Epidemiology and Infection最新文献_第10页

Outbreak of the novel Cryptosporidium parvum IIγA11 linked to salad bars in Sweden, December 2023. 2023 年 12 月，瑞典爆发与沙拉吧有关的新型副隐孢子虫 IIγA11。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-18 DOI: 10.1017/S0950268824001432

Ioana Bujila, Anna Ohlson, Anette Hansen, Lady Agudelo, Sharon Kühlmann-Berenzon, Ilias Galanis, Ingela Hall, Ann-Mari Gustavsson, Marianne Lebbad, Mats Lindblad, Caroline Rönnberg, Moa Rehn

{"title":"Outbreak of the novel Cryptosporidium parvum IIγA11 linked to salad bars in Sweden, December 2023.","authors":"Ioana Bujila, Anna Ohlson, Anette Hansen, Lady Agudelo, Sharon Kühlmann-Berenzon, Ilias Galanis, Ingela Hall, Ann-Mari Gustavsson, Marianne Lebbad, Mats Lindblad, Caroline Rönnberg, Moa Rehn","doi":"10.1017/S0950268824001432","DOIUrl":"10.1017/S0950268824001432","url":null,"abstract":"We report a foodborne outbreak of the previously undetected Cryptosporidium parvum gp60 subtype IIγA11. In December 2023, notifications of cryptosporidiosis cases increased in Sweden, prompting the initiation of a national outbreak investigation, and a case-control study was performed to identify the source. We identified 60 cases between 15 December 2023 and 1 January 2024. The median age was 44 years (range: 16-81), and 73% were women. Controls were recruited from a national random pool; frequency was matched by age group and sex. Compared to controls, cases were more likely to have consumed items from salad bars in grocery stores (8% vs. 85%; adjusted odds ratios [aOR]: 58; 95% confidence interval [CI]: 22-186). In regards to food items from the salad bars, cases were more likely to have consumed kale mix salad compared to controls (62% vs. 32%; aOR: 3.6; 95%CI: 1.2-12). Trace-back investigations identified kale producers from Sweden, Belgium, and Spain, but no particular grower was identified, and no food samples were available for microbiological analysis. Our investigation indicates that leafy greens such as kale may contain Cryptosporidium spp. and cause outbreaks and it is important to understand how the contamination occurs to prevent future outbreaks and apply adequate preventive measures.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e140"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex differences in response to COVID-19 mRNA vaccines in Italian population. 意大利人群对 COVID-19 mRNA 疫苗反应的性别差异。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-18 DOI: 10.1017/S0950268824001079

Eliana Ferroni, Alberto Mateo-Urdiales, Carla Bietta, Giulia Cesaroni, Simona Anticoli, Elisa Di Maggio, Angela Ancona, Daniele Petrone, Andrea Cannone, Chiara Sacco, Massimo Fabiani, Martina Del Manso, Flavia Riccardo, Antonino Bella, Anna Ruggieri, Patrizio Pezzotti

{"title":"Sex differences in response to COVID-19 mRNA vaccines in Italian population.","authors":"Eliana Ferroni, Alberto Mateo-Urdiales, Carla Bietta, Giulia Cesaroni, Simona Anticoli, Elisa Di Maggio, Angela Ancona, Daniele Petrone, Andrea Cannone, Chiara Sacco, Massimo Fabiani, Martina Del Manso, Flavia Riccardo, Antonino Bella, Anna Ruggieri, Patrizio Pezzotti","doi":"10.1017/S0950268824001079","DOIUrl":"10.1017/S0950268824001079","url":null,"abstract":"Since the beginning of mass vaccination campaign for COVID-19 in Italy (December 2020) and following the rapidly increasing vaccine administration, sex differences have been emphasized. Nevertheless, incomplete and frequently incoherent sex-disaggregated data for COVID-19 vaccinations are currently available, and vaccines clinical studies generally do not include sex-specific analyses for safety and efficacy. We looked at sex variations in the COVID-19 vaccine's effectiveness against infection and severe disease outcomes. We conducted a nationwide retrospective cohort study on Italian population, linking information on COVID-19 vaccine administrations obtained through the Italian National Vaccination Registry, with the COVID-19 integrated surveillance system, held by the Istituto Superiore di Sanità. The results showed that, in all age groups, vaccine effectiveness (VE) was higher in the time-interval ≤120 days post-vaccination. In terms of the sex difference in vaccination effectiveness, men and women were protected against serious illness by vaccination in a comparable way, while men were protected against infection to a somewhat greater extent than women. To fully understand the mechanisms underlying the sex difference in vaccine response and its consequences for vaccine effectiveness and development, further research is required. The sex-related analysis of vaccine response may contribute to adjust vaccination strategies, improving overall public health programmes.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e139"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of SARS-CoV-2 infection cases based on the meta-SEIRS model. 基于 Meta-SEIRS 模型的 SARS-CoV-2 感染病例预测。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-18 DOI: 10.1017/S0950268824001274

