Microbial Risk Analysis最新文献

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Detection, molecular characterization, and antimicrobial susceptibility, of Campylobacter spp. isolated from shellfish 贝类弯曲杆菌的检测、分子特性和抗菌敏感性
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-08-01 DOI: 10.1016/j.mran.2021.100176
Antonio Lozano-León , Rafael R. Rodríguez-Souto , Narjol González-Escalona , José Llovo-Taboada , José Iglesias-Canle , Ana Álvarez-Castro , Alejandro Garrido-Maestu
{"title":"Detection, molecular characterization, and antimicrobial susceptibility, of Campylobacter spp. isolated from shellfish","authors":"Antonio Lozano-León ,&nbsp;Rafael R. Rodríguez-Souto ,&nbsp;Narjol González-Escalona ,&nbsp;José Llovo-Taboada ,&nbsp;José Iglesias-Canle ,&nbsp;Ana Álvarez-Castro ,&nbsp;Alejandro Garrido-Maestu","doi":"10.1016/j.mran.2021.100176","DOIUrl":"10.1016/j.mran.2021.100176","url":null,"abstract":"<div><p>Campylobacteriosis is one of the most important reported zoonosis worldwide. Besides poultry other sources of infection have been described. In the current study, the incidence of <em>Campylobacter</em> spp. was assessed over a five-month period in mussel samples harvested from one of the most important producing areas (Galicia, NW Spain) in Europe. Out of 91 samples screened, 8% were positive and identified as <em>C. lari</em> by MALDI-TOF and whole genome sequencing. All were detected during the colder months (February and March). The antimicrobial resistance and virulence genes analysis indicated that all were multi-resistant to at least 4 antimicrobials. They were negative for the presence of 5 virulence-related genes. This is the first report of this zoonotic pathogen in mussels from one of the most important shellfish producing regions in Europe. The genomes of these 7 <em>C. lari</em> isolates were released to the genome public database at NCBI.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2021.100176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45909812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Risk factors for sporadic giardiasis: a systematic review and meta-analysis 散发性贾第鞭毛虫病的危险因素:系统综述和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100158
Anne Thébault , Loic Favennec , Pauline Kooh , Vasco Cadavez , Ursula Gonzales-Barron , Isabelle Villena
{"title":"Risk factors for sporadic giardiasis: a systematic review and meta-analysis","authors":"Anne Thébault ,&nbsp;Loic Favennec ,&nbsp;Pauline Kooh ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Isabelle Villena","doi":"10.1016/j.mran.2020.100158","DOIUrl":"10.1016/j.mran.2020.100158","url":null,"abstract":"<div><p><em>Giardia duodenalis</em> is an important source of gastroenteritis worldwide. Endemic cases have been described in developing and industrialized countries. We analyzed risk factors for sporadic giardiasis by a systematic review and a meta-analysis of the literature. From 72 studies, contact with an infected person, lack of personal hygiene, and attending a child daycare center were identified as risk factors in children and adults.</p><p>Feco-oral transmission was significantly associated with exposure to human sewage/waste water, untreated drinking water and recreational waters. Travel abroad was a risk factor in industrialized countries. No handwashing before eating or preparing food, eating unwashed vegetables, or composite food were significant risk factors. Breastfeeding was a protective factor in developing countries. Interestingly, contact with pets was found as a significant risk factor in children in this meta-analysis. This could be explored in future studies with the comparison of the <em>Giardia</em> assemblage isolated from humans and pets. In the future, it would be interesting to investigate more precisely the type of water, vegetable, and whenever possible the method of preparation/treatment. Environmental and epidemiological investigations of specific risk factors by assemblages and types of <em>Giardia</em> spp. should be further studied. Finally, host factors in relationship with the severity and sequelae of giardiasis deserve future research.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41653480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Risk factors for sporadic toxoplasmosis: A systematic review and meta-analysis 散发性弓形虫病的危险因素:系统回顾和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100133
Anne Thebault , Pauline Kooh , Vasco Cadavez , Ursula Gonzales-Barron , Isabelle Villena
