Outbreak of shiga toxin-producing Escherichia coli serotype O26: H11 infection at a child care center in Colorado

BACKGROUND Shiga toxin-producing Escherichia coli (STEC) O26:H11 is an emerging cause of disease with serious potential consequences in children. The epidemiology and clinical spectrum of O26:H11 are incompletely understood. We investigated an outbreak of O26:H11 infection among children younger than 48 months of age and employees at a child care center. METHODS Every employee at the center (n = 20) and every child