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Screening for enteropathogenic Escherichia coli.

E G Wilkins1, C Roberts

  • 1Liverpool Public Health Laboratory, Fazakerley Hospital.

The Journal of Hospital Infection
|October 1, 1988
PubMed
Summary
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Enteropathogenic Escherichia coli (EPEC) carriage was screened in maternity patients and neonates. EPEC was detected in 1% of mothers and 0.2% of SCBU neonates, with no cross-infections observed.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Neonatal Care

Background:

  • Enteropathogenic Escherichia coli (EPEC) poses a risk in neonatal settings.
  • Screening for EPEC carriage is crucial to prevent hospital-acquired infections.

Purpose of the Study:

  • To determine the prevalence of EPEC carriage among maternity patients and neonates.
  • To assess the risk of EPEC transmission from mothers to newborns.
  • To evaluate the effectiveness of isolation protocols in preventing EPEC spread.

Main Methods:

  • Screening of 27,174 maternity patients and 4,049 neonates admitted to the Special Care Baby Unit (SCBU) for intestinal carriage of common EPEC serotypes.
  • Monitoring of symptomatic mothers and babies for diarrhea.
  • Implementation of isolation for symptomatic cases.

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  • Data collection over an 8-year period.

    • Main Results:

    • EPEC carriage detected in 1% of maternity patients (265/27,174), with 3% (8/265) exhibiting diarrhea.
    • EPEC infection identified in 3.8% (10/265) of babies born to EPEC-positive mothers, with identical serotypes.
    • EPEC infection found in 0.2% (9/4049) of SCBU neonates, with 37% (7/19) showing diarrhea.
    • No cross-infections with EPEC occurred during the 8-year study period.

    Conclusions:

    • Maternity patients and neonates can carry EPEC, posing a potential risk in neonatal units.
    • Maternal EPEC carriage is a significant source of neonatal infection.
    • Isolation of symptomatic individuals is effective in preventing EPEC transmission.
    • Routine screening and isolation protocols are vital for controlling EPEC in healthcare settings.