/\/doi.org\/10.1111\/petr.13649","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,29]]},"assertion":[{"value":"2019-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13649"}}