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首页> 外文期刊>Clinical infectious diseases >Invasive listeriosis in the foodborne diseases active surveillance network (FoodNet), 2004-2009: Further targeted prevention needed for higher-risk groups
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Invasive listeriosis in the foodborne diseases active surveillance network (FoodNet), 2004-2009: Further targeted prevention needed for higher-risk groups

机译：食源性疾病的侵袭性局部疾病活跃监测网络（食品目录），2004-2009：更高风险群体所需的进一步预防预防

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Background.Listeriosis can cause severe disease, especially in fetuses, neonates, older adults, and persons with certain immunocompromising and chronic conditions. We summarize US population-based surveillance data for invasive listeriosis from 2004 through 2009.Methods.We analyzed Foodborne Diseases Active Surveillance Network (FoodNet) data for patients with Listeria monocytogenes isolated from normally sterile sites. We describe the epidemiology of listeriosis, estimate overall and specific incidence rates, and compare pregnancy-associated and nonpregnancy-associated listeriosis by age and ethnicity.Results.A total of 762 listeriosis cases were identified during the 6-year reporting period, including 126 pregnancy-associated cases (17%), 234 nonpregnancy-associated cases(31%) in patients aged <65 years, and 400 nonpregnancy-associated cases (53%) in patients aged ≥65 years. Eighteen percent of all cases were fatal. Meningitis was diagnosed in 44% of neonates. For 2004-2009, the overall annual incidence of listeriosis varied from 0.25 to 0.32 cases per 100000 population. Among Hispanic women, the crude incidence of pregnancy-associated listeriosis increased from 5.09 to 12.37 cases per 100000 for the periods of 2004-2006 and 2007-2009, respectively; among non-Hispanic women, pregnancy-associated listeriosis increased from 1.74 to 2.80 cases per 100000 for the same periods. Incidence rates of nonpregnancy-associated listeriosis in patients aged ≥65 years were 4-5 times greater than overall rates annually.Conclusions.Overall listeriosis incidence did not change significantly from 2004 through 2009. Further targeted prevention is needed, including food safety education and messaging (eg, avoiding Mexican-style cheese during pregnancy). Effective prevention among pregnant women, especially Hispanics, and older adults would substantially affect overall rates.
机译：Background.1Risteriosis会导致严重疾病，特别是胎儿，新生儿，老年人，以及某些免疫功能性和慢性病的人。我们总结了2004至2009年侵袭性局部病程的基于人群的监测数据。方法分析了从通常无菌位点分离的李斯特菌单核细胞增生患者的食源性监测网络（食物网络）数据。我们描述了休闲症，估算总体和特定发病率的流行病学，并通过年龄和种族进行比较有关的妊娠相关和不孕症相关的休闲症。结果。在6年报告期间，包括126个妊娠期间的762例休闲病病例。 - ≥65岁患者患者患者的患者（17％），234例不孕症相关病例（31％），400名不孕症相关病例（53％）。所有病例中的18％是致命的。脑膜炎被诊断为44％的新生儿。对于2004 - 2009年，休闲症的整体年龄发生率从0.25％到0.32例每100000人。在西班牙裔女性中，妊娠相关局部病的粗产率分别从2004-2006和2007-2009分别从5.09％到12.37例每100000案增加;在非西班牙裔女性中，怀孕相关局部疾病从同期增加到每10000件的1.74至2.80例。年龄≥65岁的患者的非妊娠相关休闲症的发病率为每年比整体率大4-5倍。结论。从2004年至2009年，Overall Listeriosis发病率没有显着变化。需要进一步的预防预防，包括食品安全教育和消息（例如，在怀孕期间避开墨西哥式奶酪）。孕妇的有效预防，特别是西班牙裔和老年人的成年人将大大影响整体利率。

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  • 来源
    《Clinical infectious diseases》 |2012年第5期|共9页
  • 作者

    SilkB.J.; DateK.A.; JacksonK.A.; PouillotR.; HoltK.G.; GravesL.M.; OngK.L.; HurdS.; MeyerR.; MarcusR.; ShiferawB.; NortonD.M.; MedusC.; ZanskyS.M.; CronquistA.B.; HenaoO.L.; JonesT.F.; VugiaD.J.; FarleyM.M.; MahonB.E.;

  • 作者单位

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

    Global Immunization Division Centers for Disease Control and Prevention Atlanta GA United States;

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

    Center for Food Safety and Applied Nutrition Food and Drug Administration College Park MD;

    Food Safety and Inspection Service United States Department of Agriculture Washington DC United;

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

    Connecticut Emerging Infections Program United States;

    Georgia Department of Public Health United States;

    Yale School of Medicine New Haven United States;

    Oregon Department of Human Services Portland United States;

    California Emerging Infections Program Oakland United States;

    Minnesota Department of Health St Paul United States;

    New York State Department of Health Albany United States;

    Colorado Department of Public Health and Environment Denver United States;

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

    Tennessee Department of Health Nashville United States;

    California Department of Public Health Richmond United States;

    Emory University School of Medicine Atlanta United States Atlanta Veterans Affairs Medical;

    Division of Foodborne Waterborne and Environmental Diseases MS C-09 1600 Clifton Rd Atlanta;

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  • 正文语种 eng
  • 中图分类 传染病;
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