Risk Factors for Sporadic Shiga Toxin-producing Escherichia coli Infections in Children, Argentina.

MARTA RIVAS; SERGIO SOSA-ESTANI,; JOSEFA RANGEL,; MARIA G. CALETTI,; PATRICIA GARRAMUÑO VALLÉS; CARLOS D. ROLDÁN; LAURA BALBI; MARIA C. MARSANO DE MOLLAR; DIEGO AMOEDO,; ELIZABETH MILIWEBSKY; ISABEL CHINEN; ROBERT M. HOEKSTRA,; PAUL MEAD; PATRICIA M. GRIFFIN

Emerg Infect Dis.

Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC),

Lugar: Atlanta, GA 30333, USA.; Año: 2008 vol. 14 p. 763 - 771

1080-6059

We evaluated risk factors for sporadic Shiga toxin–producing Escherichia coli (STEC) infection among children in Argentina. We conducted a prospective case–control study in 2 sites and enrolled 150 case-patients and 299 controls. The median age of case-patients was 1.8 years; 58% were girls. Serotype O157:H7 was the most commonly isolated STEC. Exposures associated with infection included eating undercooked beef, living in or visiting a place with farm animals, and contact with a child <5 years of age with diarrhea. Protective factors included the respondent reporting that he or she always washed hands after handling raw beef and the child eating more than the median number of fruits and vegetables. Many STEC infections in children could be prevented by avoiding consumption of undercooked beef, limiting exposure to farm animals and their environment, not being exposed to children with diarrhea, and washing hands after handling raw beef.