Sporadic Salmonella enterica serotype Javiana infections in Georgia and Tennessee: a hypothesis-generating study

被引:27
作者
Clarkson, L. S. [1 ]
Tobin-D'Angelo, M.
Shuler, C.
Hanna, S. [2 ]
Benson, J. [3 ]
Voetsch, A. C. [4 ]
机构
[1] Georgia Div Publ Hlth, Epidemiol Branch, Atlanta, GA 30303 USA
[2] Tennessee State Hlth Dept, Nashville, TN USA
[3] Georgia Publ Hlth Lab, Atlanta, GA USA
[4] Ctr Dis Control & Prevent, Atlanta, GA USA
关键词
Epidemiology; Salmonella; Salmonella enterica; salmonellosis; zoonoses; UNITED-STATES; RISK-FACTORS; CONSUMPTION; SURVIVAL; OUTBREAK; WATER;
D O I
10.1017/S0950268809990586
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
From 1996 to 2004, the incidence of Salmonella Javiana infections increased in FoodNet, the U.S. national active foodborne disease surveillance programme. Contact with amphibians and consumption of tomatoes have been associated with outbreaks of S. Javiana infection. To generate and test hypotheses about risk factors associated with sporadic S. Javiana infections, we interviewed patients with laboratory-confirmed S. Javiana infection identified in Georgia and Tennessee during August-October 2004. We collected data on food and water consumption, animal contact, and environmental exposure from cases. Responses were compared with population-based Survey exposure data. Seventy-two of 117 identified S. Javiana case-patients were interviewed. Consumption of well water [adjusted odds ratio (aOR) 4.3, 95% confidence interval (Cl) 1.6-11.2] and reptile or amphibian contact (aOR 2.6, 95%, CI 0.9-7.1) were associated with infection. Consumption of tomatoes (aOR 0.5, 95% CI 0.3-0.9) and poultry (aOR 0.5, 95 % CI 0.2-1.0) were protective. Our study suggests that environmental factors are associated with S. Javiana infections in Georgia and Tennessee.
引用
收藏
页码:340 / 346
页数:7
相关论文
共 26 条
  • [11] Outbreaks of salmonellosis associated with eating uncooked tomatoes: implications for public health
    Hedberg, CW
    Angulo, FJ
    White, KE
    Langkop, CW
    Schell, WL
    Stobierski, MG
    Schuchat, A
    Besser, JM
    Dietrich, S
    Helsel, L
    Griffin, PM
    McFarland, JW
    Osterholm, MT
    [J]. EPIDEMIOLOGY AND INFECTION, 1999, 122 (03) : 385 - 393
  • [12] TURTLE-ASSOCIATED SALMONELLOSIS .3. EFFECTS OF ENVIRONMENTAL SALMONELLAE IN COMMERICAL TURTLE BREEDING PONDS
    KAUFMANN, AF
    FRIX, MK
    WOOD, BT
    MORRIS, GK
    FOX, MD
    FEELEY, JC
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1972, 95 (06) : 521 - &
  • [13] Chicken consumption is a newly identified risk factor for sporadic Salmonella enterica serotype enteritidis infections in the United States:: A case-control study in FoodNet sites
    Kimura, AC
    Reddy, V
    Marcus, R
    Cieslak, PR
    Mohle-Boetani, JC
    Kassenborg, HD
    Segler, SD
    Hardnett, FP
    Barrett, T
    Swerdlow, DL
    [J]. CLINICAL INFECTIOUS DISEASES, 2004, 38 : S244 - S252
  • [14] Nationwide outbreak of human salmonellosis in Germany due to contaminated paprika and paprika-powdered potato chips
    Lehmacher, A
    Bockemuhl, J
    Aleksic, S
    [J]. EPIDEMIOLOGY AND INFECTION, 1995, 115 (03) : 501 - 511
  • [15] ACID ADAPTATION PROMOTES SURVIVAL OF SALMONELLA SPP IN CHEESE
    LEYER, GJ
    JOHNSON, EA
    [J]. APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 1992, 58 (06) : 2075 - 2080
  • [16] Survival of Salmonella enterica in freshwater and sediments and transmission by the aquatic midge Chironomus tentans (Chironomidae: Diptera)
    Moore, BC
    Martinez, E
    Gay, JM
    Rice, DH
    [J]. APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 2003, 69 (08) : 4556 - 4560
  • [17] MORSE EV, 1974, J AM VET MED ASSOC, V165, P1015
  • [18] EPIDEMIOLOGY OF NONTYPHOIDAL SALMONELLAE AT A TERTIARY CARE CENTER IN NORTHEAST FLORIDA
    RATHORE, MH
    JENKINS, SG
    WILLIAMS, E
    [J]. SOUTHERN MEDICAL JOURNAL, 1995, 88 (08) : 840 - 842
  • [19] Risk factors for sporadic cryptosporidiosis among immunocompetent persons in the United States from 1999 to 2001
    Roy, SL
    DeLong, SM
    Stenzel, SA
    Shiferaw, B
    Roberts, JM
    Khalakdina, A
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (07) : 2944 - 2951
  • [20] SONON L, 2005, WATER QUALITY GEORGI