Four laboratory-associated cases of infection with Escherichia coli O157:H7

Nancy Spina1, Shelley Zansky, Nellie Dumas

  • 1Emerging Infections Program, New York State Department of Health, Room 651 Corning Tower, Empire State Plaza, Albany, NY 12237, USA. nls04@health.state.ny.us

Insights

Four laboratorians contracted Escherichia coli O157:H7 infections, with DNA analysis confirming the pathogens originated from laboratory samples. Strict adherence to biosafety protocols is crucial for preventing laboratory-acquired infections.

Area of Science:

  • Clinical microbiology
  • Infectious disease epidemiology
  • Occupational health in laboratory settings

Background:

  • Escherichia coli O157:H7 is a significant human pathogen.
  • Clinical laboratorians handle various infectious agents daily.
  • Understanding routes of laboratory-acquired infections (LAIs) is vital for safety.

Observation:

  • Four distinct cases of Escherichia coli O157:H7 infection occurred in laboratorians.
  • Each infected laboratorian worked in a different clinical laboratory.
  • Isolates from infected individuals matched isolates previously handled in their respective labs.

Findings:

  • DNA fingerprinting confirmed indistinguishable genetic profiles between patient isolates and laboratory strains.
  • The temporal and genetic links strongly suggest laboratory acquisition of Escherichia coli O157:H7.
  • These cases highlight potential breaches in biosafety protocols.

Implications:

  • Reinforces the critical need for strict adherence to biosafety practices when handling infectious materials.
  • Underscores the risk of laboratory-acquired infections, even with common pathogens.
  • Emphasizes the importance of robust safety training and oversight for laboratory personnel.

Related Concept Videos

Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Investigation of Disease Outbreaks01:23

Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Cholera01:25

Cholera

Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...