Case–case analyses of cryptosporidiosis and giardiasis using routine national surveillance data in the United States – 2005–2015
Autor: | Sarah A. Collier, Jonathan S. Yoder, E. P. Marder, Michele C. Hlavsa, Kathleen E. Fullerton, Katharine M. Benedict |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Giardiasis Male medicine.medical_specialty Surveillance data Adolescent Epidemiology Population Cryptosporidium Cryptosporidiosis Young Adult Risk Factors Environmental health Odds Ratio Medicine Short Paper Humans education Child Aged Aged 80 and over education.field_of_study biology business.industry Giardia Infant Newborn Infant Odds ratio Middle Aged biology.organism_classification Confidence interval United States Infectious Diseases Infectious disease (medical specialty) Child Preschool Population Surveillance surveillance Female business Reporting state |
Zdroj: | Epidemiology and Infection |
ISSN: | 1469-4409 0950-2688 |
Popis: | Understanding endemic infectious disease risk factors through traditional epidemiological tools is challenging. Population-based case–control studies are costly and time-consuming. A case–case analyses using surveillance data addresses these limitations by using resources more efficiently. We conducted a case–case analyses using routine surveillance data reported by 16 U.S. states (2005–2015), wherein reported cases of salmonellosis were used as a comparison group to identify exposure associations with reported cases of cryptosporidiosis and giardiasis. Odds ratios adjusted for age and reporting state (aOR) and 95% confidence intervals (95% CI) were calculated. A total of 10 704 cryptosporidiosis cases, 17 544 giardiasis cases, and 106 351 salmonellosis cases were included in this analyses. When compared with cases of salmonellosis, exposure to treated recreational water (aOR 4.7, 95% CI 4.3–5.0) and livestock (aOR: 3.2; 95% CI: 2.9–3.5) were significantly associated with cryptosporidiosis and exposure to untreated drinking (aOR 4.1, 95% CI 3.6–4.7) and recreational water (aOR 4.1, 95% CI 3.7–4.5) were associated with giardiasis. Our analyses shows that routine surveillance data with standardised exposure information can be used to identify associations of interest for cryptosporidiosis and giardiasis. |
Databáze: | OpenAIRE |
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