Epidemiology and Infection最新文献

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Modeling the influences of climate conditions on measles transmission in China. 气候条件对中国麻疹传播影响的模拟。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-11 DOI: 10.1017/S095026882510054X
Peihua Wang, Jianjiu Chen, Wenyi Zhang, Yong Wang, Wan Yang
{"title":"Modeling the influences of climate conditions on measles transmission in China.","authors":"Peihua Wang, Jianjiu Chen, Wenyi Zhang, Yong Wang, Wan Yang","doi":"10.1017/S095026882510054X","DOIUrl":"10.1017/S095026882510054X","url":null,"abstract":"<p><p>Climate conditions are known to modulate infectious disease transmission, yet their impact on measles transmission remains underexplored. In this study, we investigate the extent to which climate conditions modulate measles transmission, utilizing measles incidence data during 2005-2008 from China. Three climate-forced models were employed: a sinusoidal function, an absolute humidity (AH)-forced model, and an AH and temperature (AH/T)-forced model. These models were integrated into an inference framework consisting of a susceptible-exposed-infectious-recovered (SEIR) model and an iterated filter (IF2) to estimate epidemiological characteristics and assess climate influences on measles transmission. During the study period, measles epidemics peaked in spring in northern China and were more diverse in the south. Our analyses showed that the AH/T model better captured measles epidemic dynamics in northern China, suggesting a combined impact of humidity and temperature on measles transmission. Furthermore, we preliminarily examined the impact of other factors and found that population susceptibility and incidence rate were both positively correlated with migrant worker influx, suggesting that higher susceptibility among migrant workers may sustain measles transmission. Taken together, our study supports a role of humidity and temperature in modulating measles transmission and identifies additional factors in shaping measles epidemic dynamics in China.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e110"},"PeriodicalIF":2.2,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of Carbapenem-Resistant Enterobacterales (CRE) Infections in Tennessee, 2016-2022. 2016-2022年田纳西州耐碳青霉烯肠杆菌感染流行病学研究
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-08 DOI: 10.1017/S0950268825100514
Daniel Muleta, Simonne S Nouer, Elizabeth A Tolley, Raquel M Villegas, Jacquelyn Taylor, Melphine M Harriott
{"title":"Epidemiology of Carbapenem-Resistant Enterobacterales (CRE) Infections in Tennessee, 2016-2022.","authors":"Daniel Muleta, Simonne S Nouer, Elizabeth A Tolley, Raquel M Villegas, Jacquelyn Taylor, Melphine M Harriott","doi":"10.1017/S0950268825100514","DOIUrl":"https://doi.org/10.1017/S0950268825100514","url":null,"abstract":"","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"1-25"},"PeriodicalIF":2.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multi-cluster outbreak of Salmonella Typhimurium sequence type 36 linked to alfalfa sprouts, Sweden, August-November 2024. 2024年8月至11月瑞典与苜蓿芽有关的36型鼠伤寒沙门氏菌多聚集性暴发。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-08 DOI: 10.1017/S0950268825100526
Kate Lillepold, Nadja Karamehmedovic, Ioana Bujila, Anna Ohlson, Joanna Nederby Öhd, Ingela Hall, Gunilla Ockborn, Mats Lindblad, Ilias Galanis, Moa Rehn, Rikard Dryselius
{"title":"Multi-cluster outbreak of <i>Salmonella</i> Typhimurium sequence type 36 linked to alfalfa sprouts, Sweden, August-November 2024.","authors":"Kate Lillepold, Nadja Karamehmedovic, Ioana Bujila, Anna Ohlson, Joanna Nederby Öhd, Ingela Hall, Gunilla Ockborn, Mats Lindblad, Ilias Galanis, Moa Rehn, Rikard Dryselius","doi":"10.1017/S0950268825100526","DOIUrl":"10.1017/S0950268825100526","url":null,"abstract":"<p><p><i>Salmonella</i> Typhimurium sequence type (ST) 36 is a rare sequence type in Sweden. During August-November 2024, 100 cases of <i>Salmonella</i> Typhimurium ST36 were reported nationwide. The highest proportions of cases were observed among individuals aged 0-10 years (17%) and 41-50 years (20%), with females representing 65% of the total cases. Microbiological analysis of the <i>S.</i> Typhimurium ST36 isolates identified nine clusters and five individual strains clustering within 53 single-nucleotide polymorphisms. A matched case-control study found cases to be associated with the consumption of alfalfa sprouts (adjusted odds ratio = 8.94, 95% CI: 2.96-27.1). Trace-back investigation identified seeds used by two alfalfa sprout producers in Sweden as the likely source of the outbreak, although microbiological analysis of sprouted alfalfa seeds from the producers did not detect <i>Salmonella.</i> However, continued international investigations further implicated seeds sourced from the same origin, supporting that alfalfa seeds were the ultimate source of the Swedish outbreak. Our investigation and findings indicate that alfalfa sprouts may contain <i>Salmonella</i> and thus pose a health risk to consumers. We emphasize the need for primary producers of alfalfa seeds and sprouts to identify and prevent possible contamination points.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e108"},"PeriodicalIF":2.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014160","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
Estimating the national seroprevalence of Toxoplasma gondii infection in pregnant women, France 2021. 估计法国孕妇弓形虫感染的全国血清阳性率,2021年。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-08 DOI: 10.1017/S0950268825100502
Sara Mazzilli, Mathieu Tourdjman, Harold Noël, Anna Maisa, Isabelle Villena, Camille Le-Ray
{"title":"Estimating the national seroprevalence of <i>Toxoplasma gondii</i> infection in pregnant women, France 2021.","authors":"Sara Mazzilli, Mathieu Tourdjman, Harold Noël, Anna Maisa, Isabelle Villena, Camille Le-Ray","doi":"10.1017/S0950268825100502","DOIUrl":"10.1017/S0950268825100502","url":null,"abstract":"<p><p>Toxoplasmosis during pregnancy can cause congenital malformations and fetal death. This study aimed to estimate the <i>Toxoplasma gondii</i> seroprevalence among pregnant women participating in the 2021 French national perinatal survey and identify associated factors. All women giving birth in France during the study period were invited to participate. Data collected included demographic information, nationality, socio-economic status, education level, and <i>Toxoplasma gondii</i> serological status. Women were classified as seropositive if IgG antibodies were present or if seroconversion occurred during pregnancy. Univariate and multivariate Poisson regression analyses with robust error variance were used to estimate prevalence ratios and identify factors associated with seropositivity. Among 12,612 women, the overall seroprevalence was 25.9%, and 0.22% seroconverted during pregnancy. Seroprevalence increased by 5% with every 5-year age increment and was significantly higher in the French overseas territories of Mayotte (75.0%), La Réunion (35.8%), and French Guiana (33.3%). Seroprevalence was also higher among women with lower educational levels (47.4% for primary education) and those of Sub-Saharan African nationality (52.0%). Geographic and socio-demographic variations may reflect dietary and environmental diversity. Despite declining seroprevalence in France, continued public health efforts, particularly among high-risk populations, remain critical to minimize the impact of congenital toxoplasmosis.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e107"},"PeriodicalIF":2.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014186","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
Antibiotic resistance and factors associated with colonization dynamics of Staphylococcus aureus and Streptococcus pneumoniae in healthy children in Lima, Peru. 秘鲁利马健康儿童中金黄色葡萄球菌和肺炎链球菌定植动态的抗生素耐药性和相关因素
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-04 DOI: 10.1017/S0950268825100277
Valeria Mariana Li Valverde, Paulo Cesar Aguirre Castañeda, Brayan E Gonzales, Franco Castillo-Tokumori, Jorge E Vidal, Theresa J Ochoa