Wenhui Zhu, Xuefeng Tang, Ying Chen, Miaoshuang Chen, Xinyue Han, Yuhuan Xie, Qiang Lv, Rongjie Wei, Dingzi Zhou, Changhong Yang, Tao Zhang

{"title":"Prediction of SARS-CoV-2 infection cases based on the meta-SEIRS model.","authors":"Wenhui Zhu, Xuefeng Tang, Ying Chen, Miaoshuang Chen, Xinyue Han, Yuhuan Xie, Qiang Lv, Rongjie Wei, Dingzi Zhou, Changhong Yang, Tao Zhang","doi":"10.1017/S0950268824001274","DOIUrl":"10.1017/S0950268824001274","url":null,"abstract":"Predicting epidemic trends of coronavirus disease 2019 (COVID-19) remains a key public health concern globally today. However, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reinfection rate in previous studies of the transmission dynamics model was mostly a fixed value. Therefore, we proposed a meta-Susceptible-Exposed-Infectious-Recovered-Susceptible (SEIRS) model by adding a time-varying SARS-CoV-2 reinfection rate to the transmission dynamics model to more accurately characterize the changes in the number of infected persons. The time-varying reinfection rate was estimated using random-effect multivariate meta-regression based on published literature reports of SARS-CoV-2 reinfection rates. The meta-SEIRS model was constructed to predict the epidemic trend of COVID-19 from February to December 2023 in Sichuan province. Finally, according to the online questionnaire survey, the SARS-CoV-2 infection rate at the end of December 2022 in Sichuan province was 82.45%. The time-varying effective reproduction number in Sichuan province had two peaks from July to December 2022, with a maximum peak value of about 15. The prediction results based on the meta-SEIRS model showed that the highest peak of the second wave of COVID-19 in Sichuan province would be in late May 2023. The number of new infections per day at the peak would be up to 2.6 million. We constructed a meta-SEIRS model to predict the epidemic trend of COVID-19 in Sichuan province, which was consistent with the trend of SARS-CoV-2 positivity in China. Therefore, a meta-SEIRS model parameterized based on evidence-based data can be more relevant to the actual situation and thus more accurately predict future trends in the number of infections.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e144"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oro-faecal transmission of SARS-CoV-2: A systematic review of studies employing viral culture from gastrointestinal and other potential oro-faecal sources and evidence for transmission to humans. SARS-CoV-2的粪便传播：采用胃肠道和其他潜在粪便来源的病毒培养方法进行的研究系统综述以及向人类传播的证据。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-12 DOI: 10.1017/S0950268824001481

Sara Gandini, John Conly, Elizabeth A Spencer, David Evans, Elena C Rosca, Jon Brassey, Susanna Maltoni, Igho Onakpoya, Annette Plüddemann, Tom Jefferson, Carl Heneghan

{"title":"Oro-faecal transmission of SARS-CoV-2: A systematic review of studies employing viral culture from gastrointestinal and other potential oro-faecal sources and evidence for transmission to humans.","authors":"Sara Gandini, John Conly, Elizabeth A Spencer, David Evans, Elena C Rosca, Jon Brassey, Susanna Maltoni, Igho Onakpoya, Annette Plüddemann, Tom Jefferson, Carl Heneghan","doi":"10.1017/S0950268824001481","DOIUrl":"10.1017/S0950268824001481","url":null,"abstract":"The extent to which the oro-faecal route contributes to the transmission of SARS-CoV-2 is not established.We systematically reviewed the evidence on the presence of infectious SARS-CoV-2 in faeces and other gastrointestinal sources by examining studies that used viral culture to investigate the presence of replication-competent virus in these samples. We conducted searches in the WHO COVID-19 Database, LitCovid, medRxiv, and Google Scholar for SARS-CoV-2 using keywords and associated synonyms, with a search date up to 28 November 2023.We included 13 studies involving 229 COVID-19 subjects - providing 308 faecal or rectal swab SARS-CoV2 reverse transcription-polymerase chain reaction (RT-PCR)-positive samples tested with viral culture. The methods used for viral culture across the studies were heterogeneous. Three studies (two cohorts and one case series) reported observing replication-competent SARS-CoV-2 confirmed by quantitative RT-PCR (qPCR) and whole-genome sequencing, and qPCR including appropriate cycle threshold changes. Overall, six (1.9%) of 308 faecal samples subjected to cell culture showed replication-competent virus. One study found replication-competent samples from one immunocompromised patient. No studies were identified demonstrating direct evidence of oro-faecal transmission to humans.Our review found a relatively low frequency of replication-competent SARS-CoV-2 in faecal and other gastrointestinal sources. Although it is biologically plausible, more research is needed using standardized cell culture methods, control groups, adequate follow-up, and robust epidemiologic methods, including whether secondary infections occurred, to determine the role of the oro-faecal route in the transmission of SARS-CoV-2.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e138"},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and prognosis of tinnitus in post-COVID-19 patients: a cross-sectional survey. COVID-19后患者耳鸣的患病率和预后：一项横断面调查。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-08 DOI: 10.1017/S095026882400147X

