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Incubation period of Shiga-toxin producing Escherichia coli

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Awofisayo-Okuyelu, Adedoyin, Brainard, Julii, Hall, Ian and McCarthy, Noel D. (2019) Incubation period of Shiga-toxin producing Escherichia coli. Epidemiologic Reviews, 41 (1). pp. 121-129. doi:10.1093/epirev/mxz001 ISSN 0193-936X.

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Official URL: http://dx.doi.org/10.1093/epirev/mxz001

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Abstract

Shiga toxin-producing Escherichia coli are pathogenic bacteria found in the gastrointestinal tract of humans. Severe infections could lead to life threatening complications especially in young children and the elderly. Understanding the distribution of the incubation period, which is currently inconsistent and ambiguous, can help in controlling the burden of disease. We have undertaken a systematic review of outbreak investigation reports, extracted individual incubation data and summary estimates, tested for heterogeneity, classified studies into subgroups with limited heterogeneity and undertook a meta-analysis to identify factors that may contribute to the distribution of incubation period. Twenty-nine studies were identified for inclusion in the review, and the resulting value of I2 was 77% indicating high heterogeneity. Studies were classified into five subgroups with the mean incubation period ranging from 3.5 to 8.1 days. The length of the incubation period increased with age and decreased by 7.2 hours with every 10% increase in attack rate.

Item Type: Journal Article
Subjects: Q Science > QR Microbiology
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Escherichia coli, Escherichia coli infections, Shiga-Toxigenic Escherichia coli, Verocytotoxins
Journal or Publication Title: Epidemiologic Reviews
Publisher: Oxford University Press
ISSN: 0193-936X
Official Date: 16 October 2019
Dates:
DateEvent
16 October 2019Published
8 May 2019Accepted
Volume: 41
Number: 1
Page Range: pp. 121-129
DOI: 10.1093/epirev/mxz001
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): This is a pre-copyedited, author-produced version of an article accepted for publication in Epidemiologic Reviews following peer review. The version of record Adedoyin Awofisayo-Okuyelu, Julii Brainard, Ian Hall, Noel McCarthy, Incubation period of Shiga-toxin producing Escherichia coli, Epidemiologic Reviews, is available online at: http://dx.doi.org/10.1093/epirev/mxz001
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 17 October 2019
Date of first compliant Open Access: 16 October 2020
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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