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Case–case analyses of cryptosporidiosis and giardiasis using routine national surveillance data in the United States – 2005–2015
- Source :
- Epidemiology and Infection
- Publication Year :
- 2019
- Publisher :
- Cambridge University Press, 2019.
-
Abstract
- Understanding endemic infectious disease risk factors through traditional epidemiological tools is challenging. Population-based case–control studies are costly and time-consuming. A case–case analyses using surveillance data addresses these limitations by using resources more efficiently. We conducted a case–case analyses using routine surveillance data reported by 16 U.S. states (2005–2015), wherein reported cases of salmonellosis were used as a comparison group to identify exposure associations with reported cases of cryptosporidiosis and giardiasis. Odds ratios adjusted for age and reporting state (aOR) and 95% confidence intervals (95% CI) were calculated. A total of 10 704 cryptosporidiosis cases, 17 544 giardiasis cases, and 106 351 salmonellosis cases were included in this analyses. When compared with cases of salmonellosis, exposure to treated recreational water (aOR 4.7, 95% CI 4.3–5.0) and livestock (aOR: 3.2; 95% CI: 2.9–3.5) were significantly associated with cryptosporidiosis and exposure to untreated drinking (aOR 4.1, 95% CI 3.6–4.7) and recreational water (aOR 4.1, 95% CI 3.7–4.5) were associated with giardiasis. Our analyses shows that routine surveillance data with standardised exposure information can be used to identify associations of interest for cryptosporidiosis and giardiasis.
- Subjects :
- Adult
Giardiasis
Male
medicine.medical_specialty
Surveillance data
Adolescent
Epidemiology
Population
Cryptosporidium
Cryptosporidiosis
Young Adult
Risk Factors
Environmental health
Odds Ratio
Medicine
Short Paper
Humans
education
Child
Aged
Aged, 80 and over
education.field_of_study
biology
business.industry
Giardia
Infant, Newborn
Infant
Odds ratio
Middle Aged
biology.organism_classification
Confidence interval
United States
Infectious Diseases
Infectious disease (medical specialty)
Child, Preschool
Population Surveillance
surveillance
Female
business
Reporting state
Subjects
Details
- Language :
- English
- ISSN :
- 14694409 and 09502688
- Volume :
- 147
- Database :
- OpenAIRE
- Journal :
- Epidemiology and Infection
- Accession number :
- edsair.doi.dedup.....fcac51c46b09e35ea73c4d14e0e929d3