Do differences in risk factors, medical care seeking, or medical practices explain the geographic variation in campylobacteriosis in Foodborne Diseases Active Surveillance Network (FoodNet) sites?

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Elizabeth AilesChristine L Moe

Abstract

In the United States, considerable geographic variation in the rates of culture-confirmed Campylobacter infection has been consistently observed among sites participating in the Foodborne Diseases Active Surveillance Network (FoodNet). We used data from the FoodNet Population Surveys and a FoodNet case-control study of sporadic infection to examine whether differences in medical care seeking, medical practices, or risk factors contributed to geographic variation in incidence. We found differences across the FoodNet sites in the proportion of persons seeking medical care for an acute campylobacteriosis-like illness (range, 24.9%-43.5%) and in the proportion of ill persons who submitted a stool sample (range, 18.6%-40.7%), but these differences were not statistically significant. We found no evidence of geographic effect modification of previously identified risk factors for campylobacteriosis in the case-control study analysis. The prevalence of some exposures varied among control subjects in the FoodNet sites, including the proportion of controls reporting eating chicken at a commercial eating establishment (18.2%-46.1%); contact with animal stool (8.9%-30.9%); drinking water from a lake, river, or stream (0%-5.1%); and contact...Continue Reading

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Citations

Nov 12, 2015·Foodborne Pathogens and Disease·Laura FordMartyn Kirk
Jun 18, 2016·Emerging Infectious Diseases·Eric D EbelRobert M Hoekstra
Jan 9, 2015·Clinical Microbiology Reviews·Romney M Humphries, Andrea J Linscott
Apr 11, 2019·Foodborne Pathogens and Disease·Jennifer L SwovelandAilyn C Perez-Osorio
Oct 12, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Aimee L GeisslerBarbara E Mahon
Jan 8, 2021·BMC Infectious Diseases·Cameron R M MoffattMartyn D Kirk
Feb 8, 2021·International Journal of Food Microbiology·Michael S WilliamsEpiphanie Nyirabahizi

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