Shihang Mao, Dantong Gu, Di Wang, Peifan Li, Xiaoling Huang, Haoning Yin, Shan Sun

{"title":"Prevalence and prognosis of tinnitus in post-COVID-19 patients: a cross-sectional survey.","authors":"Shihang Mao, Dantong Gu, Di Wang, Peifan Li, Xiaoling Huang, Haoning Yin, Shan Sun","doi":"10.1017/S095026882400147X","DOIUrl":"10.1017/S095026882400147X","url":null,"abstract":"Recent developments have indicated a potential association between tinnitus and COVID-19. The study aimed to understand tinnitus following COVID-19 by examining its severity, recovery prospects, and connection to other lasting COVID-19 effects. Involving 1331 former COVID-19 patients, the online survey assessed tinnitus severity, cognitive issues, and medical background. Of the participants, 27.9% reported tinnitus after infection. Findings showed that as tinnitus severity increased, the chances of natural recovery fell, with more individuals experiencing ongoing symptoms (p < 0.001). Those with the Grade II mild tinnitus (OR = 3.68; CI = 1.89-7.32; p = 0.002), Grade III tinnitus (OR = 3.70; CI = 1.94-7.22; p < 0.001), Grade IV (OR = 6.83; CI = 3.73-12.91; p < 0.001), and a history of tinnitus (OR = 1.96; CI = 1.08-3.64; p = 0.03) had poorer recovery outcomes. Grade IV cases were most common (33.2%), and severe tinnitus was strongly associated with the risk of developing long-term hearing loss, anxiety, and emotional disorders (p < 0.001). The study concludes that severe post-COVID tinnitus correlates with a worse prognosis and potential hearing loss, suggesting the need for attentive treatment and management of severe cases.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e137"},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The performance of a new rapid interferon gamma release assay based on fluorescence immunochromatography for Mycobacterium tuberculosis infection testing in village doctors in China. 基于荧光免疫层析技术的新型干扰素γ释放快速检测法在中国乡村医生结核分枝杆菌感染检测中的表现。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-08 DOI: 10.1017/S0950268824001146

Xuefang Cao, Yanxiao Chen, Henan Xin, Jiang Du, Boxuan Feng, Yijun He, Tonglei Guo, Lingyu Shen, Yuanzhi Di, Jianguo Liang, Zihan Li, Bin Zhang, Dakuan Wang, Zisen Liu, Weitao Duan, Qi Jin, Lei Gao

{"title":"The performance of a new rapid interferon gamma release assay based on fluorescence immunochromatography for Mycobacterium tuberculosis infection testing in village doctors in China.","authors":"Xuefang Cao, Yanxiao Chen, Henan Xin, Jiang Du, Boxuan Feng, Yijun He, Tonglei Guo, Lingyu Shen, Yuanzhi Di, Jianguo Liang, Zihan Li, Bin Zhang, Dakuan Wang, Zisen Liu, Weitao Duan, Qi Jin, Lei Gao","doi":"10.1017/S0950268824001146","DOIUrl":"10.1017/S0950268824001146","url":null,"abstract":"The AIMTB rapid test assay is an emerging test, which adopted a fluorescence immunochromatographic assay to measure interferon-γ (IFN-γ) production following stimulation of effector memory T cells in whole blood by mycobacterial proteins. The aim of this article was to explore the ability of AIMTB rapid test assay in detecting Mycobacterium tuberculosis (MTB) infection compared with the widely applied QuantiFERON-TB Gold Plus (QFT-Plus) test among rural doctors in China. In total, 511 participants were included in the survey. The concordance between the QFT-Plus test and the AIMTB rapid test assay was 94.47% with a Cohen's kappa coefficient (κ) of 0.84 (95% CI, 0.79-0.90). Improved concordance between the two tests was observed in males and in participants with 26 or more years of service as rural doctors. The quantitative values of the QFT-Plus test was higher in individuals with a result of QFT-Plus-/AIMTB+ as compared to those with a result of QFT-Plus-/AIMTB- (p < 0.001). Overall, our study found that there was an excellent consistency between the AIMTB rapid test assay and the QFT-Plus test in a Chinese population. As the AIMTB rapid test assay is fast and easy to operate, it has the potential to improve latent tuberculosis infection testing and treatment at the community level in resource-limited settings.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e155"},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characterisation of pathogenic Leptospira in invasive raccoons (Procyon lotor) in northeast and southwest France. 法国东北部和西南部入侵浣熊（Procyon lotor）中致病性钩端螺旋体的特征。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-11-04 DOI: 10.1017/S095026882400116X

