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Farm animal exposure setting impacts hemolytic uremic syndrome risk among Shiga toxin-producing Escherichia coli cases: Minnesota, 2010-2019.
Vachon, Madhura S; Rounds, Joshua; Smith, Kirk; Medus, Carlota; Hedberg, Craig W; Klumb, Carrie; Tarr, Gillian A M.
Afiliación
  • Vachon MS; Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, USA.
  • Rounds J; Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, Saint Paul, MN, USA.
  • Smith K; Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, Saint Paul, MN, USA.
  • Medus C; Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, Saint Paul, MN, USA.
  • Hedberg CW; Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, USA.
  • Klumb C; Foodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, Saint Paul, MN, USA.
  • Tarr GAM; Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Epidemiol Infect ; 152: e96, 2024 May 16.
Article en En | MEDLINE | ID: mdl-38751232
ABSTRACT
Shiga toxin-producing Escherichia coli (STEC) transmission occurs in ruminant contact settings and can lead to post-diarrheal hemolytic uremic syndrome (HUS). We investigated whether exposure setting (ruminant exposure from living or working on a farm, visiting a farm or animal contact venue, or both) influenced HUS development among individuals with laboratory-confirmed STEC infections using Minnesota surveillance data from 2010 to 2019. Logistic regression was performed to determine whether exposure setting was associated with HUS independent of age, gender, stx2 gene detection, and county ruminants per capita. Among confirmed STEC cases, ruminant exposure only from living or working on a farm was not significantly associated with HUS compared to cases without any ruminant exposure (OR 1.25; 95% CI 0.51, 3.04). However, ruminant exposure only from visiting a farm or public animal contact venue was associated with HUS (OR 2.53; 95% CI 1.50, 4.24). Exposure from both settings was also associated with HUS (OR 3.71; 95% CI 1.39, 9.90). Exposure to ruminants when visiting farms or animal contact venues is an important predictor of HUS, even among people who live or work on farms with ruminants. All people, regardless of routine ruminant exposure, should take care in settings with ruminants to avoid infection with STEC.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Escherichia coli / Escherichia coli Shiga-Toxigénica / Síndrome Hemolítico-Urémico Límite: Adolescent / Adult / Aged / Aged80 / Animals / Child / Child, preschool / Female / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Escherichia coli / Escherichia coli Shiga-Toxigénica / Síndrome Hemolítico-Urémico Límite: Adolescent / Adult / Aged / Aged80 / Animals / Child / Child, preschool / Female / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido