Skip to main content
×
×
Home

Assessing risk factors of sporadic Campylobacter infection: a case-control study in Arizona

  • K. POGREBA-BROWN (a1), A. BAKER (a2), K. ERNST (a1), J. STEWART (a3), R. B. HARRIS (a1) and J. WEISS (a2)...
Summary

Case-control studies of sporadic Campylobacter infections have predominately been conducted in non-Hispanic populations. In Arizona, rates of campylobacteriosis have been historically higher than the national average, with particularly high rates in Hispanics. In 2010, health departments and a state university collaborated to conduct a statewide case-control study to determine whether risk factors differ in an ethnically diverse region of the United States. Statistically significant risk factors in the final multivariate model were: eating cantaloupe [odds ratio (OR) 7·64], handling raw poultry (OR 4·88) and eating queso fresco (OR 7·11). In addition, compared to non-Hispanic/non-travellers, the highest risk group were Hispanic/non-travellers (OR 7·27), and Hispanic/travellers (OR 5·87, not significant). Results of this study suggest Hispanics have higher odds of disease, probably due to differential exposures. In addition to common risk factors, consumption of cantaloupe was identified as a significant risk factor. These results will inform public health officials of the varying risk factors for Campylobacter in this region.

Copyright
Corresponding author
* Author for correspondence: Dr K. Pogreba-Brown, 1295 N. Martin, PO Box 245211, Tucson, AZ 85724, USA. (Email: kpogreba@email.arizona.edu)
References
Hide All
1. Allos, BM. Campylobacter jejuni infections: update on emerging issues and trends. Clinical Infectious Diseases 2001; 32: 12011206.
2. Samuel, MC, et al. Epidemiology of sporadic Campylobacter infection in the United States and declining trend in incidence, FoodNet 1996–1999. Clinical Infectious Diseases 2004; 38 Suppl 3: S165–174.
3. Friedman, CR, et al. Risk factors for sporadic Campylobacter infection in the United States: a case-control study in FoodNet sites. Clinical Infectious Diseases 2004; 38: S285S296.
4. Eberhart-Phillips, J, et al. Campylobacteriosis in New Zealand: results of a case-control study. Journal of Epidemiology and Community Health 1997; 51: 686691.
5. Gould, LH, et al. Surveillance for foodborne disease outbreaks — United States, 2009–2010. Morbidity and Mortality Weekly Report 2013; 62: 4147.
6. Foodborne Diseases Active Surveillance Network (FoodNet). FoodNet Surveillance Report for 2008 (Final Report). Atlanta, GA, USA: 2009 (http://www.cdc.gov/foodnet/AR2008_508Compliant_v3_FINAL.pdf). Accessed 15 September 2012.
7. Arizona Department of Health Services. Rates of reported cases of notifiable diseases by year for Arizona, 2000–2010, per 100 000 population. Phoenix, AZ, USA: 2010; (http://www.azdhs.gov/phs/oids/pdf/rates2000_2010.pdf). Accessed 12 October 2012.
8. Arizona Department of Health Services. Rates of reported cases of selected notifiable diseases by race/ethnicity, per 100 000 population Arizona, 2008. Phoenix, AZ, USA: 2008 (Historical Tables) (http://www.azdhs.gov/phs/oids/pdf/raceethnicity2008.pdf). Accessed 12 October 2012.
9. Lampel, K, Al-Khaldi, S, Cahil, SM. Bad Bug Book – Foodborne Pathogenic Microorganisms and Natural Toxins Handbook. Federal Drug Administration, 2011.
10. Arizona Department of Health Services. Rates of reported cases of selected notifiable diseases, by 5-year age group and gender, per 100 000 population, Arizona, 2008. Phoenix, AZ, USA: 2008; (http://www.azdhs.gov/phs/oids/pdf/raceethnicity2008.pdf). Accessed 12 October 2012.
11. Neal, KR, Slack, RCB. Diabetes mellitus, anti-secretory drugs and other risk factors for Campylobacter gastroenteritis in adults: a case-control study. Epidemiology and Infection 1997; 119: 307311.
12. Schorr, D, et al. Risk factors for Campylobacter enteritis in Switzerland. International Journal of Hygeine and Environmental Medicine 1994; 196: 327337.
13. Domingues, AR, et al. Source attribution of human salmonellosis using a meta-analysis of case-control studies of sporadic infections. Epidemiology and Infection 2011; 140: 970981.
14. Stafford, RJ, et al. Population-attributable risk estimates for risk factors associated with Campylobacter infection, Australia. Emerging Infectious Diseases 2008; 14: 895901.
15. Langer, AJ, et al. Nonpasteurized dairy products, disease outbreaks, and state laws – United States, 1993–2006. Emerging Infectious Diseases 2012; 18: 385391.
16. Kapperud, G, et al. Risk factors for sporadic Campylobacter infections: results of a case-control study in southeastern Norway. Journal of Clinical Microbiology 1992; 30: 31173121.
17. Saeed, AM, Harris, NV, DiGiacomo, RF. The role of exposure to animals in the etiology of Campylobacter jejuni/coli enteritis. American Journal of Epidemiology 1993; 137: 108114.
18. Tenkate, TD, Stafford, RJ. Risk factors for Campylobacter infection in infants and young children: a matched case-control study. Epidemiology and Infection 2001; 127: 399404.
19. Adak, GK, et al. The Public Health Laboratory Service National Case-Control Study of Primary Indigenous Sporadic Cases of Campylobacter Infection. Epidemiology and Infection 1995; 115: 1522.
20. Kapperud, G, et al. Factors associated with increased and decreased risk of Campylobacter infection: a prospective case-control study in Norway. American Journal of Epidemiology 2003; 158: 234242.
21. U.S. Census Bureau. American Fact Finder – Maricopa County Quick Facts. 2010 Census Data (http://quickfacts.census.gov/qfd/states/04/04013.html). Accessed 12 December 2012.
22. Kapperud, G, et al. Control and prevention of Campylobacter infections. suggestions for the design, conduct and analysis of an epidemiological study aimed at identification of risk factors for Campylobacter infections in humans. 1998; (http://whqlibdoc.who.int/hq/1998/WHO_EMC_ZOO_98.3.pdf). Accessed 17 October 2012.
23. Ten Have, TR, et al. Mixed effects logistic regression models for longitudinal binary response data with informative drop-out. Biometrics 1998; 54: 367383.
24. Arizona Department of Health Services. Selected 20 morbidities by month of report. Phoenix, 2010 (http://www.azdhs.gov/phs/oids/pdf/morbidity_month2010.pdf). Accessed 18 October 2012.
25. Scallan, E, et al. Foodborne illness acquired in the United States – major pathogens. Emerging Infectectious Diseases 2011; 17: 715.
26. Gallay, A, et al. Risk factors for acquiring sporadic Campylobacter infection in France: results from a national case-control study. Journal of Infectious Diseases 2008; 197: 14771484.
27. Koningstein, M, et al. Antimicrobial use: a risk factor or a protective factor for acquiring campylobacteriosis? Clinical Infectious Diseases 2011; 53: 644650.
28. Havelaar, AH, et al. Immunity to Campylobacter: its role in risk assessment and epidemiology. Critical Reviews in Microbiology 2009; 35: 122.
29. Bowen, A, et al. Infections associated with cantaloupe consumption: a public health concern. Epidemiology and Infection 2006; 134: 675685.
30. CDC. Multistate outbreak of listeriosis linked to whole cantaloupes from Jensen Farms, Colorado. 8 December 2011 (Final update). 2011 (http://www.cdc.gov/listeria/outbreaks/cantaloupes-jensen-farms/120811/index.html). Accessed 31 January 2013.
31. CDC. Multistate outbreak of Salmonella Typhimurium and Salmonella Newport infections linked to cantaloupe (Final update). 2012 (http://www.cdc.gov/salmonella/typhimurium-cantaloupe-08-12/index.html). Accessed 31 January 2013.
32. Neimann, J, et al. A case-control study of risk factors for sporadic campylobacter infections in Denmark. Epidemiology and Infection 2003; 130: 353366.
33. Headrick, ML, et al. The epidemiology of raw milk-associated foodborne disease outbreaks reported in the United States, 1973 through 1992. American Journal of Public Health 1998; 88: 12191221.
34. Christensen, BB, et al. A model of hygiene practices and consumption patterns in the consumer phase. Risk Analysis 2005; 25: 4960.
35. Harris, NV, et al. A survey of Campylobacter and other bacterial contaminants of pre-market chicken and retail poultry and meats, King County, Washington. American Journal of Public Health 1986; 76: 401406.
36. Wingstrand, A, et al. Fresh chicken as main risk factor for campylobacteriosis, Denmark. Emerging Infectious Diseases 2006; 12: 280285.
37. Park, YJ, et al. Antibacterial activities of blueberry and muscadine phenolic extracts. Journal of Food Science 2011; 76: M101105.
38. Arizona Department of Health Services. Rates of reported cases of selected notifiable diseases, by 5-year age group and gender, per 100 000 population, Arizona, 2010. Phoenix, AZ, USA, 2010 (http://www.azdhs.gov/phs/oids/pdf/ratesagegender2010.pdf). Accessed 12 October 2012.
39. Blumberg, SJ, et al. Wireless substitution: state-level estimates from the National Health Interview Survey, January 2007-June 2010. National Health Status Report 2011; 39: 126, 28.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 3
Total number of PDF views: 53 *
Loading metrics...

Abstract views

Total abstract views: 378 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 13th June 2018. This data will be updated every 24 hours.