Risk factors for pneumonic and ulceroglandular tularaemia in Finland: a population-based case-control study.
Identifieur interne : 000464 ( Ncbi/Curation ); précédent : 000463; suivant : 000465Risk factors for pneumonic and ulceroglandular tularaemia in Finland: a population-based case-control study.
Auteurs : H. Rossow [Finlande] ; J. Ollgren [Finlande] ; P. Klemets [Finlande] ; I. Pietarinen [Finlande] ; J. Saikku [Finlande] ; E. Pekkanen [Finlande] ; S. Nikkari [Finlande] ; H. Syrj L [Finlande] ; M. Kuusi [Finlande] ; J P Nuorti [Finlande]Source :
- Epidemiology and infection [ 1469-4409 ] ; 2014.
Descripteurs français
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Agriculture, Animals, Bayes Theorem, Case-Control Studies, Child, Child, Preschool, Culicidae, Diptera, Epidemics, Female, Finland (epidemiology), Humans, Infant, Insect Bites and Stings (epidemiology), Logistic Models, Lymphatic Diseases (epidemiology), Lymphatic Diseases (etiology), Male, Middle Aged, Odds Ratio, Pneumonia (epidemiology), Pneumonia (etiology), Risk Factors, Skin Ulcer (epidemiology), Skin Ulcer (etiology), Tularemia (complications), Tularemia (epidemiology), Young Adult.
- MESH :
- geographic , epidemiology : Finland.
- complications : Tularemia.
- epidemiology : Insect Bites and Stings, Lymphatic Diseases, Pneumonia, Skin Ulcer, Tularemia.
- etiology : Lymphatic Diseases, Pneumonia, Skin Ulcer.
- Adolescent, Adult, Aged, Aged, 80 and over, Agriculture, Animals, Bayes Theorem, Case-Control Studies, Child, Child, Preschool, Culicidae, Diptera, Epidemics, Female, Humans, Infant, Logistic Models, Male, Middle Aged, Odds Ratio, Risk Factors, Young Adult.
Abstract
Few population-based data are available on factors associated with pneumonic and ulceroglandular type B tularaemia. We conducted a case-control study during a large epidemic in 2000. Laboratory-confirmed case patients were identified through active surveillance and matched control subjects (age, sex, residency) from the national population information system. Data were collected using a self-administered questionnaire. A conditional logistic regression model addressing missing data with Bayesian full-likelihood modelling included 227 case patients and 415 control subjects; reported mosquito bites [adjusted odds ratio (aOR) 9·2, 95% confidence interval (CI) 4·4-22, population-attributable risk (PAR) 82%] and farming activities (aOR 4·3, 95% CI 2·5-7·2, PAR 32%) were independently associated with ulceroglandular tularaemia, whereas exposure to hay dust (aOR 6·6, 95% CI 1·9-25·4, PAR 48%) was associated with pneumonic tularaemia. Although the bulk of tularaemia type B disease burden is attributable to mosquito bites, risk factors for ulceroglandular and pneumonic forms of tularaemia are different, enabling targeting of prevention efforts accordingly.
DOI: 10.1017/S0950268813002999
PubMed: 24289963
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Rossow</name><affiliation wicri:level="1"><nlm:affiliation>Department of Veterinary Biosciences, Faculty of Veterinary Medicine,University of Helsinki,Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Veterinary Biosciences, Faculty of Veterinary Medicine,University of Helsinki,Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Ollgren, J" sort="Ollgren, J" uniqKey="Ollgren J" first="J" last="Ollgren">J. Ollgren</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Klemets, P" sort="Klemets, P" uniqKey="Klemets P" first="P" last="Klemets">P. Klemets</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Pietarinen, I" sort="Pietarinen, I" uniqKey="Pietarinen I" first="I" last="Pietarinen">I. 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Nikkari</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Biothreat Preparedness, CB Defence and Environmental Health Centre,Finnish Defence Forces,Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Centre for Biothreat Preparedness, CB Defence and Environmental Health Centre,Finnish Defence Forces,Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Syrj L, H" sort="Syrj L, H" uniqKey="Syrj L H" first="H" last="Syrj L">H. Syrj L</name><affiliation wicri:level="1"><nlm:affiliation>Oulu University Hospital,Oulu,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Oulu University Hospital,Oulu</wicri:regionArea><wicri:noRegion>Oulu</wicri:noRegion></affiliation></author><author><name sortKey="Kuusi, M" sort="Kuusi, M" uniqKey="Kuusi M" first="M" last="Kuusi">M. Kuusi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Nuorti, J P" sort="Nuorti, J P" uniqKey="Nuorti J" first="J P" last="Nuorti">J P Nuorti</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki,Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Infectious Disease Surveillance and Control,National Institute for Health and Welfare (THL),Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author></analytic><series><title level="j">Epidemiology and infection</title><idno type="eISSN">1469-4409</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Agriculture</term><term>Animals</term><term>Bayes Theorem</term><term>Case-Control Studies</term><term>Child</term><term>Child, Preschool</term><term>Culicidae</term><term>Diptera</term><term>Epidemics</term><term>Female</term><term>Finland (epidemiology)</term><term>Humans</term><term>Infant</term><term>Insect Bites and Stings (epidemiology)</term><term>Logistic Models</term><term>Lymphatic Diseases (epidemiology)</term><term>Lymphatic Diseases (etiology)</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Pneumonia (epidemiology)</term><term>Pneumonia (etiology)</term><term>Risk Factors</term><term>Skin Ulcer (epidemiology)</term><term>Skin Ulcer (etiology)</term><term>Tularemia (complications)</term><term>Tularemia (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Finland</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Tularemia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Insect Bites and Stings</term><term>Lymphatic Diseases</term><term>Pneumonia</term><term>Skin Ulcer</term><term>Tularemia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphatic Diseases</term><term>Pneumonia</term><term>Skin Ulcer</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Agriculture</term><term>Animals</term><term>Bayes Theorem</term><term>Case-Control Studies</term><term>Child</term><term>Child, Preschool</term><term>Culicidae</term><term>Diptera</term><term>Epidemics</term><term>Female</term><term>Humans</term><term>Infant</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Risk Factors</term><term>Young Adult</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Finlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Few population-based data are available on factors associated with pneumonic and ulceroglandular type B tularaemia. We conducted a case-control study during a large epidemic in 2000. Laboratory-confirmed case patients were identified through active surveillance and matched control subjects (age, sex, residency) from the national population information system. Data were collected using a self-administered questionnaire. A conditional logistic regression model addressing missing data with Bayesian full-likelihood modelling included 227 case patients and 415 control subjects; reported mosquito bites [adjusted odds ratio (aOR) 9·2, 95% confidence interval (CI) 4·4-22, population-attributable risk (PAR) 82%] and farming activities (aOR 4·3, 95% CI 2·5-7·2, PAR 32%) were independently associated with ulceroglandular tularaemia, whereas exposure to hay dust (aOR 6·6, 95% CI 1·9-25·4, PAR 48%) was associated with pneumonic tularaemia. Although the bulk of tularaemia type B disease burden is attributable to mosquito bites, risk factors for ulceroglandular and pneumonic forms of tularaemia are different, enabling targeting of prevention efforts accordingly.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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