Urban–rural differences of age- and species-specific campylobacteriosis incidence, Hesse, Germany, July 2005 – June 2006

Fitzenberger, J; Uphoff, Helmut; Gawrich, S; Hauri, Anja M.

doi:10.2807/ese.15.42.19693-en

Cited by 13 publications

(10 citation statements)

References 28 publications

(44 reference statements)

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“…In contrast, this effect was not observed or even reversed in older persons (Figure 4). Our result is consistent with a study conducted in the German federal state of Hesse from 2005–2006 [30] that examined the association between age-specific Campylobacter incidence and the degree of urbanicity of the district of the place of residence also showing an increased incidence in children living in rural areas. This has also been demonstrated by other studies in Europe [23,31].…”

Section: Discussionsupporting

confidence: 92%

Epidemiology of campylobacteriosis in Germany – insights from 10 years of surveillance

2014

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BackgroundCampylobacteriosis caused by Campylobacter spp. is the most common notifiable bacterial gastrointestinal disease in Germany and a major problem in many other European countries as well. In contrast to other infectious diseases, e.g., salmonellosis, the annual number of notified campylobacteriosis cases has increased in Germany and other European countries from 2001–2010.MethodsNational surveillance data from 2001 through 2010 were the basis of a detailed description of the epidemiological pattern of Campylobacter infections in Germany. Special focus was placed on geographical distribution and time trends of Campylobacter infections as well as the identification of risk groups.ResultsIn total, 588,308 cases of campylobacteriosis were recorded during the observed time period. The mean annual incidence increased from 67 cases/100,000 population in 2001 to 80/100,000 population in 2010. Almost 92% of the notified Campylobacter infections were acquired in Germany. A seasonal distribution was observed with a large peak in the summer months and a small peak in January. Incidence was highest in children ≤4 years and young adults 20–29 years of age. Especially young children living in rural regions in Germany seemed to be at high risk of Campylobacter infection.ConclusionsCampylobacter is the leading cause of bacterial gastroenteritis in Germany, and has been of rising public health concern. There is a need for enhanced prevention of Campylobacter infections and the data presented here may contribute to better target prevention measures with focus on identified risk groups such as children and young adults.

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Section: Discussionsupporting

confidence: 92%

Epidemiology of campylobacteriosis in Germany – insights from 10 years of surveillance

2014

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“…In the final adjusted model, in zip codes that are characterized as 100% rural by the U.S. Census the incidence rate of Campylobacter infection was 6 times that of zip codes that are less than 0.9% rural (IRR=6. 18;) ( Table 2). In zip codes that contain broiler chicken operations, the incidence rate of campylobacteriosis was 1.45 times that of zip codes that do not contain broiler operations (IRR=1.…”

Section: Impact Of Community-level Environmental Factorsmentioning

confidence: 99%

“…Significant associations between living in rural areas and risk of campylobacteriosis also have been identified in Europe and Canada [16][17][18] . Moreover, a specific feature of rural environments, animal density, has been identified as a significant predictor of…”

Section: Introductionmentioning

confidence: 99%

Impact of Rurality, Broiler Operations, and Community Socioeconomic Factors on the Risk of Campylobacteriosis in Maryland

Pasturel¹,

Cruz‐Cano²,

Goldstein³

et al. 2013

Am J Public Health

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The combined impact of community-level environmental and socioeconomic factors on the risk of campylobacteriosis were evaluated.Campylobacter case data (2002-2010, n=3,694) In zip codes that were 100% rural, incidence rates of campylobacteriosis were 6 times (IRR=6.18; 95%CI=3.19-11.97) that of urban zip codes. In zip codes with broiler chicken operations, incidence rates were 1.45 times that of zip codes without broilers (IRR=1.45, 95%CI=1.34-1.58). Higher rates were also observed for zip codes that were predominantly white and had high median incomes. For my daughters, whose cheerful patience and boundless appreciation have shown me the wisdom that endurance can reveal.Fall down seven times, stand up eight.iii

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“…The numbers of reported cases for the whole of Germany indicate an overall decrease in the number of Salmonella cases and an increase in the number of Campylobacter cases. Campylobacteriosis is the most commonly reported gastrointestinal disease in the European Union [ 13 ], whereas in the US, FoodNet reported that the incidence of Campylobacter infections from 1996 to 2005 had declined so much that Salmonella infections currently outnumber those caused by Campylobacter . The incidence of Campylobacter infections in Germany is about 80/100,000 and is significantly higher than that of salmonellosis [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Impact of Automated Specimen Inoculation, Using Previ Isola, on the Quality of and Technical Time for Stool Cultures

2015

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BackgroundThis study was designed as a quasi-experiment to evaluate automatic inoculation of fecal specimens, using the automated specimen inoculator Previ Isola (bioMérieux, France).MethodsWe evaluated the quality of cultures, recovery rates of enteropathogenic bacteria (Salmonella, Shigella, Campylobacter, and Yersinia species), and cost-effectiveness in terms of technical time. The Previ Isola recovery rates for the two-year period from August 2009 to July 2011 were compared with historical manual inoculation data of the previous two years (August 2007 to July 2009). The regional (Baden-Württemberg) and nationwide (Germany) trends of recovery rates for this four-year period were referred.ResultsA total of 5,884 fecal specimens were collected over the study period. Most positive cultures were for Salmonella, followed by Campylobacter. Compared with the historical data, the numbers of Campylobacter-positive specimens for a year between August and July were increased significantly, from 19 in 2007-2008 and 10 in 2008-2009 to 32 in 2009-2010 (P=0.002) and 32 in 2010-2011 (P=0.003), respectively. During the study period, the official data for our region and nationwide did not show this increase in the recovery rate of Campylobacter. For Salmonella, Shigella, and Yersinia, no significant changes were observed. Compared with manual inoculation, the mean hands-on time with Previ Isola inoculation was significantly shortened, from 37:30 min to 8:42 min per 15 fecal specimens.ConclusionsInoculation by Previ Isola improves the quality of routine culture of fecal specimens, with better sensitivity for Campylobacter and less hands-on time.

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Urban–rural differences of age- and species-specific campylobacteriosis incidence, Hesse, Germany, July 2005 – June 2006

Abstract: Binary file ES_Abstracts_Final_ECDC.txt matches

Cited by 13 publications

References 28 publications

Epidemiology of campylobacteriosis in Germany – insights from 10 years of surveillance

Epidemiology of campylobacteriosis in Germany – insights from 10 years of surveillance

Impact of Rurality, Broiler Operations, and Community Socioeconomic Factors on the Risk of Campylobacteriosis in Maryland

Evaluation of the Impact of Automated Specimen Inoculation, Using Previ Isola, on the Quality of and Technical Time for Stool Cultures

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