Florence Ayral, Elena Harran, Christine Fournier-Chambrillon, Manon Gautrelet, Océane Tourniaire, Alexis Peutot, Karine Groud, Nathan Thenon, Pascal Fournier, Céline Richomme

{"title":"Characterisation of pathogenic Leptospira in invasive raccoons (Procyon lotor) in northeast and southwest France.","authors":"Florence Ayral, Elena Harran, Christine Fournier-Chambrillon, Manon Gautrelet, Océane Tourniaire, Alexis Peutot, Karine Groud, Nathan Thenon, Pascal Fournier, Céline Richomme","doi":"10.1017/S095026882400116X","DOIUrl":"10.1017/S095026882400116X","url":null,"abstract":"Leptospirosis is a widespread zoonosis caused by bacteria of the genus Leptospira. Although crucial to mitigate the disease risk, basic epidemiological information is lacking, such as the identities of Leptospira maintenance hosts. The raccoon (Procyon lotor), an alien invasive species in France, could pose a public health risk if it carries pathogenic Leptospira. We investigated the rate and type (selective vs. unselective) of Leptospira carriage in the two main raccoon populations in France. Out of the 141 raccoons collected, seven (5%) tested quantitative PCR positive, targeting lfb1 gene, based on kidney, lung, and urine samples. Phylogenetic analysis revealed the presence of three different L. interrogans clusters. The results suggest that raccoons were more likely accidental hosts and made only a limited contribution to Leptospira maintenance.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e136"},"PeriodicalIF":2.5,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spatiotemporal risk of human brucellosis under intensification of livestock keeping based on machine learning techniques in Shaanxi, China. 基于机器学习技术的中国陕西畜牧业集约化条件下人感染布鲁氏菌病的时空风险。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-10-24 DOI: 10.1017/S0950268824001018

Li Shen, Chenghao Jiang, Fangting Weng, Minghao Sun, Chenxi Zhao, Ting Fu, Cuihong An, Zhongjun Shao, Kun Liu

{"title":"Spatiotemporal risk of human brucellosis under intensification of livestock keeping based on machine learning techniques in Shaanxi, China.","authors":"Li Shen, Chenghao Jiang, Fangting Weng, Minghao Sun, Chenxi Zhao, Ting Fu, Cuihong An, Zhongjun Shao, Kun Liu","doi":"10.1017/S0950268824001018","DOIUrl":"https://doi.org/10.1017/S0950268824001018","url":null,"abstract":"As one of the most neglected zoonotic diseases, brucellosis has posed a serious threat to public health worldwide. This study is purposed to apply different machine learning models to improve the prediction accuracy of human brucellosis (HB) in Shaanxi, China from 2008 to 2020, under livestock husbandry intensification from a spatiotemporal perspective. We quantitatively evaluated the performance and suitability of ConvLSTM, RF, and LSTM models in epidemic forecasting, and investigated the spatial heterogeneity of how different factors drive the occurrence and transmission of HB in distinct sub-regions by using Kernel Density Analysis and Shapley Additional Explanations. Our findings demonstrated that ConvLSTM network yielded the best predictive performance with the lowest average RMSE of 13.875 and MAE values of 18.393. RF model generated an underestimated outcome while LSTM model had an overestimated one. In addition, climatic conditions, intensification of livestock keeping and socioeconomic status were identified as the dominant factors that drive the occurrence of HB in Shaanbei Plateau, Guanzhong Plain, and Shaannan Region, respectively. This work provided a comprehensive understanding of the potential risk of HB epidemics in Northwest China driven by both anthropogenic activities and natural environment, which can support further practice in disease control and prevention.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e132"},"PeriodicalIF":2.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abnormal blood pressure among individuals evaluated for tuberculosis infection in a U.S. public health tuberculosis clinic. 在美国一家公共卫生结核病诊所接受结核病感染评估的人血压异常。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-10-24 DOI: 10.1017/S0950268824001262

