دورية أكاديمية
Disparities in Incidence and Severity of Shigella Infections Among Children-Foodborne Diseases Active Surveillance Network (FoodNet), 2009-2018.
| العنوان: | Disparities in Incidence and Severity of Shigella Infections Among Children-Foodborne Diseases Active Surveillance Network (FoodNet), 2009-2018. |
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| المؤلفون: | Gharpure R; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.; Epidemic Intelligence Service, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Marsh ZA; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Tack DM; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Collier SA; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Strysko J; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA.; Epidemic Intelligence Service, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Ray L; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Payne DC; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA., Garcia-Williams AG; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, USA. |
| المصدر: | Journal of the Pediatric Infectious Diseases Society [J Pediatric Infect Dis Soc] 2021 Aug 17; Vol. 10 (7), pp. 782-788. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101586049 Publication Model: Print Cited Medium: Internet ISSN: 2048-7207 (Electronic) Linking ISSN: 20487193 NLM ISO Abbreviation: J Pediatric Infect Dis Soc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Oxford University Press |
| مواضيع طبية MeSH: | Dysentery, Bacillary*/epidemiology , Foodborne Diseases* , Shigella*, Adult ; Child ; Child, Preschool ; Humans ; Incidence ; Watchful Waiting |
| مستخلص: | Background: Shigella infections are an important cause of diarrhea in young children and can result in severe complications. Disparities in Shigella infections are well documented among US adults. Our objective was to characterize disparities in incidence and severity of Shigella infections among US children. Methods: We analyzed laboratory-diagnosed Shigella infections reported to FoodNet, an active, population-based surveillance system in 10 US sites, among children during 2009-2018. We calculated the incidence rate stratified by sex, age, race/ethnicity, Shigella species, and disease severity. Criteria for severe classification were hospitalization, bacteremia, or death. The odds of severe infection were calculated using logistic regression. Results: During 2009-2018, 10 537 Shigella infections were reported in children and 1472 (14.0%) were severe. The incidence rate was 9.5 infections per 100 000 child-years and the incidence rate of severe infections was 1.3 per 100 000 child-years. Incidence was highest among children aged 1-4 years (19.5) and lowest among children aged 13-17 years (2.3); however, children aged 13-17 years had the greatest proportion of severe infections (21.2%). Incidence was highest among Black (16.2 total; 2.3 severe), Hispanic (13.1 total; 2.3 severe), and American Indian/Alaska Native (15.2 total; 2.5 severe) children. Infections caused by non-sonnei species had higher odds of severity than infections caused by Shigella sonnei (adjusted odds ratio 2.58; 95% confidence interval 2.12-3.14). Conclusions: The incidence and severity of Shigella infections among US children vary by age, race/ethnicity, and Shigella species, warranting investigation of unique risk factors among pediatric subpopulations. (Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society 2021.) |
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| معلومات مُعتمدة: | CC999999 United States ImCDC Intramural CDC HHS |
| فهرسة مساهمة: | Keywords: Shigella; gastrointestinal infections; health disparities; pediatric; shigellosis |
| تواريخ الأحداث: | Date Created: 20210619 Date Completed: 20210916 Latest Revision: 20220818 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8744073 |
| DOI: | 10.1093/jpids/piab045 |
| PMID: | 34145878 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2048-7207 |
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| DOI: | 10.1093/jpids/piab045 |