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首页> 外文期刊>International Journal of Environmental Research and Public Health >Elevated Bathing-Associated Disease Risks Despite Certified Water Quality: A Cohort Study
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Elevated Bathing-Associated Disease Risks Despite Certified Water Quality: A Cohort Study

机译:尽管水质认证,但沐浴相关疾病的风险增加:一项队列研究

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Bacteriological water quality criteria have been recommended to ensure bathers’ health. However, this risk-assessment approach is based mainly on routine measurements of fecal pollution indicator bacteria in seawater, and may not be adequate to protect bathers effectively. The aim of this study was to assess the risks of symptoms related to infectious diseases among bathers after exposure to seawater which was of excellent quality according to EU guidelines. This study is a cohort study recruiting bathers and non-bathers. Water samples were collected for estimating bacterial indicators. Univariable and multivariable analysis was performed to compare the risks of developing symptoms/diseases between bathers and non-bathers. A total of 3805 bathers and 572 non-bathers were included in the study. Water analysis results demonstrated excellent quality of bathing water. Significantly increased risks of symptoms related to gastrointestinal infections (OR = 3.60, 95% CI 1.28–10.13), respiratory infections (OR = 1.92, 95% CI 1.00–3.67), eye infections (OR = 2.43, 95% CI 1.27–4.63) and ear infections (OR = 17.21, 95% CI 2.42–122.34) were observed among bathers compared with non-bathers. Increased rates of medical consultation and medication use were also observed among bathers. There was evidence that bathers experienced increased morbidity compared with non-bathers though the bathing waters met bacteriological water quality criteria. These results suggest that risk assessments of recreational seawaters should not only focus on bacteriological water quality criteria.
机译:建议使用细菌学水质标准,以确保沐浴者的健康。但是,这种风险评估方法主要基于对粪便污染指示剂细菌在海水中的常规测量,可能不足以有效保护沐浴者。这项研究的目的是评估沐浴者在暴露于海水中后与传染病相关的症状的风险,根据欧盟准则,海水的质量极佳。这项研究是一项招募沐浴者和非父亲者的队列研究。收集水样品以估计细菌指标。进行了单变量和多变量分析,以比较入浴者和非入睡者之间出现症状/疾病的风险。这项研究总共包括3805位沐浴者和572位非父亲。水分析结果证明了沐浴水的优良品质。与胃肠道感染(OR = 3.60,95%CI 1.28–10.13),呼吸道感染(OR = 1.92,95%CI 1.00–3.67),眼部感染(OR = 2.43,95%CI 1.27–4.63)相关的症状的风险显着增加)和沐浴者的耳部感染(OR = 17.21,95%CI 2.42–122.34)被发现。沐浴者中的医疗咨询和药物使用率也有所增加。有证据表明,尽管沐浴水达到了细菌学水质标准,但沐浴者的发病率却比非沐浴者高。这些结果表明,休闲海水的风险评估不仅应侧重于细菌学水质标准。

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