{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:51:33Z","timestamp":1760043093095,"version":"3.37.3"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T00:00:00Z","timestamp":1391212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2014,11]]},"abstract":"Summary<\/jats:title>We describe multiple\u2010aetiology infections involving non\u2010O157 S<\/jats:styled-content>higa toxin\u2010producing E<\/jats:styled-content>scherichia coli<\/jats:italic> (STEC<\/jats:styled-content>) identified through laboratory\u2010based surveillance in nine F<\/jats:styled-content>oodN<\/jats:styled-content>et sites from 2001 to 2010. A multiple\u2010aetiology infection (MEI<\/jats:styled-content>) was defined as isolation of non\u2010O157 STEC<\/jats:styled-content> and laboratory evidence of any of the other nine pathogens under surveillance or isolation of >1 non\u2010O157 STEC<\/jats:styled-content> serogroup from the same person within a 7\u2010day period. We compared exposures of patients with MEI<\/jats:styled-content> during 2001\u20132010 with those of patients with single\u2010aetiology non\u2010O157 STEC<\/jats:styled-content> infections (SEI<\/jats:styled-content>) during 2008\u20132009 and with those of the F<\/jats:styled-content>oodN<\/jats:styled-content>et population from a survey conducted during 2006\u20132007. In total, 1870 non\u2010O157 STEC<\/jats:styled-content> infections were reported; 68 (3.6%) were MEI<\/jats:styled-content>; 60 included pathogens other than non\u2010O157 STEC<\/jats:styled-content>; and eight involved >1 serogroup of non\u2010O157 STEC<\/jats:styled-content>. Of the 68 MEI<\/jats:styled-content>, 21 (31%) were part of six outbreaks. STEC<\/jats:styled-content> O111 was isolated in 44% of all MEI<\/jats:styled-content>. Of patients with MEI<\/jats:styled-content>, 50% had contact with farm animals compared with 29% (P\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.01) of persons with SEI<\/jats:styled-content>; this difference was driven by infections involving STEC<\/jats:styled-content> O111. More patients with non\u2010outbreak\u2010associated MEI<\/jats:styled-content> reported drinking well water (62%) than respondents in a population survey (19%) (P\u00a0<\/jats:italic><\u00a0<\/jats:italic>0.01). Drinking well water and having contact with animals may be important exposures for MEI<\/jats:styled-content>, especially those involving STEC<\/jats:styled-content> O111.<\/jats:p>","DOI":"10.1111\/zph.12098","type":"journal-article","created":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T10:38:47Z","timestamp":1391251127000},"page":"492-498","source":"Crossref","is-referenced-by-count":22,"title":["Multiple\u2010Aetiology Enteric Infections Involving Non\u2010O157 Shiga Toxin\u2010Producing Escherichia coli<\/i> \u2013 FoodNet, 2001\u20132010"],"prefix":"10.1111","volume":"61","author":[{"given":"R. E.","family":"Luna\u2010Gierke","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention Atlanta GA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Wymore","sequence":"additional","affiliation":[{"name":"California Emerging Infections Program Oakland CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Sadlowski","sequence":"additional","affiliation":[{"name":"Colorado Department of Public Health and Environment Denver CO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Clogher","sequence":"additional","affiliation":[{"name":"Connecticut Emerging Infections Program New Haven CT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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