Epidemiology of respiratory pathogen carriage in the homeless population within two shelters in Marseille, France, 2015–2017: cross sectional 1-day surveys

Autor: Sophie Edouard, P. Brouqui, P. Gautret, V. Pommier de Santi, Sékéné Badiaga, Van Thuan Hoang, Hervé Tissot-Dupont, Didier Raoult, Tran Duc Anh Ly
Přispěvatelé: Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Université de Guyane (UG), Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU), Institut de Recherche Biomédicale des Armées (IRBA)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
0301 basic medicine
Microbiology (medical)
medicine.medical_specialty
030106 microbiology
medicine.disease_cause
Article
03 medical and health sciences
0302 clinical medicine
Quantitative polymerase chain reaction
Risk Factors
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Epidemiology
Odds Ratio
medicine
Humans
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
030212 general & internal medicine
Respiratory Tract Infections
Nose
ComputingMilieux_MISCELLANEOUS
Quantitative reverse transcription–polymerase chain reaction
Respiratory symptoms and signs
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
Respiratory pathogen carriage
Respiratory tract infections
business.industry
Transmission (medicine)
1. No poverty
General Medicine
Odds ratio
Middle Aged
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
3. Good health
Cross-Sectional Studies
Infectious Diseases
medicine.anatomical_structure
Carriage
Virus Diseases
Ill-Housed Persons
Viruses
Homeless
France
Rhinovirus
business
Respiratory tract
Demography
Zdroj: Clinical Microbiology and Infection
Clinical Microbiology and Infection, 2019, 25 (2), pp.249.e1-249.e6. ⟨10.1016/j.cmi.2018.04.032⟩
Clinical Microbiology and Infection, Elsevier for the European Society of Clinical Microbiology and Infectious Diseases, 2019, 25 (2), pp.249.e1-249.e6. ⟨10.1016/j.cmi.2018.04.032⟩
ISSN: 1198-743X
1469-0691
DOI: 10.1016/j.cmi.2018.04.032⟩
Popis: Objectives To assess risk factors for respiratory tract infection symptoms and signs in sheltered homeless people in Marseille during the winter season, including pathogen carriage. Methods Data on 479 male participants within two shelters who completed questionnaires and a total of 950 nasal and pharyngeal samples were collected during the winters of 2015–2017. Respiratory pathogen carriage including seven viruses and four bacteria was assessed by quantitative PCR. Results The homeless population was characterized by a majority of individuals of North African origin (300/479, 62.6%) with a relatively high prevalence of chronic homelessness (175/465, 37.6%). We found a high prevalence of respiratory symptoms and signs (168/476, 35.3%), a very high prevalence of bacterial carriage (313/477, 65.6%), especially Haemophilus influenzae (280/477, 58.7%), and a lower prevalence of virus carriage (51/473, 10.8%) with human rhinovirus being the most frequent (25/473, 5.3%). Differences were observed between the microbial communities of the nose and throat. Duration of homelessness (odds ratio (OR) 1.77, p 0.017), chronic respiratory diseases (OR 5.27, p
Databáze: OpenAIRE