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Hazards of healthy living: Bottled water and salad vegetables as risk factors for campylobacter infection

Evans, Meirion Rhys, Ribeiro, C. Donald and Salmon, Roland L. 2003. Hazards of healthy living: Bottled water and salad vegetables as risk factors for campylobacter infection. Emerging infectious diseases 9 (10) , pp. 1219-1225. 10.3201/eid0910.020823

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Abstract

Campylobacter is the most common cause of bacterial gastroenteritis worldwide, yet the etiology of this infection remains only partly explained. In a retrospective cohort study, we compared 213 sporadic campylobacter case-patients with 1,144 patients with negative fecal samples. Information was obtained on food history, animal contact, foreign travel, leisure activities, medical conditions, and medication use. Eating chicken, eating food from a fried chicken outlet, eating salad vegetables, drinking bottled water, and direct contact with cows or calves were all independently associated with infection. The population-attributable fractions for these risk factors explained nearly 70% of sporadic campylobacter infections. Eating chicken is a well-established risk factor, but consuming salad and bottled water are not. The association with salad may be explained by cross-contamination of food within the home, but the possibility that natural mineral water is a risk factor for campylobacter infection could have wide public health implications.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: National Center for Infectious Diseases, Centers for Disease Control and Prevention (CDC
ISSN: 1080-6040
Last Modified: 21 Aug 2019 02:33
URI: http://orca-mwe.cf.ac.uk/id/eprint/66782

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