{"title":"Risk factors for sporadic toxoplasmosis: A systematic review and meta-analysis","authors":"Anne Thebault ,&nbsp;Pauline Kooh ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Isabelle Villena","doi":"10.1016/j.mran.2020.100133","DOIUrl":"10.1016/j.mran.2020.100133","url":null,"abstract":"<div><p><span>Toxoplasmosis<span> is considered as the most prevalent parasitic zoonotic infection worldwide. The parasitic cycle is mostly known, but the relative contribution of different sources and pathways of transmission was not previously studied by a meta-analysis. A systematic review and a meta-analysis of case-control, cohort, and cross-sectional studies were performed to determine the main risk factors associated with sporadic </span></span><span><em>Toxoplasma</em></span> infection. Suitable scientific articles were identified through a systematic literature search and subjected to a methodological quality assessment. Mixed-effects meta-analysis models were adjusted by population type – children, mixed population, and pregnant women – to appropriate data partitions. 187 primary studies passed the quality assessment stage, investigating risk factors for sporadic infection with <span><em>Toxoplasma gondii</em></span><span> conducted between 1983 and 2016. Cases were defined by serology.</span></p><p>The meta-analysis of <em>Toxoplasma</em><span> sporadic infections revealed the significance of transmission by environmental factors such as contact with soil and contact with animals, in particular cats. The consumption of raw or undercooked meat and unwashed vegetables significantly increased the odds of acquiring the disease. Shellfish and raw milk were identified as significant sources of toxoplasmosis. Almost all meat categories were identified as risk factors: pork, poultry, beef, processed meat, lamb, and game meat. Contaminated drinking water may play a role in the acquisition of infection. Moreover, the lack of hygiene in preparing food was identified as a risk factor. A significant risk factor for pregnant women is traveling abroad. Lastly, blood transfusion (in pregnant women) and immunocompromised conditions were found associated with positive serology. The broad definition of exposures and the use of serology for the case definition are the main limitations for the interpretation of the results of this meta-analysis. The transmission pathways require further investigations using longitudinal studies and subtyping approaches.</span></p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45296798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Risk factors for sporadic cryptosporidiosis: A systematic review and meta-analysis 散发性隐孢子虫病的危险因素:系统综述和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100116
Pauline Kooh , Anne Thébault , Vasco Cadavez , Ursula Gonzales-Barron , Isabelle Villena
{"title":"Risk factors for sporadic cryptosporidiosis: A systematic review and meta-analysis","authors":"Pauline Kooh ,&nbsp;Anne Thébault ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Isabelle Villena","doi":"10.1016/j.mran.2020.100116","DOIUrl":"10.1016/j.mran.2020.100116","url":null,"abstract":"<div><p><span><em>Cryptosporidium</em></span> spp. is an important cause of gastrointestinal disease worldwide, responsible for 69 million cases of illness in 2016. Information on the sources and transmission pathways of human cryptosporidiosis results mainly from outbreak investigations.</p><p>A systematic review and a meta-analysis of case-control and cohort studies were performed to determine the main risk factors associated with sporadic cryptosporidiosis. Suitable scientific articles were identified through a systematic literature search and subjected to a methodological quality assessment. From each study, odds ratio (OR) measures were extracted or calculated, as well as study characteristics such as population type, design, type of model and risk factor hierarchy. Mixed-effects meta-analysis models were adjusted by population type to appropriate data partitions.</p><p>From 1985 identified references, the quality assessment stage was passed by 57 cohort and case-control studies focusing on sporadic cryptosporidiosis. The eligible studies were conducted between 1983 and 2016 and provided 568 OR categorized for meta-analysis.</p><p>This meta-analysis identified travel, immunocompromising conditions, contact with infected humans, waterborne transmission (contact with recreational waters, wastewater, and consumption of untreated drinking water), contact with animals and food consumption as the relevant risk factors for sporadic cryptosporidiosis. With regards to food exposures, consumption of meat, dairy products (raw milk) and dishes consumed outside home were found significantly associated with cryptosporidiosis. The consumption of poorly washed fruits and vegetables significantly increases ORs. This meta-analysis reveals that some potential sources of <em>Cryptosporidium</em> such as shellfish or vegetables are under-investigated.</p><p>Future case-control studies for sporadic cryptosporidiosis should include population at risk, and investigate other potential sources in relation to the genotype and the subtype of <em>Cryptosporidium</em> spp.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44212804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Strategy for systematic review of observational studies and meta-analysis modelling of risk factors for sporadic foodborne diseases 散发性食源性疾病危险因素的观察性研究系统评价和荟萃分析建模策略
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2019.07.003
Ursula Gonzales-Barron , Anne Thébault , Pauline Kooh , Laurence Watier , Moez Sanaa , Vasco Cadavez
{"title":"Strategy for systematic review of observational studies and meta-analysis modelling of risk factors for sporadic foodborne diseases","authors":"Ursula Gonzales-Barron ,&nbsp;Anne Thébault ,&nbsp;Pauline Kooh ,&nbsp;Laurence Watier ,&nbsp;Moez Sanaa ,&nbsp;Vasco Cadavez","doi":"10.1016/j.mran.2019.07.003","DOIUrl":"10.1016/j.mran.2019.07.003","url":null,"abstract":"<div><p><span>In order to design effective public health strategies, and, in particular, effective food safety interventions to reduce the burden of foodborne disease, the most important sources of enteric illnesses should be identified. Both case-control and cohort observational studies have for long been powerful approaches among epidemiologists to investigate the association of exposure and illness. In the literature, there are numerous case-control and cohort studies reporting results on risk factors and routes of transmission of sporadic foodborne infections. The objective of this article is to describe, in depth, the strategies implemented for systematic review and meta-analysis of the associations between multiple risk factors and eleven food and waterborne diseases, namely, non-typhoidal salmonellosis, campylobacteriosis, Shiga-toxin </span><em>E. coli</em><span><span> infection, listeriosis, yersiniosis, </span>toxoplasmosis<span>, norovirus infection, hepatitis A, hepatitis E, cryptosporidiosis and giardiasis. First, this article describes the procedures of systematic searches in five bibliographic engines, screening of relevance and assessment of methodological quality according to pre-set criteria. It proceeds with the explanation of a broad data categorisation scheme established to hierarchically group the risk factors into travel, host-specific factors and pathways of exposure (i.e., person-to-person, animal, environment and food routes), with views to harmonising and supporting the integration of outcomes from studies investigating a variety of potential determinants of disease. Next, the article describes the four meta-analysis models that were devised in order to calculate: (i) overall odds-ratios of acquiring the disease due to a specific risk factor by geographical region; (ii) overall odds-ratios of acquiring the disease from the different risk factors; (iii) overall risks of disease from consumption of ready-to-eat and barbecued foods; and (iv) overall effects of food handling (i.e., consuming food in raw, undercooked or unwashed state) and food preparation setting (i.e., eating food prepared outside the home) on risk of disease. The procedures for sensitivity analysis and removal of any influential and potentially-biased odds-ratio; and two methods for publication bias assessment are outlined. Finally, details are given on deviations from the standard risk categorisation scheme for specific foodborne hazards.</span></span></p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2019.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44686555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Risk factors for sporadic Yersinia enterocolitica infections: a systematic review and meta-analysis 散发性小肠结肠炎耶尔森菌感染的危险因素:系统回顾和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100141
Laurent Guillier , Philippe Fravalo , Alexandre Leclercq , Anne Thébault , Pauline Kooh , Vasco Cadavez , Ursula Gonzales-Barron
{"title":"Risk factors for sporadic Yersinia enterocolitica infections: a systematic review and meta-analysis","authors":"Laurent Guillier ,&nbsp;Philippe Fravalo ,&nbsp;Alexandre Leclercq ,&nbsp;Anne Thébault ,&nbsp;Pauline Kooh ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron","doi":"10.1016/j.mran.2020.100141","DOIUrl":"10.1016/j.mran.2020.100141","url":null,"abstract":"<div><p><span><em>Yersinia</em><em> enterocolotica</em></span> is an important causative agent of diarrheal illness. A systematic review and meta-analysis of case-control studies were performed to determine the main risk factors associated with sporadic <em>Y. enterocolitica</em> infections. Suitable scientific articles published between 1987 and 2017 were identified through a systematic literature search and subject to methodological quality assessment. From each study, odds ratios (OR) were extracted or calculated, as well as study characteristics such as population type, design, type of model used and risk factor categorization. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. From 807 identified references, the quality assessment stage was passed by 14 case-control studies focusing on sporadic <em>Y. enterocolitica</em> infections which provided 165 ORs for meta-analysis. All studies considered <em>Y. enterocolitica</em> as the cause of sporadic infections and are mainly located in Europe.</p><p>The meta-analysis identified host-specifics factors, animal and food exposures as significant risk factors. The meta-analysis confirms the predominant role of the pig reservoir. The occupational contact with pigs and the consumption of pork meat are significantly associated with sporadic <em>Y. enterocolitica</em> infections occurrence. The consumption of raw or undercooked pork meat is also a very important risk factor. Untreated drinking water was also identified as risk factor. Further studies with other enteropathogenic <em>Yersinia</em> species, especially <em>Y. pseudotuberculosis</em>, and/or from other continents would help to refine conclusions of the meta-analysis of the risk factors of yersiniosis.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47590009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Risk factors for sporadic hepatitis E infection: a systematic review and meta-analysis 散发性戊型肝炎感染的危险因素:系统回顾和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100129
Nicole Pavio , Pauline Kooh , Vasco Cadavez , Ursula Gonzales-Barron , Anne Thébault
{"title":"Risk factors for sporadic hepatitis E infection: a systematic review and meta-analysis","authors":"Nicole Pavio ,&nbsp;Pauline Kooh ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Anne Thébault","doi":"10.1016/j.mran.2020.100129","DOIUrl":"10.1016/j.mran.2020.100129","url":null,"abstract":"<div><p>Hepatitis E virus (HEV) is one of the main causes of viral hepatitis infection worldwide. Sources of contamination can vary greatly according to geographical regions and HEV genotypes. HEV is endemic and responsible for large waterborne epidemics involving human HEV-1 or HEV-2 genotypes in regions with limited sanitation, in contrast to industrialized countries, where HEV is mainly a foodborne zoonosis involving HEV-3 and HEV-4 zoonotic genotypes. Limited data on HEV source attribution are available, and all possible sources and transmission pathways of HEV are not fully identified.</p><p>A systematic review and a meta-analysis of case-control and cohort studies (including transversal studies) were performed to determine the main risk factors associated with sporadic hepatitis E infection. Suitable scientific articles were identified through a systematic literature search and subjected to a methodological quality assessment. From each study, odds-ratio (OR) measures were extracted/calculated, as well as study characteristics such as population type, design, and risk factor hierarchy. Mixed-effects meta-analyses models were adjusted by population type to appropriate data partitions.</p><p>Seventy-seven cohort and case-control studies conducted between 1986 and 2016 and investigating risk factors in mixed population, susceptible population, and pregnant women, were included in this meta-analysis. Hepatitis E cases were defined with serological exams and differentiated whenever the serological exam is associated or not with symptoms.</p><p>This meta-analysis identified the parenteral pathway (blood transfusion, tattooing or IV injection, dialysis or hemodialysis), and routes of infection related to contaminated water, animal contact (occupational exposure) and consumption of foods as relevant risk factors for hepatitis E infection.</p><p>With regards to the role of food, as suspected and sometimes proven in several studies, pig meat, pork sausages, and game meat are identified as significant risk factors for HEV, in particular undercooked pig meat, or meat preparations containing pig liver. In addition, consumption of shellfish (oysters and mussels), in which HEV can accumulate when water is environmentally contaminated (from animal or human origin), is also associated with the detection of anti-HEV antibodies.</p><p>The results of this meta-analysis show that symptomatic and infected cases share the most explainable risk factors, and are in agreement with recent studies conducted in Europe. This meta-analysis reveals that some sources such as consumption of insufficiently treated water, shellfish, or vegetables are under-investigated. Future case-control studies should include population at risk but under-investigated, such as transplant recipients, pregnant women and children, and investigate other potential sources of HEV.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43527966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Risk factors for sporadic norovirus infection: A systematic review and meta-analysis 散发性诺如病毒感染的危险因素:系统综述和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100135
Anne Thébault , Julie David , Pauline Kooh , Vasco Cadavez , Ursula Gonzales-Barron , Nicole Pavio
{"title":"Risk factors for sporadic norovirus infection: A systematic review and meta-analysis","authors":"Anne Thébault ,&nbsp;Julie David ,&nbsp;Pauline Kooh ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Nicole Pavio","doi":"10.1016/j.mran.2020.100135","DOIUrl":"10.1016/j.mran.2020.100135","url":null,"abstract":"<div><p>Norovirus is responsible for 20% of acute gastroenteritis worldwide. The fecal-oral route of transmission is known, but we proposed a first attempt to identify the relative importance of different sources and vehicles for sporadic cases using meta-analysis models. Case-control and cohort/cross-sectional studies were systematically reviewed and analyzed to assess the main risk factors associated with sporadic norovirus infections. Suitable scientific articles were identified through systematic literature search and subjected to a methodological quality assessment. Mixed-effects meta-analyses models were adjusted by population type to appropriate risk factor categories. The quality assessment stage led to include 14 primary studies conducted between 1993 and 2014. From these, eight studies investigated exposures in children/infants, and eight concerned the mixed population.