Burden and Transmission of Zoonotic Foodborne Disease in a Rural Community in Mexico
| Autor: | Juan J. Calva, Magda León, Freddy D. Campos, Rodolfo Chim, Teresa Estrada-Garcia, Flor Gutierrez, Mussaret B. Zaidi |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Rural Population Salmonella typhimurium Microbiology (medical) Salmonella Food Chain Meat Endemic Diseases Swine Salmonella infection Microbial Sensitivity Tests medicine.disease_cause Microbiology Campylobacter jejuni Campylobacter Gastroenteritis Zoonoses Environmental health Campylobacter Infections Disease Transmission Infectious Prevalence Animals Cluster Analysis Humans Medicine Prospective Studies Mexico Aged Aged 80 and over Salmonella Infections Animal Chi-Square Distribution business.industry Transmission (medicine) Campylobacter Incidence (epidemiology) Infant medicine.disease Anti-Bacterial Agents Electrophoresis Gel Pulsed-Field Gastroenteritis Diarrhea Infectious Diseases Socioeconomic Factors Cattle Female Salmonella Food Poisoning medicine.symptom business Cohort study |
| Zdroj: | Clinical Infectious Diseases. 55:51-60 |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | Background The foodborne transmission and human health impact of Salmonella and Campylobacter infections have rarely been evaluated at the population level in highly endemic settings. Methods A prospective 15-month cohort study of 127 infants and 119 elderly people was combined with animal and food surveillance to determine the incidence and severity of Salmonella and Campylobacter gastroenteritis in a comparatively prosperous rural community in Mexico. Results Salmonella and Campylobacter were isolated in up to 75% and 57%, respectively, of raw retail meat and in up to 4.5% of ready-to-eat foods. Rates of acute gastroenteritis of any etiology in infants and elderly people were, respectively, 2.1 and 0.7 episodes per person per year. The annual incidence density rate of Salmonella gastroenteritis was 17.8 per 100 infants and 7.9 per 100 elderly people; the rate of Campylobacter gastroenteritis was 11.7 per 100 infants and 0 per 100 elderly people. Pulsed-field gel electrophoresis analysis yielded multiple clusters of human, meat, and/or animal Salmonella and Campylobacter isolates with indistinguishable patterns. On average, gastroenteritis episodes with these pathogens lasted 3 days in infants and 2 days in elderly people. Medical attention was sought in 44% of diarrheal episodes in infants and in 26% of diarrheal episodes in elderly people; none required hospitalization. Infants with multidrug-resistant Salmonella gastroenteritis had a higher frequency of bloody stools and medical visits (50% vs 11%; odds ratio, 8.5; P = .04) than those with more susceptible strains. Conclusions In this relatively advantaged Mexican rural community, the human health impact of a food chain heavily contaminated with Salmonella and Campylobacter was of low magnitude. |
| Databáze: | OpenAIRE |
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