Factors associated with seeking medical care and submitting a stool sample in estimating the burden of foodborne illness
Factors associated with seeking medical care and submitting a stool sample in estimating the burden of foodborne illness
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DOI：
10.1089/fpd.2006.3.432
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发表时间：
2006-12-01
影响因子：
2.8
通讯作者：
Angulo, Fredrick J.
中科院分区：
文献类型：
--
作者：
Scallan, Elaine;Jones, Timothy F.;Angulo, Fredrick J.
基于食品的监测是公共卫生的基础，对于确定由细菌病原体引起的大多数食源性疾病的发病率至关重要;然而，报告的病例代表了社区感染的一个子集。为了确定与急性腹泻病患者寻求医疗护理和提交粪便标本相关的因素，我们使用多变量logistic回归分析了2000年至2003年在食源性疾病主动监测网络（FoodNet）进行的两次为期12个月的基于人群的电话调查数据。在31，082名受访者中，5%的人在受访前四周内报告患有急性腹泻病;其中20%的人寻求医疗护理。在多变量分析中，在急性腹泻病患者中，与就医相关的因素包括：男性;年龄= 65岁;家庭收入= 3天（OR 3.81; 95%CI：1.50-9.69）是与提交粪便标本相关的最重要因素。通过实验室公共卫生监测确定的急性腹泻病例可能与未报告的病例存在系统性差异，并且可能过度代表那些出血性腹泻和腹泻持续时间较长的病例。
Laboratory-based surveillance is a foundation for public health and is essential for determining the incidence of most foodborne diseases caused by bacterial pathogens; however, reported cases represent a subset of infections in the community. To identify the factors associated with seeking medical care and submitting a stool specimen among persons with acute diarrheal illness, we used multivariate logistic regression to analyze data from two 12-month population-based telephone surveys conducted in the Foodborne Diseases Active Surveillance Network (FoodNet) from 2000 to 2003. Of 31,082 persons interviewed, 5% reported an acute diarrheal illness in the four weeks prior to the interview; of these, 20% sought medical care. On multivariate analysis, among persons with an acute diarrheal illness, factors associated with seeking medical care included: male sex; age = 65 years; household income = 3 days (OR 3.81; 95% Cl: 1.50-9.69) were the most important factors associated with submission of a stool specimen. Cases of acute diarrheal illness ascertained through laboratory-based public health surveillance are likely to differ systematically from unreported cases and likely over-represent those with bloody diarrhea and longer diarrhea duration.