</p><p>The meta-analysis confirmed the oro-fecal route for norovirus infections, with the person-to-person transmission (pooled OR=3.002; 95% CI: [2.502-3.062] in mixed population), and the lack of personal hygiene (pooled OR=2.329; 95% CI: [1.049-5.169]). The meta-analysis also enlightened the role of indirect transmission through the environment with pathways like untreated drinking water (mixed population), with a pooled OR=2.680 (95% CI: [1.081-6.643]) and farm environment (children population). Indirect transmission also involved the food pathway, which was finally found significant with consumption of seafood (mixed population) (pooled OR=2.270; 95% CI: [1.299-3.968]) and composite food (eating outside/uncooked mixed and young population) (pooled OR=4.541; 95% CI: [3.461-5.958]).</p><p>These results are coherent with the findings from studies on outbreaks. However, a too broad definition of exposure factors limited the interpretation of results, as occurred with the seafood pathways that combined fish and shellfish. Other factors such as consumption of Food-handled products or the type of drinking water deserveE to be better investigated. Furthermore, better harmonization in case definition and appropriate case-control or cross-sectional studies would allow better addressing sporadic cases risk factors, especially for susceptible populations, such as children, elderly or immunosuppressed persons.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48876970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Risk factors for sporadic infections caused by Shiga toxin-producing Escherichia coli: a systematic review and meta-analysis 产志贺毒素大肠杆菌引起散发性感染的危险因素:一项系统综述和荟萃分析
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2020.100117
Jean-Christophe Augustin , Pauline Kooh , Lapo Mughini-Gras , Laurent Guillier , Anne Thébault , Frédérique Audiat-Perrin , Vasco Cadavez , Ursula Gonzales-Barron , Moez Sanaa
{"title":"Risk factors for sporadic infections caused by Shiga toxin-producing Escherichia coli: a systematic review and meta-analysis","authors":"Jean-Christophe Augustin ,&nbsp;Pauline Kooh ,&nbsp;Lapo Mughini-Gras ,&nbsp;Laurent Guillier ,&nbsp;Anne Thébault ,&nbsp;Frédérique Audiat-Perrin ,&nbsp;Vasco Cadavez ,&nbsp;Ursula Gonzales-Barron ,&nbsp;Moez Sanaa","doi":"10.1016/j.mran.2020.100117","DOIUrl":"10.1016/j.mran.2020.100117","url":null,"abstract":"<div><p>Shiga toxin-producing <em>Escherichia coli</em> (STEC) are an important cause of foodborne disease associated with clinical outcomes ranging from mild intestinal discomfort to haemolytic uremic syndrome, including end-stage renal disease and death. The objective of this study was to synthetize evidence on risk factors for sporadic STEC infection by meta-analysing outcomes from available case-control studies. Suitable scientific articles were identified through a systematic literature search, and assessed for methodological quality. From each study, odds ratios (OR) were extracted along with study characteristics such as the population, design, statistical model used and risk factor hierarchy. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. The quality assessment stage was passed by 29 studies investigating sporadic STEC infection conducted between 1986 and 2013. These studies provided 493 ORs for meta-analysis. The main risk factors for STEC infection were foreign travel, contact with ill people, farm animals or their environment, food consumption and exposure to untreated drinking water. Concerning food exposures, this meta-analysis confirmed known risk factors, such as consumption of beef (especially when undercooked) and other meats (barbecued meat, donner kebab meat and meat casseroles), processed meat, ready-to-eat meat, composite foods, and raw milk consumption by children. Newly identified food vehicles were chicken and fish. Produce (fruits/vegetables) was not associated with sporadic STEC infection.</p></div>","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2020.100117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55112773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Editorial note to the special issue “Risk factors for sporadic foodborne diseases by meta-analysis of observational studies” 特刊《观察性研究荟萃分析中偶发性食源性疾病的危险因素》的编辑说明
IF 2.8 4区 环境科学与生态学
Microbial Risk Analysis Pub Date : 2021-04-01 DOI: 10.1016/j.mran.2021.100159
Ursula Gonzales-Barron , Vasco Cadavez , Anne Thebault , Pauline Kooh , Moez Sanaa
{"title":"Editorial note to the special issue “Risk factors for sporadic foodborne diseases by meta-analysis of observational studies”","authors":"Ursula Gonzales-Barron ,&nbsp;Vasco Cadavez ,&nbsp;Anne Thebault ,&nbsp;Pauline Kooh ,&nbsp;Moez Sanaa","doi":"10.1016/j.mran.2021.100159","DOIUrl":"10.1016/j.mran.2021.100159","url":null,"abstract":"","PeriodicalId":48593,"journal":{"name":"Microbial Risk Analysis","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mran.2021.100159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42246875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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