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The study of infectious intestinal disease in England: risk factors for cases of infectious intestinal disease with Campylobacter jejuni infection

The study of infectious intestinal disease in England: risk factors for cases of infectious intestinal disease with Campylobacter jejuni infection
The study of infectious intestinal disease in England: risk factors for cases of infectious intestinal disease with Campylobacter jejuni infection
This is a case-control study aimed at identifying risk factors for intestinal infection with Campylobacter jejuni. Cases were defined as subjects with diarrhoea occurring in community cohorts or presenting to General Practitioners (GPs) with Campylobacter jejuni in stools. Controls were selected from GP lists or cohorts, matched by age, sex, and GP practice. Travel abroad and consumption of chicken in a restaurant were statistically significantly associated with being a case. There was no statistically significant risk associated with consumption of chicken other than in restaurants nor with reported domestic kitchen hygiene practices. Consumption of some foods was associated with a lower risk of being a case. Most cases remained unexplained. We suggest that infection with low numbers of micro-organisms, and individual susceptibility may play a greater role in the causation of campylobacter infection than previously thought. It is possible that in mild, sporadic cases infection may result from cross contamination from kitchen hygiene practices usually regarded as acceptable. Chicken may be a less important vehicle of infection for sporadic cases than for outbreaks, although its role as a source of infection in both settings requires further clarification in particular in relation to the effect of domestic hygiene practices. The potential effect of diet in reducing the risk of campylobacteriosis requires exploration.
0950-2688
185 -193
Rodrigues, L.C.
1f0d27a7-d36c-4c1d-bb5e-38ea497b9f36
Cowden, J.M.
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Wheeler, J.G.
b2f79f58-5b3c-4f9f-aa34-0e4813519fb1
Sethi, D.
bb1dff87-372d-4add-b455-16e3439b4c2d
Wall, P.G.
85496870-86d9-47fb-bf5e-fbe9f708f1a5
Tompkins, D.S.
411bb7d9-b4fd-4388-b92f-8f419099e923
Hudson, M.J.
0d0c1e12-6546-4add-b5ff-98262cae0db7
Roberts, J.A.
aab462c6-c6ff-40d6-81ed-a133e9eb5c5c
Roderick, P.J.
1f4755c6-9d1d-457e-a1a1-0a6a32d84447
Rodrigues, L.C.
1f0d27a7-d36c-4c1d-bb5e-38ea497b9f36
Cowden, J.M.
72cad583-885d-41b2-b53c-582513607a77
Wheeler, J.G.
b2f79f58-5b3c-4f9f-aa34-0e4813519fb1
Sethi, D.
bb1dff87-372d-4add-b455-16e3439b4c2d
Wall, P.G.
85496870-86d9-47fb-bf5e-fbe9f708f1a5
Tompkins, D.S.
411bb7d9-b4fd-4388-b92f-8f419099e923
Hudson, M.J.
0d0c1e12-6546-4add-b5ff-98262cae0db7
Roberts, J.A.
aab462c6-c6ff-40d6-81ed-a133e9eb5c5c
Roderick, P.J.
1f4755c6-9d1d-457e-a1a1-0a6a32d84447

Rodrigues, L.C., Cowden, J.M., Wheeler, J.G., Sethi, D., Wall, P.G., Tompkins, D.S., Hudson, M.J., Roberts, J.A. and Roderick, P.J. (2001) The study of infectious intestinal disease in England: risk factors for cases of infectious intestinal disease with Campylobacter jejuni infection. Epidemiology and Infection, 127 (2), 185 -193. (doi:10.1017/S0950268801006057).

Record type: Article

Abstract

This is a case-control study aimed at identifying risk factors for intestinal infection with Campylobacter jejuni. Cases were defined as subjects with diarrhoea occurring in community cohorts or presenting to General Practitioners (GPs) with Campylobacter jejuni in stools. Controls were selected from GP lists or cohorts, matched by age, sex, and GP practice. Travel abroad and consumption of chicken in a restaurant were statistically significantly associated with being a case. There was no statistically significant risk associated with consumption of chicken other than in restaurants nor with reported domestic kitchen hygiene practices. Consumption of some foods was associated with a lower risk of being a case. Most cases remained unexplained. We suggest that infection with low numbers of micro-organisms, and individual susceptibility may play a greater role in the causation of campylobacter infection than previously thought. It is possible that in mild, sporadic cases infection may result from cross contamination from kitchen hygiene practices usually regarded as acceptable. Chicken may be a less important vehicle of infection for sporadic cases than for outbreaks, although its role as a source of infection in both settings requires further clarification in particular in relation to the effect of domestic hygiene practices. The potential effect of diet in reducing the risk of campylobacteriosis requires exploration.

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Published date: 2001

Identifiers

Local EPrints ID: 24496
URI: http://eprints.soton.ac.uk/id/eprint/24496
ISSN: 0950-2688
PURE UUID: c42ff2df-f741-49c3-8f97-58ce12319b38

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Date deposited: 31 Mar 2006
Last modified: 08 Jan 2022 01:02

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Contributors

Author: L.C. Rodrigues
Author: J.M. Cowden
Author: J.G. Wheeler
Author: D. Sethi
Author: P.G. Wall
Author: D.S. Tompkins
Author: M.J. Hudson
Author: J.A. Roberts
Author: P.J. Roderick

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