Risk factors for sporadic Vibrio parahaemolyticus gastroenteritis in east China: a matched case-control study

被引:15
|
作者
Yan, W. X. [1 ]
Dai, Y. [2 ]
Zhou, Y. J. [2 ]
Liu, H. [3 ]
Duan, S. G. [3 ]
Han, H. H. [1 ]
Chen, Y. [1 ]
机构
[1] China Natl Ctr Food Safety Risk Assessment, Minist Hlth, Key Lab Food Safety Risk Assessment, Beijing 100021, Peoples R China
[2] Jiangsu Prov Ctr Dis Control & Prevent, Inst Food Safety & Assessment, Nanjing, Jiangsu, Peoples R China
[3] Shanghai Municipal Ctr Dis Control & Prevent, Dept Food Hyg & Foodborne Dis Control, Shanghai, Peoples R China
来源
EPIDEMIOLOGY AND INFECTION | 2015年 / 143卷 / 05期
关键词
Case-control studies; China; gastroenteritis; risk factors; Vibrio parahaemolyticus; ACUTE GASTROINTESTINAL ILLNESS; ENTERICA SEROTYPE TYPHIMURIUM; UNITED-STATES; RESISTANT SALMONELLA; INFECTIONS; EPIDEMIOLOGY; BURDEN; CAMPYLOBACTER; HEMOLYSIN; TDH;
D O I
10.1017/S0950268814001599
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To determine risk factors for sporadic Vibrio parahaemolyticus gastroenteritis, we conducted a population-based case-control study in sentinel hospital surveillance areas of Shanghai and Jiangsu province, China. Seventy-one patients with diarrhoea and confirmed V. parahaemolyticus infections were enrolled, and they were matched with 142 controls for gender, age and residential area. From the multivariable analysis, V. parahaemolyticus infections were associated with antibiotics taken during the 4 weeks prior to illness [odds ratio (OR) 8.1, 95% confidence interval (CI) 1.2-56.4)], frequent eating out (OR 3.3, 95% CI 1.1-10.1), and shellfish consumption (OR 3.2, 95% CI 1.0-9.9), with population-attributable fractions of 0.09, 0.25, and 0.14, respectively. Protective factors included keeping the aquatic products refrigerated (OR 0.4, 95% CI 0.1-0.9) and pork consumption (OR 0.2, 95% CI 0.1-0.8). Further study of the association of V. parahaemolyticus gastroenteritis with prior antibiotic use and shellfish consumption is needed.
引用
收藏
页码:1020 / 1028
页数:9
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