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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:尽管经过认证的水质:队列研究,但沐浴相关的疾病风险升高

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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:建议使用细菌水质标准确保沐浴者的健康。然而,这种风险评估方法主要基于海水中粪便污染指标细菌的常规测量,并且可能没有得到有效保护泳池。本研究的目的是评估与浴室暴露于海水后沐浴者之间的传染病相关的症状风险,根据欧盟指南。这项研究是招募播放器和非泳客的队列。收集水样用于估计细菌指标。进行了不可变性和多变量的分析,以比较沐浴者和非泳池之间的症状/疾病的风险。该研究共纳入了3805级泳池和572名非泳池。水分分析结果显示出优异的沐浴水。与胃肠道感染有关的症状风险显着增加(或= 3.60,95%CI 1.28-10.13),呼吸道感染(或= 1.92,95%CI 1.00-3.67),眼睛感染(或= 2.43,95%CI 1.27-4.63与非泳泳机相比,在泳体中观察到泳池中观察到耳感染(或= 17.21,95%CI 2.42-122.34)。在沐浴者之间也观察到医疗咨询和药物使用的增加。有证据表明沐浴者的发病率越来越多,而沐浴水域达到了细菌学水质标准。这些结果表明,娱乐海洋潜水者的风险评估不仅要关注细菌水质标准。

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