A community outbreak of cryptosporidiosis in sydney associated with a public swimming facility: a case-control study.

Autor: Mayne DJ; South Eastern Sydney Illawarra Public Health Unit, Health Reform Transition Organisation-Southern, Locked Mail Bag 9, Wollongong, NSW 2526, Australia., Ressler KA, Smith D, Hockey G, Botham SJ, Ferson MJ
Jazyk: angličtina
Zdroj: Interdisciplinary perspectives on infectious diseases [Interdiscip Perspect Infect Dis] 2011; Vol. 2011, pp. 341065. Date of Electronic Publication: 2011 Dec 13.
DOI: 10.1155/2011/341065
Abstrakt: In February, 2008, the South Eastern Sydney Illawarra Public Health Unit investigated an outbreak of cryptosporidiosis within the south east region of Sydney, Australia. Thirty-one cases with laboratory-confirmed cryptosporidiosis and 97 age- and geographically matched controls selected by random digit dialling were recruited into a case-control study and interviewed for infection risk factors. Cryptosporidiosis was associated with swimming at Facility A (matched odds ratio = 19.4, 95% confidence interval: 3.7-100.8) and exposure to household contacts with diarrhoea (matched odds ratio = 7.7, 95% confidence interval: 1.9-31.4) in multivariable conditional logistic regression models. A protective effect for any animal contact was also found (matched odds ratio = 0.2, 95% confidence interval: 0.1-0.7). Cryptosporidium hominis subtype IbA10G2 was identified in 8 of 11 diagnostic stool samples available for cases. This investigation reaffirms the importance of public swimming pools as potential sources of Cryptosporidium infection and ensuring their compliance with water-quality guidelines. The protective effect of animal contact may be suggestive of past exposure leading to immunity.
Databáze: MEDLINE