{"title":"Antibiotic resistance and factors associated with colonization dynamics of <i>Staphylococcus aureus</i> and <i>Streptococcus pneumoniae</i> in healthy children in Lima, Peru.","authors":"Valeria Mariana Li Valverde, Paulo Cesar Aguirre Castañeda, Brayan E Gonzales, Franco Castillo-Tokumori, Jorge E Vidal, Theresa J Ochoa","doi":"10.1017/S0950268825100277","DOIUrl":"10.1017/S0950268825100277","url":null,"abstract":"<p><p>Pneumococcal conjugate vaccines (PCVs) have influenced population dynamics of <i>Streptococcus pneumoniae</i> in the nasopharynx and may have contributed to increased <i>Staphylococcus aureus</i> colonization. This study assessed the prevalence of colonization, antibiotic resistance patterns, and associated risk factors for colonization and co-colonization of <i>S. aureus</i> and <i>S. pneumoniae</i> in healthy Peruvian children post-PCV introduction. Nasopharyngeal swabs from children <24 months were collected in five hospitals in Lima (2018-2019). Microbiological identification and antibiotic susceptibility tests were performed, and multinomial regression evaluated factors influencing colonization. Among 894 children, 19.7% were colonized with <i>S. aureus</i>, 20.3% with <i>S. pneumoniae</i>, and 2.9% co-colonized. Of the 176 <i>S. aureus</i> strains isolated, 1.7% were methicillin resistant and 20.5% were clindamycin resistant; no resistance to trimethoprim-sulfamethoxazole (SXT) was found. Among 182 <i>S. pneumoniae</i> strains isolated, 48.9% were resistant to macrolides, 74.7% to SXT; no resistance to penicillin was found. Breastfeeding and vaccination with PCV13 were associated with a reduced prevalence of <i>S. aureus</i> colonization, while vaccination with PCV13 increased the prevalence of <i>S. pneumoniae</i> colonization, mainly by non-vaccine serotypes. This study highlights the need to continue monitoring the changes in colonization dynamics and antimicrobial resistance patterns after vaccine introduction, to guide empirical therapy and future vaccine strategies.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e106"},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991585","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
A retrospective global study of the prevalence of O-serotypes of invasive Escherichia coli disease in patients admitted to tertiary care hospitals. 一项对三级医院住院患者侵袭性大肠杆菌o血清型患病率的全球回顾性研究
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-09-03 DOI: 10.1017/S0950268825100344
Jeroen Geurtsen, Joachim Doua, Luis Martinez-Martinez, Patricia Ibarra de Palacios, Jeff Powis, Matthew Sims, Peter Hermans, Olivier Barraud, Philippe Lanotte, Joshua Thaden, Oscar Go, Bart Spiessens, Darren Abbanat, Florian Wagenlehner, Tetsuya Matsumoto, Marc Bonten, Michal Sarnecki, Jan Poolman
{"title":"A retrospective global study of the prevalence of O-serotypes of invasive <i>Escherichia coli</i> disease in patients admitted to tertiary care hospitals.","authors":"Jeroen Geurtsen, Joachim Doua, Luis Martinez-Martinez, Patricia Ibarra de Palacios, Jeff Powis, Matthew Sims, Peter Hermans, Olivier Barraud, Philippe Lanotte, Joshua Thaden, Oscar Go, Bart Spiessens, Darren Abbanat, Florian Wagenlehner, Tetsuya Matsumoto, Marc Bonten, Michal Sarnecki, Jan Poolman","doi":"10.1017/S0950268825100344","DOIUrl":"10.1017/S0950268825100344","url":null,"abstract":"<p><p>Invasive <i>Escherichia coli</i> disease (IED) is associated with high hospitalization and mortality rates, particularly among adults aged ≥60 years. O-antigens are virulence factors required for <i>E. coli</i> survival. To inform EXPEC9V development, a novel glycoconjugate vaccine targeting <i>E. coli</i> O-antigens that is no longer in active clinical development, this retrospective observational study describes O-serotype prevalence among <i>E. coli</i> isolates from IED patients. Eligible patients were identified from medical record databases (9 January 2018-8 November 2019) across 17 tertiary care hospitals in Europe, North America, and Asia. To estimate vaccine serotype coverage of EXPEC9V, <i>E. coli</i> isolates were O-serotyped using whole-genome sequencing and agglutination. Antimicrobial susceptibility testing was also performed. Nine hundred and two patients were enrolled, of whom 690 (76.5%) were aged ≥60 years. Common serotypes were O25, O2, O6, O1, O15, O75, O16, O4, and O18, with O25 being the most reported (17.3%). In patients aged ≥60 years, 422/637 <i>E. coli</i> isolates were EXPEC9V O-serotypes. EXPEC9V O-serotype prevalence did not substantially differ when stratified according to sex, presence of a positive blood culture, sepsis, fatality, or multidrug resistance. Consistent with previous studies, serotype O25 was most prevalent and associated with ~20% of cases. An EXPEC9V vaccine serotype coverage of 66.2% was observed for IED patients aged ≥60 years.