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Mapping of control measures to prevent secondary transmission of STEC infections in Europe during 2016 and revision of the national guidelines in Norway.
Veneti, L; Lange, H; Brandal, L; Danis, K; Vold, L.
Afiliación
  • Veneti L; Division for Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
  • Lange H; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden.
  • Brandal L; Division for Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
  • Danis K; Division for Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
  • Vold L; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control, (ECDC), Stockholm, Sweden.
Epidemiol Infect ; 147: e267, 2019 09 09.
Article en En | MEDLINE | ID: mdl-31496450
In 2016, we reviewed preventive control measures for secondary transmission of Shiga-toxin producing Escherichia coli (STEC) in humans in European Union (EU)/European Free Trade Association (EEA) countries to inform the revision of the respective Norwegian guidelines which at that time did not accommodate for the varying pathogenic potential of STEC. We interviewed public health experts from EU/EEA institutes, using a semi-structured questionnaire. We revised the Norwegian guidelines using a risk-based approach informed by the new scientific evidence on risk factors for HUS and the survey results. All 13 (42%) participating countries tested STEC for Shiga toxin (stx) 1, stx2 and eae (encoding intimin). Five countries differentiated their control measures based on clinical and/or microbiological case characteristics, but only Denmark based their measures on routinely conducted stx subtyping. In all countries, but Norway, clearance was obtained with ⩽3 negative STEC specimens. After this review, Norway revised the STEC guidelines and recommended only follow-up of cases infected with high-virulent STEC (determined by microbiological and clinical information); clearance is obtained with three negative specimens. Implementation of the revised Norwegian guidelines will lead to a decrease of STEC cases needing follow-up and clearance, and will reduce the burden of unnecessary public health measures and the socioeconomic impact on cases. This review of guidelines could assist other countries in adapting their STEC control measures.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Control de Enfermedades Transmisibles / Guías como Asunto / Transmisión de Enfermedad Infecciosa / Infecciones por Escherichia coli / Escherichia coli Shiga-Toxigénica Tipo de estudio: Guideline / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Control de Enfermedades Transmisibles / Guías como Asunto / Transmisión de Enfermedad Infecciosa / Infecciones por Escherichia coli / Escherichia coli Shiga-Toxigénica Tipo de estudio: Guideline / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido