Risk factors for campylobacteriosis in Australia: outcomes of a 2018-2019 case-control study

dc.citation.issue1
dc.citation.volume22
dc.contributor.authorCribb DM
dc.contributor.authorVarrone L
dc.contributor.authorWallace RL
dc.contributor.authorMcLure AT
dc.contributor.authorSmith JJ
dc.contributor.authorStafford RJ
dc.contributor.authorBulach DM
dc.contributor.authorSelvey LA
dc.contributor.authorFirestone SM
dc.contributor.authorFrench NP
dc.contributor.authorValcanis M
dc.contributor.authorFearnley EJ
dc.contributor.authorSloan-Gardner TS
dc.contributor.authorGraham T
dc.contributor.authorGlass K
dc.contributor.authorKirk MD
dc.coverage.spatialEngland
dc.date.accessioned2024-01-23T01:19:43Z
dc.date.accessioned2024-07-25T06:53:47Z
dc.date.available2022-06-30
dc.date.available2024-01-23T01:19:43Z
dc.date.available2024-07-25T06:53:47Z
dc.date.issued2022-12
dc.description.abstractBACKGROUND: We aimed to identify risk factors for sporadic campylobacteriosis in Australia, and to compare these for Campylobacter jejuni and Campylobacter coli infections. METHODS: In a multi-jurisdictional case-control study, we recruited culture-confirmed cases of campylobacteriosis reported to state and territory health departments from February 2018 through October 2019. We recruited controls from notified influenza cases in the previous 12 months that were frequency matched to cases by age group, sex, and location. Campylobacter isolates were confirmed to species level by public health laboratories using molecular methods. We conducted backward stepwise multivariable logistic regression to identify significant risk factors. RESULTS: We recruited 571 cases of campylobacteriosis (422 C. jejuni and 84 C. coli) and 586 controls. Important risk factors for campylobacteriosis included eating undercooked chicken (adjusted odds ratio [aOR] 70, 95% CI 13-1296) or cooked chicken (aOR 1.7, 95% CI 1.1-2.8), owning a pet dog aged < 6 months (aOR 6.4, 95% CI 3.4-12), and the regular use of proton-pump inhibitors in the 4 weeks prior to illness (aOR 2.8, 95% CI 1.9-4.3). Risk factors remained similar when analysed specifically for C. jejuni infection. Unique risks for C. coli infection included eating chicken pâté (aOR 6.1, 95% CI 1.5-25) and delicatessen meats (aOR 1.8, 95% CI 1.0-3.3). Eating any chicken carried a high population attributable fraction for campylobacteriosis of 42% (95% CI 13-68), while the attributable fraction for proton-pump inhibitors was 13% (95% CI 8.3-18) and owning a pet dog aged < 6 months was 9.6% (95% CI 6.5-13). The population attributable fractions for these variables were similar when analysed by campylobacter species. Eating delicatessen meats was attributed to 31% (95% CI 0.0-54) of cases for C. coli and eating chicken pâté was attributed to 6.0% (95% CI 0.0-11). CONCLUSIONS: The main risk factor for campylobacteriosis in Australia is consumption of chicken meat. However, contact with young pet dogs may also be an important source of infection. Proton-pump inhibitors are likely to increase vulnerability to infection.
dc.description.confidentialfalse
dc.edition.editionDecember 2022
dc.format.pagination586-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/35773664
dc.identifier.citationCribb DM, Varrone L, Wallace RL, McLure AT, Smith JJ, Stafford RJ, Bulach DM, Selvey LA, Firestone SM, French NP, Valcanis M, Fearnley EJ, Sloan-Gardner TS, Graham T, Glass K, Kirk MD. (2022). Risk factors for campylobacteriosis in Australia: outcomes of a 2018-2019 case-control study.. BMC Infect Dis. 22. 1. (pp. 586-).
dc.identifier.doi10.1186/s12879-022-07553-6
dc.identifier.eissn1471-2334
dc.identifier.elements-typejournal-article
dc.identifier.issn1471-2334
dc.identifier.number586
dc.identifier.pii10.1186/s12879-022-07553-6
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/71114
dc.languageeng
dc.publisherBioMed Central Ltd
dc.publisher.urihttps://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-022-07553-6
dc.relation.isPartOfBMC Infect Dis
dc.rights(c) The author/sen
dc.rights.licenseCC BY 4.0en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectAustralia
dc.subjectCampylobacter
dc.subjectCampylobacter Infections
dc.subjectCase–Control Study
dc.subjectChickens
dc.subjectDogs
dc.subjectFoodborne diseases
dc.subjectProton Pump Inhibitors
dc.subjectRisk Factors
dc.subjectAnimals
dc.subjectAustralia
dc.subjectCampylobacter
dc.subjectCampylobacter Infections
dc.subjectCampylobacter jejuni
dc.subjectCase-Control Studies
dc.subjectChickens
dc.subjectDogs
dc.subjectGastroenteritis
dc.subjectProton Pump Inhibitors
dc.subjectRisk Factors
dc.titleRisk factors for campylobacteriosis in Australia: outcomes of a 2018-2019 case-control study
dc.typeJournal article
pubs.elements-id454501
pubs.organisational-groupOther
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