Trevor M Stantliff, Argita D Salindri, Rocio Egoavil-Espejo, Ashton D Hall, Laura Medina-Rodriguez, Kavya Patel, Matthew J Magee, Elaine M Urbina, Moises A Huaman

{"title":"Abnormal blood pressure among individuals evaluated for tuberculosis infection in a U.S. public health tuberculosis clinic.","authors":"Trevor M Stantliff, Argita D Salindri, Rocio Egoavil-Espejo, Ashton D Hall, Laura Medina-Rodriguez, Kavya Patel, Matthew J Magee, Elaine M Urbina, Moises A Huaman","doi":"10.1017/S0950268824001262","DOIUrl":"10.1017/S0950268824001262","url":null,"abstract":"Tuberculosis infection (TBI) has been associated with increased cardiovascular risks. We aimed to characterize abnormal blood pressure (BP) readings in individuals with TBI. We conducted a retrospective study of adults with TBI presenting for their initial medical visit at a large midwestern U.S. public health clinic between 2019 and 2020. Abnormal BP was defined as having a systolic BP ≥ 130 mmHg and/or a diastolic BP ≥ 80 mmHg. Of 310 individuals with TBI, median age was 36 years (interquartile range 27-48), 34% were male, 64% non-US-born; 58 (18.7%) were previously diagnosed with hypertension. The prevalence of any hypertension (i.e., had a history of hypertension and/or an abnormal BP reading) was 64.2% (95% confidence interval 58.7-69.4). Any hypertension was independently associated with older age, male sex, higher body mass index, and individuals of Black race. In conclusion, any hypertension was present in over half of the adults evaluated for TBI in our clinic. Established hypertension risk factors were also common among this group, suggesting that individuals with TBI could benefit from clinical and public health interventions aiming to reduce the risk of future cardiovascular events.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e133"},"PeriodicalIF":2.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of COVID-19 status and vaccine type following the first dose on acute heart disease: A nationwide retrospective cohort study in South Korea. 第一剂疫苗接种后 COVID-19 状态和疫苗类型对急性心脏病的影响：韩国全国范围内的回顾性队列研究。

IF 2.5 4区医学

Epidemiology and Infection Pub Date : 2024-10-24 DOI: 10.1017/S0950268824001213

Choa Yun, Yaeji Lee, Seok-Jae Heo, Namhui Kim, Inkyung Jung

{"title":"The impact of COVID-19 status and vaccine type following the first dose on acute heart disease: A nationwide retrospective cohort study in South Korea.","authors":"Choa Yun, Yaeji Lee, Seok-Jae Heo, Namhui Kim, Inkyung Jung","doi":"10.1017/S0950268824001213","DOIUrl":"https://doi.org/10.1017/S0950268824001213","url":null,"abstract":"Recent studies have suggested an increased incidence of myocarditis and pericarditis following mRNA vaccination or COVID-19. However, the potential interaction effect between vaccine type and COVID-19 on heart disease risk remains uncertain. Our study aimed to examine the impact of COVID-19 status and vaccine type following the first dose on acute heart disease in the Korean population, using data from the National Health Insurance Service COVID-19 database (October 2018-March 2022). We sought to provide insights for public health policies and clinical decisions pertaining to COVID-19 vaccination strategies. We analysed heart disease risk, including acute cardiac injury, acute myocarditis, acute pericarditis, cardiac arrest, and cardiac arrhythmia, in relation to vaccine type and COVID-19 within 21 days after the first vaccination date, employing Cox proportional hazards models with time-varying covariates. This study included 3,350,855 participants. The results revealed higher heart disease risk in individuals receiving mRNA vaccines than other types (adjusted HR, 1.48; 95% CI, 1.35-1.62). Individuals infected by SARS-CoV-2 also exhibited significantly higher heart disease risk than those uninfected (adjusted HR, 3.56; 95% CI, 1.15-11.04). We found no significant interaction effect between vaccine type and COVID-19 status on the risk of acute heart disease. Notably, however, younger individuals who received mRNA vaccines had a higher heart disease risk compared to older individuals. These results may suggest the need to consider alternative vaccine options for the younger population. Further research is needed to understand underlying mechanisms and guide vaccination strategies effectively.","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e134"},"PeriodicalIF":2.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11502425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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