Abstract
We describe the consequences of 2 major changes in notification criteria for Shiga toxin–producing Escherichia coli surveillance in the Netherlands. The change to reporting acute, more severe infections appears to be a good compromise between workload, redundancy, and public health relevance, provided isolates remain available for typing and sequencing.
Highlights
Shiga toxin–producing Escherichia coli (STEC) is a zoonotic pathogen that causes illnesses ranging from mild diarrhea to hemolytic uremic syndrome (HUS) and death (1,2)
A pilot study in the Netherlands during 2005–2006 showed the common presence of non-O157 STEC infections (9); subsequently, STEC O157 surveillance was extended to all STEC in July 2007
We reviewed the effects of changes in notification criteria on STEC surveillance in the Netherlands
Summary
During phase 3, July 2016–December 2019, the first criterium was changed to notification of every person with diarrhea, blood in stool, vomiting or any combination, and
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