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Gastrointestinal disease outbreaks in cycling events: are preventive measures effective?
Mexia, R; Vold, L; Heier, B T; Nygård, K.
Afiliación
  • Mexia R; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
  • Vold L; Department of Infectious Disease Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
  • Heier BT; Department of Infectious Disease Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
  • Nygård K; Department of Infectious Disease Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
Epidemiol Infect ; 141(3): 517-23, 2013 Mar.
Article en En | MEDLINE | ID: mdl-22591923
In 2009, following a bike race, a gastrointestinal illness outbreak affected many participants. A cohort study showed an attack rate of 16·3% with the main risk factor being mud splashes to the face. Considering these findings, in 2010 recommendations to participants in the bike race were issued and environmental control measures were implemented. In 2010, a retrospective cohort study using web-based questionnaires was conducted to measure the use of preventive measures and to assess risk factors associated with gastrointestinal illness. A 69% response rate was achieved and 11721 records analysed, with 572 (attack rate 4·9%) matching the case definition, i.e. participants reporting diarrhoea within 10 days of race. There was a clear increase in the use of mudguards (96·7% reported access to/receiving information on preventive measures) and a significant decrease in gastrointestinal illness. This may indicate that the measures have been effective and should be considered, both in terms of environmental control measures as well as individual measures.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Microbiología del Suelo / Ciclismo / Brotes de Enfermedades / Exposición a Riesgos Ambientales / Enfermedades Gastrointestinales Tipo de estudio: Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2013 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Microbiología del Suelo / Ciclismo / Brotes de Enfermedades / Exposición a Riesgos Ambientales / Enfermedades Gastrointestinales Tipo de estudio: Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2013 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido