Risk Factors for Vibrio parahaemolyticus Infection in a Southern Coastal Region of China
Published Date:Aug 19 2015
Source:Foodborne Pathog Dis. 12(11):881-886.
Surveys And Questionnaires
Pubmed Central ID:PMC4675456
Funding:CC999999/Intramural CDC HHS/United States
1U2GGH000961-01/PHS HHS/United States
The objectives of the study were to identify dietary and medical risk factors for Vibrio parahaemolyticus (VP) infection in the coastal city Shenzhen in China.
In April–October 2012, we conducted a case–control study in two hospitals in Shenzhen, China. Laboratory-confirmed VP cases (N = 83) were matched on age, sex, and other social factors to healthy controls (N = 249). Subjects were interviewed using a questionnaire on medical history; contact with seawater; clinical symptoms and outcome; travel history over the past week; and dietary history 3 days prior to onset. Laboratory tests were used to culture, serotype, and genotype VP strains. We used logistic regression to calculate the odds ratios for the association of VP infection with potential risk factors.
In multivariate analysis, VP infection was associated with having pre-existing chronic disease (adjusted odds ratio [aOR], 6.0; 95% confidence interval [CI], 1.5–23.7), eating undercooked seafood (aOR, 8.0; 95% CI, 1.3–50.4), eating undercooked meat (aOR, 29.1; 95% CI, 3.0–278.2), eating food from a street food vendor (aOR, 7.6; 95% CI, 3.3–17.6), and eating vegetable salad (aOR, 12.1; 95% CI, 5.2–28.2).
Eating raw (undercooked) seafood and meat is an important source of VP infection among the study population. Cross-contamination of VP in other food (e.g., vegetables and undercooked meat) likely plays a more important role. Intervention should be taken to lower the risks of cross-contamination with undercooked seafood/meat, especially targeted at people with low income, transient workers, and people with medical risk factors.
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