Gastroenteritis in a Taipei emergency department: aetiology and risk factors

被引:12
|
作者
Lai, C. -C. [2 ]
Wu, F. -T. [3 ]
Ji, D. -D. [3 ]
Mu, J. -J. [3 ]
Yang, J. -R. [3 ]
Chiu, K. -T. [3 ]
Lin, W. -Y. [2 ]
Li, C. Y. [2 ]
Fu, Y. -P. [2 ]
Chen, W. -T. [2 ]
Lee, B. -C. [2 ]
Jiang, D. D. -S. [1 ]
Yen, M. -Y. [4 ]
Wu, H. -S.
机构
[1] Ctr Dis Control, Field Epidemiol Training Program, Taichung, Taiwan
[2] Taipei City Hosp, Ren Ai Branch, Emergency Dept, Taipei, Taiwan
[3] Ctr Dis Control, Res & Diagnost Ctr, Dept Hlth, Taichung, Taiwan
[4] Taipei City Hosp, Infect Dis Sect, Taipei, Taiwan
关键词
Diarrheagenic E. coli; gastroenteritis; Giardia lamblia; matched case-control study; norovirus; Salmonella; INFECTIOUS INTESTINAL DISEASE; RAW OYSTERS; ESCHERICHIA-COLI; FECAL SAMPLES; VIRAL LOAD; DIARRHEA; NOROVIRUS; OUTBREAK; CONSUMPTION; PATHOGENS;
D O I
10.1111/j.1469-0691.2010.03377.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A matched case-control study was used to determine pathogens and risk factors associated with gastroenteritis in a Taipei Emergency Department. Viruses (40.0%) were the leading cause of gastroenteritis, with noroviruses the most prevalent (33.2%). Bacteria were found in 26.0% of all cases, mostly suspected diarrheagenic E. coli (22.2%), followed by Salmonella spp. (5.4%) and Vibrio parahaemolyticus (4.2%). Giardia lamblia was identified in 16.4% of all cases. Statistical significance was noted for seven risk factors: taking antacids before gastroenteritis (OR = 3.91; 95% CI, 2.13, 7.15), other household members with gastroenteritis (OR = 5.18; 95% CI, 2.09, 12.85), attending a banquet (OR = 1.93; 95% CI, 1.25, 2.98), eating out (OR = 2.35; 95% CI, 1.30, 4.23), drinking bottled water (OR = 1.72; 95% CI, 1.07, 2.75), eating honey peaches (OR = 3.26; 95% CI, 1.24, 8.58), and eating raw oysters (OR = 3.24; 95% CI, 1.02, 10.28). Eating out was identified as the highest risk behavior, as measured by population attributable risk fraction (PAR) (50.9%). Respective PAR values for drinking bottled water, attending a banquet and taking antacids before illness were 19.7%, 19.6% and 17.6%. Of these, additional research on bottled water appears to be the highest priority, because this is the first time it has been identified as a risk factor for gastroenteritis.
引用
收藏
页码:1071 / 1077
页数:7
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