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e109"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A large Cryptosporidium parvum outbreak associated with a lamb-feeding event at a commercial farm in South Wales, March-April 2024: a retrospective cohort study - ERRATUM. 2024年3月至4月,南威尔士一家商业农场发生与羔羊饲养事件相关的大型隐孢子虫小爆发:一项回顾性队列研究-勘误。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-08-29 DOI: 10.1017/S0950268825100435
Gethin Jones, Joshua Matizanadzo, Andrew Nelson, Rachel M Chalmers, Daniel Rhys Thomas, Stuart Williams, Maria Pinch, Alison Sykes, Rhianwen Stiff, Chris Williams
{"title":"A large <i>Cryptosporidium parvum</i> outbreak associated with a lamb-feeding event at a commercial farm in South Wales, March-April 2024: a retrospective cohort study - ERRATUM.","authors":"Gethin Jones, Joshua Matizanadzo, Andrew Nelson, Rachel M Chalmers, Daniel Rhys Thomas, Stuart Williams, Maria Pinch, Alison Sykes, Rhianwen Stiff, Chris Williams","doi":"10.1017/S0950268825100435","DOIUrl":"10.1017/S0950268825100435","url":null,"abstract":"","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"153 ","pages":"e96"},"PeriodicalIF":2.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947229","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 genotype distribution of human papillomavirus infection in multi-anatomic sites in men who have sex with men. 男男性行为者多解剖部位人乳头瘤病毒感染的流行及基因型分布
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-08-26 DOI: 10.1017/S0950268825100472
Rui Zhang, Denise Pui-Chung Chan, Ngai Sze Wong, Sze Long Chung, Chi Keung Kwan, Tsz Ho Kwan, Shui Shan Lee
{"title":"Prevalence and genotype distribution of human papillomavirus infection in multi-anatomic sites in men who have sex with men.","authors":"Rui Zhang, Denise Pui-Chung Chan, Ngai Sze Wong, Sze Long Chung, Chi Keung Kwan, Tsz Ho Kwan, Shui Shan Lee","doi":"10.1017/S0950268825100472","DOIUrl":"10.1017/S0950268825100472","url":null,"abstract":"<p><p>This study aims to estimate the prevalence of human papillomavirus (HPV) infection and describe its genotype distribution in MSM in Hong Kong. In this longitudinal study on Chinese MSM, multi-anatomic site self-sampling and testing for HPV, <i>Chlamydia trachomatis</i> (CT) and <i>Neisseria gonorrhoeae</i> (NG) were performed following survey completion at baseline and one-year follow-up. Overall, 41% (288/701) of MSM completed self-sampled HPV testing. HPV positivity was 29% (78/270) and 33% (42/127) at any anatomic site at baseline and follow-up timepoints, respectively. By anatomic site, HPV positivity was 26%-30%, 2%-4% and 0%-1% from rectal, penile, and pharyngeal specimens, respectively. The incidence of HPV infection was 21.2/100 and 18.9/100 person-years at any anatomic site and rectal site, respectively. Among 109 successfully genotyped samples, the most prevalent were HPV 6 (17%) and HPV 11 (16%), of which 60% of the genotyped samples were vaccine-preventable. Group sex engagement and less frequent condom use were positively associated with HPV infection (P<0.05). The HPV prevalence and incidence in MSM in this study is lower than in Western countries, and low-risk HPV genotypes are more prevalent. The high proportion of vaccine-preventable HPV subtypes underscores the importance of HPV vaccination in preventing infections in MSM.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e103"},"PeriodicalIF":2.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947277","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 association between rainfall and human leptospirosis in Aotearoa New Zealand. 降雨与新西兰奥特罗阿地区人类钩端螺旋体病之间的关系。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-08-26 DOI: 10.1017/S0950268825100423
