COCA Now: UPDATE: Multistate Outbreak of E. coli O157:H7 Infections Linked to Romaine Lettuce

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UPDATE: Multistate Outbreak of E. coli O157:H7 Infections Linked to Romaine Lettuce

What's New?

lettuce

Case Count Update

    Since the last update on April 27, 2018, 23 more ill people were added to this outbreak.

    As of May 1, 2018, 121 people infected with the outbreak strain of E. coli O157:H7 have been reported from 25 states. A list of the states and the number of cases in each can be found on the Case Count Map page. Illnesses started on dates ranging from March 13, 2018 to April 21, 2018. Ill people range in age from 1 to 88 years, with a median age of 29. Sixty-three percent of ill people are female. Of 102 people with information available, 52 (51%) have been hospitalized, including 14 people who developed hemolytic uremic syndrome, a type of kidney failure. One death was reported from California.

    Illnesses that occurred after April 11, 2018, might not yet be reported due to the time it takes between when a person becomes ill with E. coli and when the illness is reported. This takes an average of two to three weeks.  

    Advice to Clinicians

    Antibiotics are not recommended for patients with suspected E. coli O157 infections until diagnostic testing can be performed and E. coli O157 infection is ruled out. Some studies have shown that administering antibiotics to patients with E. coli O157 infections might increase their risk of developing hemolytic uremic syndrome (a type of kidney failure), and a benefit of treatment has not been clearly demonstrated.

    To read the full investigation notice, click here. For additional resources, including epi curves, case counts maps, advice to consumers, restaurants, and retailers, as well as the notice in Spanish, click here. For more information about Shiga toxin-producing E. coli and steps that people can take to reduce their risk of infection, click here.

     

    Map
    Click to view the case count map