Belgian Journal of Paediatrics
Shiga toxin-producing Escherichia coli outbreak in a childcare facility
Vol. 23 No. 1 (2021), Case reports
Vol. 23 No. 1 (2021)

Shiga toxin-producing Escherichia coli outbreak in a childcare facility

Case reports
Published 2021-04-12 — Updated on 2023-01-18
Audrey Revercez
Paediatric Department, CHU Saint-Pierre, Université Libre de Bruxelles, Brussels, Belgium
Romain Mahieu
Infection Prevention and Control, Common Community Commission (COCOM), Brussels, Belgium
Stéphan Clément de Cléty
Paediatric Intensive Care Unit (PICU), Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium
Elisabeth Rebuffat
Paediatric Department, CHU Saint-Pierre, Université Libre de Bruxelles, Brussels, Belgium
Louise De Viron
Infection Prevention and Control, Common Community Commission (COCOM), Brussels, Belgium
Florence Crombé
National Reference Centre for Shiga toxin-producing Escherichia coli (NRC STEC), Department of Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Brussels, Belgium
Denis Piérard
National Reference Centre for Shiga toxin-producing Escherichia coli (NRC STEC), Department of Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Brussels, Belgium
Tessa Goetghebuer
Paediatric Department, CHU Saint-Pierre, Université Libre de Bruxelles & Office de la Naissance et de l’Enfance (ONE), Brussels , Belgium

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Keywords

hemolytic uremic syndrome
shiga-toxin producing Escherichia coli
STEC
childcare

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How to Cite

Revercez, A., Mahieu, R., Clément de Cléty, S., Rebuffat, E., De Viron, L., Crombé, F., Piérard, D., & Goetghebuer, T. (2023). Shiga toxin-producing Escherichia coli outbreak in a childcare facility . Belgian Journal of Paediatrics, 23(1), 59–60. Retrieved from http://www.belgjpaediatrics.com/index.php/bjp/article/view/177 (Original work published April 12, 2021)
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Abstract

Haemolytic uremic syndrome (HUS) is typically associated with Shiga toxin-producing Escherichia coli (STEC).

We describe two cases of HUS occurring in a childcare facility.

We collaborated with the National Reference Centre for STEC to screen all 77 children and 27 adults present at the childcare facility. Shiga toxin Escherichia coli was detected in 7 children (9%) and 1 symptomatic sibling. Only one section was touched, 8 out of 29 children from the “big” section (28%) were affected.

The high prevalence of Shiga toxin Escherichia coli carrying in childcare facilities supports the need for early hygiene measures and information to parents.

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