Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10198/23339 |
Resumo: | Campylobacter spp. is an important causative agent of diarrheal illness worldwide. The disease is frequently associated with foodborne transmission, but other routes of exposure are increasingly recognized. A systematic review and meta-analysis of case-control studies were performed to determine the main risk factors associated with sporadic campylobacteriosis. Suitable scientific articles published up to March 2017 were identified through a systematic literature search and subject to methodological quality assessment. From each study, odds ratios (OR) as measures of association were extracted or calculated, as well as study characteristics such as study population, design, type of model used and risk factor categorization. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. From 4453 identified references, the quality assessment stage was passed by 71 case-control studies focusing on sporadic campylobacteriosis. The eligible studies were conducted between 1981 and 2012 and provided 1336 ORs for meta-analysis. The meta-analysis identified international travel (pooled OR=4.626), recent use of gastric antacids (pooled OR=2.911), occupational exposure to animals/carcasses (pooled OR=3.022), and food consumption (in particular raw or undercooked eggs, poultry, beef, and dairy) as the main risks factors for sporadic campylobacteriosis in the mixed population. In the child population, the main risk factors concerned environmental/animal transmission routes (e.g. drinking untreated water (pooled OR=3.261), exposure to recreational water (pooled OR=3.156), exposure to farm/rural environment (pooled OR=3.128), contact with farm animals (pooled OR=2.747), person-to-person transmission (pooled OR=2.736) and consumption of raw milk (pooled OR =2.603). The results of this meta-analysis highlight the importance of overlooked routes and vehicles of transmission (environment, animal contact, and other food vehicles) of Campylobacter that should be explored in dedicated studies. |
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Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysisCampylobacterCase-control studiesMeta-regressionObservational studiesResearch synthesisCampylobacter spp. is an important causative agent of diarrheal illness worldwide. The disease is frequently associated with foodborne transmission, but other routes of exposure are increasingly recognized. A systematic review and meta-analysis of case-control studies were performed to determine the main risk factors associated with sporadic campylobacteriosis. Suitable scientific articles published up to March 2017 were identified through a systematic literature search and subject to methodological quality assessment. From each study, odds ratios (OR) as measures of association were extracted or calculated, as well as study characteristics such as study population, design, type of model used and risk factor categorization. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. From 4453 identified references, the quality assessment stage was passed by 71 case-control studies focusing on sporadic campylobacteriosis. The eligible studies were conducted between 1981 and 2012 and provided 1336 ORs for meta-analysis. The meta-analysis identified international travel (pooled OR=4.626), recent use of gastric antacids (pooled OR=2.911), occupational exposure to animals/carcasses (pooled OR=3.022), and food consumption (in particular raw or undercooked eggs, poultry, beef, and dairy) as the main risks factors for sporadic campylobacteriosis in the mixed population. In the child population, the main risk factors concerned environmental/animal transmission routes (e.g. drinking untreated water (pooled OR=3.261), exposure to recreational water (pooled OR=3.156), exposure to farm/rural environment (pooled OR=3.128), contact with farm animals (pooled OR=2.747), person-to-person transmission (pooled OR=2.736) and consumption of raw milk (pooled OR =2.603). The results of this meta-analysis highlight the importance of overlooked routes and vehicles of transmission (environment, animal contact, and other food vehicles) of Campylobacter that should be explored in dedicated studies.The authors would like to thank Anses staff and the members of the Anses Working Group on Source Attribution of Foodborne Diseases: Moez Sanaa, Laurence Watier, Jean Christophe Augustin, Frédéric Carlin, Laurent Guillier, Nathalie Jourdan-Da Silva, Alexandre Leclercq, Anne Thébault, Nicole Pavio, Isabelle Villena. U. Gonzales-Barron and V. Cadavez are grateful to the Foundation for Food Science and Technology (FCT, Portugal) and FEDER under Programme PT2020 for financial support to CIMO ( UID/AGR/00690/2019 ). U. Gonzales-Barron thanks the national funding by FCT , P.I., through the Institutional Scientific Employment Program contract.Biblioteca Digital do IPBFravalo, PhilippeKooh, PaulineMughini-Gras, LapoDavid, JulieThébault, AnneCadavez, VascoGonzales-Barron, Ursula2018-01-19T10:00:00Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10198/23339engFravalo, Philippe; Kooh, Pauline; Mughini-Gras, Lapo; David, Julie; Thébault, Anne; Cadavez, Vasco; Gonzales-Barron, Ursula (2020) - Risk factors for sporadic campylobacteriosis: A systematic review and meta-analysis. Microbial Risk Analysis. ISSN 2352-3522.10.1016/j.mran.2020.100118info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-21T10:52:12Zoai:bibliotecadigital.ipb.pt:10198/23339Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:14:21.635063Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
title |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
spellingShingle |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis Fravalo, Philippe Campylobacter Case-control studies Meta-regression Observational studies Research synthesis |
title_short |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
title_full |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
title_fullStr |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
title_full_unstemmed |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
title_sort |
Risk factors for sporadic campylobacteriosis: a systematic review and meta-analysis |
author |
Fravalo, Philippe |
author_facet |
Fravalo, Philippe Kooh, Pauline Mughini-Gras, Lapo David, Julie Thébault, Anne Cadavez, Vasco Gonzales-Barron, Ursula |
author_role |
author |
author2 |
Kooh, Pauline Mughini-Gras, Lapo David, Julie Thébault, Anne Cadavez, Vasco Gonzales-Barron, Ursula |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Biblioteca Digital do IPB |
dc.contributor.author.fl_str_mv |
Fravalo, Philippe Kooh, Pauline Mughini-Gras, Lapo David, Julie Thébault, Anne Cadavez, Vasco Gonzales-Barron, Ursula |
dc.subject.por.fl_str_mv |
Campylobacter Case-control studies Meta-regression Observational studies Research synthesis |
topic |
Campylobacter Case-control studies Meta-regression Observational studies Research synthesis |
description |
Campylobacter spp. is an important causative agent of diarrheal illness worldwide. The disease is frequently associated with foodborne transmission, but other routes of exposure are increasingly recognized. A systematic review and meta-analysis of case-control studies were performed to determine the main risk factors associated with sporadic campylobacteriosis. Suitable scientific articles published up to March 2017 were identified through a systematic literature search and subject to methodological quality assessment. From each study, odds ratios (OR) as measures of association were extracted or calculated, as well as study characteristics such as study population, design, type of model used and risk factor categorization. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. From 4453 identified references, the quality assessment stage was passed by 71 case-control studies focusing on sporadic campylobacteriosis. The eligible studies were conducted between 1981 and 2012 and provided 1336 ORs for meta-analysis. The meta-analysis identified international travel (pooled OR=4.626), recent use of gastric antacids (pooled OR=2.911), occupational exposure to animals/carcasses (pooled OR=3.022), and food consumption (in particular raw or undercooked eggs, poultry, beef, and dairy) as the main risks factors for sporadic campylobacteriosis in the mixed population. In the child population, the main risk factors concerned environmental/animal transmission routes (e.g. drinking untreated water (pooled OR=3.261), exposure to recreational water (pooled OR=3.156), exposure to farm/rural environment (pooled OR=3.128), contact with farm animals (pooled OR=2.747), person-to-person transmission (pooled OR=2.736) and consumption of raw milk (pooled OR =2.603). The results of this meta-analysis highlight the importance of overlooked routes and vehicles of transmission (environment, animal contact, and other food vehicles) of Campylobacter that should be explored in dedicated studies. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-19T10:00:00Z 2020 2020-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10198/23339 |
url |
http://hdl.handle.net/10198/23339 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Fravalo, Philippe; Kooh, Pauline; Mughini-Gras, Lapo; David, Julie; Thébault, Anne; Cadavez, Vasco; Gonzales-Barron, Ursula (2020) - Risk factors for sporadic campylobacteriosis: A systematic review and meta-analysis. Microbial Risk Analysis. ISSN 2352-3522. 10.1016/j.mran.2020.100118 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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