Toni Tana, Masako Wada, Jackie Benschop, Emilie Vallee
{"title":"The association between rainfall and human leptospirosis in Aotearoa New Zealand.","authors":"Toni Tana, Masako Wada, Jackie Benschop, Emilie Vallee","doi":"10.1017/S0950268825100423","DOIUrl":"10.1017/S0950268825100423","url":null,"abstract":"<p><p>Leptospirosis remains a significant occupational zoonosis in New Zealand, and emerging serovar shifts warrant a closer examination of climate-related transmission pathways. This study aimed to examine whether total monthly rainfall is associated with reported leptospirosis in humans in New Zealand. Poisson and negative binomial models were developed to examine the relationship between rainfall at 0-, 1-, 2-, and 3-month lags and the incidence of leptospirosis during the month of the report. Total monthly rainfall was positively associated with the occurrence of human leptospirosis in the following month by a factor of 1.017 (95% CI: 1.007-1.026), 1.023 at the 2-month lag (95% CI:1.013-1.032), and 1.018 at the 3-month lag (95% CI: 1.009-1.028) for every additional cm of rainfall. Variation was present in the magnitude of association for each of the individual serovars considered, suggesting different exposure pathways. Assuming that the observed associations are causal, this study supports that additional human cases are likely to occur associated with increased levels of rainfall. This provides the first evidence for including rainfall in a leptospirosis early warning system and to design targeted communication and prevention measures and provide resource allocation, particularly after heavy rainfall in New Zealand.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e112"},"PeriodicalIF":2.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors for scrub typhus infection in South India: population-based cohort study. 南印度恙虫病感染的危险因素:基于人群的队列研究。
IF 2.2 4区 医学
Epidemiology and Infection Pub Date : 2025-08-26 DOI: 10.1017/S0950268825100484
Wolf-Peter Schmidt, Neal Alexander, Winsley Rose, Daniel Chandramohan, Mary Cameron, Kundavaram Abhilash, Punam Mangtani, Carol Devamani
{"title":"Risk factors for scrub typhus infection in South India: population-based cohort study.","authors":"Wolf-Peter Schmidt, Neal Alexander, Winsley Rose, Daniel Chandramohan, Mary Cameron, Kundavaram Abhilash, Punam Mangtani, Carol Devamani","doi":"10.1017/S0950268825100484","DOIUrl":"10.1017/S0950268825100484","url":null,"abstract":"<p><p>Scrub typhus is a mite-borne infection, largely affecting rural populations in many parts of Asia. This cohort study explored socio-demographic, behavioural, and spatial risk factors at different levels of endemicity. 2206 rural residents from 37 villages in Tamil Nadu, South India, underwent a questionnaire survey and blood sampling at baseline and annually over 2 years to detect sero-conversion. Satellite images were used for visual land use classification. Local sero-prevalence was estimated using 5602 baseline blood samples.Two hundred and seventy cases of seroconversions occurred during 3629 person-years (incidence rate 78/1000, 95%CI 67, 91). Older age was associated with scrub typhus in crude but not in multivariable analysis adjusting for socio-economic factors. By contrast, the increased risk in females compared to males (RR 1.4) was unaffected by adjusting for confounders. In multivariable analysis, agricultural and related outdoor activities were only weakly associated with scrub typhus. However, agricultural activities were strongly associated with scrub typhus if local sero-prevalence was low, but not if it was high. Females were at a higher risk than males in high-prevalence areas but not in low-prevalence areas. To conclude, agricultural activities were not strongly associated with scrub typhus. Transmission within human settlements may predominate in highly endemic settings.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e102"},"PeriodicalIF":2.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947280","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
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