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Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic

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Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic. / Sayk, Friedhelm; Asselborn, Niels Henrik; Eisemann, Nora; Katalinic, Alexander; Metzner, Jörg; Wolfrum, Sebastian; Fellermann, Klaus; Knobloch, Johannes; Nitschke, Martin.

In: BIOMED RES INT , Vol. 2015, 2015, p. 480680.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Sayk, F, Asselborn, NH, Eisemann, N, Katalinic, A, Metzner, J, Wolfrum, S, Fellermann, K, Knobloch, J & Nitschke, M 2015, 'Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic', BIOMED RES INT , vol. 2015, pp. 480680. https://doi.org/10.1155/2015/480680

APA

Sayk, F., Asselborn, N. H., Eisemann, N., Katalinic, A., Metzner, J., Wolfrum, S., Fellermann, K., Knobloch, J., & Nitschke, M. (2015). Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic. BIOMED RES INT , 2015, 480680. https://doi.org/10.1155/2015/480680

Vancouver

Sayk F, Asselborn NH, Eisemann N, Katalinic A, Metzner J, Wolfrum S et al. Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic. BIOMED RES INT . 2015;2015:480680. https://doi.org/10.1155/2015/480680

Bibtex

@article{9c0dd0ec46514879949ffed7f33e94e4,
title = "Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic",
abstract = "Emergency department (ED) management of the German STEC O104:H4 outbreak in 2011 was not limited to patients being truly infected with STEC. In parallel to spread of alarming news in public media, patients suffering from diarrhea due to other reasons fearfully presented, equally. We retrospectively characterized these two cohorts for anamnestic, clinical, and laboratory findings at their first ED contact. From 15th of May to July 2011, 302 adult patients with diarrheal complaint presented at the EDs of two tertiary hospitals in Lubeck, northern Germany. Fecal testing for STEC was obtained in 245 (81%) patients: 105 were STEC-positive and 140 were STEC-negative. Anamnestic characteristics (defecation rate, visible bloody diarrhea, and lower abdominal pain), abdominal tenderness, and some laboratory findings were significantly different between both cohorts but not reliable to exclude STEC. In >90% of STEC-positive patients diarrheal symptoms had started in May, reflecting the retrospective nationwide peak of infections, whereas the majority of STEC-negative patients became symptomatic in June 2011. During the German STEC O104:H4 outbreak a definite distinction at initial ED contact between STEC-positive versus STEC-negative patients by clinical judgment alone was not reliable. Fecal testing in the ED, however, might survey the outbreak of foodborne infections with the utmost precision.",
keywords = "Adult, Diarrhea, Disease Outbreaks, Emergency Service, Hospital, Escherichia coli Infections, Female, Food Microbiology, Germany, Humans, Male, Middle Aged, Shiga-Toxigenic Escherichia coli, Journal Article",
author = "Friedhelm Sayk and Asselborn, {Niels Henrik} and Nora Eisemann and Alexander Katalinic and J{\"o}rg Metzner and Sebastian Wolfrum and Klaus Fellermann and Johannes Knobloch and Martin Nitschke",
year = "2015",
doi = "10.1155/2015/480680",
language = "English",
volume = "2015",
pages = "480680",
journal = "BIOMED RES INT ",
issn = "2314-6133",
publisher = "Hindawi Publishing Corporation",

}

RIS

TY - JOUR

T1 - Management of Food-Related Diarrhea Outbreak in the Emergency Department: Lessons Learned from the German STEC O104:H4 Epidemic

AU - Sayk, Friedhelm

AU - Asselborn, Niels Henrik

AU - Eisemann, Nora

AU - Katalinic, Alexander

AU - Metzner, Jörg

AU - Wolfrum, Sebastian

AU - Fellermann, Klaus

AU - Knobloch, Johannes

AU - Nitschke, Martin

PY - 2015

Y1 - 2015

N2 - Emergency department (ED) management of the German STEC O104:H4 outbreak in 2011 was not limited to patients being truly infected with STEC. In parallel to spread of alarming news in public media, patients suffering from diarrhea due to other reasons fearfully presented, equally. We retrospectively characterized these two cohorts for anamnestic, clinical, and laboratory findings at their first ED contact. From 15th of May to July 2011, 302 adult patients with diarrheal complaint presented at the EDs of two tertiary hospitals in Lubeck, northern Germany. Fecal testing for STEC was obtained in 245 (81%) patients: 105 were STEC-positive and 140 were STEC-negative. Anamnestic characteristics (defecation rate, visible bloody diarrhea, and lower abdominal pain), abdominal tenderness, and some laboratory findings were significantly different between both cohorts but not reliable to exclude STEC. In >90% of STEC-positive patients diarrheal symptoms had started in May, reflecting the retrospective nationwide peak of infections, whereas the majority of STEC-negative patients became symptomatic in June 2011. During the German STEC O104:H4 outbreak a definite distinction at initial ED contact between STEC-positive versus STEC-negative patients by clinical judgment alone was not reliable. Fecal testing in the ED, however, might survey the outbreak of foodborne infections with the utmost precision.

AB - Emergency department (ED) management of the German STEC O104:H4 outbreak in 2011 was not limited to patients being truly infected with STEC. In parallel to spread of alarming news in public media, patients suffering from diarrhea due to other reasons fearfully presented, equally. We retrospectively characterized these two cohorts for anamnestic, clinical, and laboratory findings at their first ED contact. From 15th of May to July 2011, 302 adult patients with diarrheal complaint presented at the EDs of two tertiary hospitals in Lubeck, northern Germany. Fecal testing for STEC was obtained in 245 (81%) patients: 105 were STEC-positive and 140 were STEC-negative. Anamnestic characteristics (defecation rate, visible bloody diarrhea, and lower abdominal pain), abdominal tenderness, and some laboratory findings were significantly different between both cohorts but not reliable to exclude STEC. In >90% of STEC-positive patients diarrheal symptoms had started in May, reflecting the retrospective nationwide peak of infections, whereas the majority of STEC-negative patients became symptomatic in June 2011. During the German STEC O104:H4 outbreak a definite distinction at initial ED contact between STEC-positive versus STEC-negative patients by clinical judgment alone was not reliable. Fecal testing in the ED, however, might survey the outbreak of foodborne infections with the utmost precision.

KW - Adult

KW - Diarrhea

KW - Disease Outbreaks

KW - Emergency Service, Hospital

KW - Escherichia coli Infections

KW - Female

KW - Food Microbiology

KW - Germany

KW - Humans

KW - Male

KW - Middle Aged

KW - Shiga-Toxigenic Escherichia coli

KW - Journal Article

U2 - 10.1155/2015/480680

DO - 10.1155/2015/480680

M3 - SCORING: Journal article

C2 - 26539499

VL - 2015

SP - 480680

JO - BIOMED RES INT

JF - BIOMED RES INT

SN - 2314-6133

ER -