散发性沙门氏菌病和弯曲杆菌病的传播途径和危险因素:欧洲病例对照研究的来源归因荟萃分析

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES
Lapo Mughini-Gras, Lena Wijnen, Sara M Pires, Elisa Benincà, Charlotte Onstwedder, Tine Hald, Eelco Franz, Axel Bonacic Marinovic
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引用次数: 0

摘要

病例对照研究可提供人畜共患病原体可能来源的归因估计。我们在贝叶斯估计框架内应用了一个荟萃分析模型,汇集了来自欧洲散发弯曲杆菌病和沙门氏菌病病例对照研究的人群归因分数(paf)。输入数据来自两个现有的系统综述,并辅以额外的文献检索,涵盖2000-2021年期间。共纳入12项弯曲杆菌研究,涉及180例paf(5983例)和13213例对照;5项沙门氏菌研究,涉及75例paf(2908例)和5913例对照。所有这些研究都是在西欧或北欧国家进行的。据估计,这两种病原体主要与食物和水传播有关,这解释了近一半的病例,弯曲杆菌主要归因于家禽(肉),沙门氏菌主要归因于家禽(蛋和肉)和猪(肉),作为特定的食源性接触。如果还考虑到与动物的接触,大约60%的病例可以用更大的人畜共患病传播途径来解释。虽然环境传播也相当大(约10%),但大约四分之一的病例可以通过旅行、潜在疾病/药物使用、人际传播和职业接触等因素来解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transmission pathways and risk factors for sporadic salmonellosis and campylobacteriosis: a source attribution meta-analysis of European case-control studies.

Case-control studies can provide attribution estimates of the likely sources of zoonotic pathogens. We applied a meta-analytical model within a Bayesian estimation framework to pool population attributable fractions (PAFs) from European case-control studies of sporadic campylobacteriosis and salmonellosis. The input data were obtained from two existing systematic reviews, supplemented with additional literature searches, covering the period 2000-2021. In total, 12 studies on Campylobacter providing data for 180 PAFs referring to 5983 cases and 13213 controls, and five studies on Salmonella providing data for 75 PAFs referring to 2908 cases and 5913 controls, were included. All these studies were conducted in Western or Northern European countries. Both pathogens were estimated as being predominantly linked to food- and waterborne transmission, which explained nearly half of the cases, with Campylobacter being mainly attributable to poultry (meat), and Salmonella to poultry (eggs and meat) and pig (meat), as specific foodborne exposures. When also considering contact with animals, around 60% of cases could be explained by the larger group of zoonotic transmission pathways. While environmental transmission was also sizeable (around 10%), about a quarter of cases could be explained by factors such as travel, underlying diseases/medicine use, person-to-person transmission and occupational exposure.

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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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