Risk factors for sporadic Campylobacter jejuni infections in children in a Greek region

K Mellou1, P Sourtzi, A Tsakris

  • 1National and Kapodistrian University of Athens, Greece. kmellou@gmail.com

Insights

Ethnicity, chicken consumption, and garden play are risk factors for Campylobacter jejuni infections in children. Eating raw vegetables may offer protection against this common bacterial illness.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Sporadic Campylobacter jejuni infections are a significant cause of bacterial gastroenteritis in children worldwide.
  • Understanding risk factors is crucial for developing targeted prevention strategies.
  • Previous research has identified various potential risk factors, but specific associations in urban Greek populations require further investigation.

Purpose of the Study:

  • To identify and analyze the risk factors associated with sporadic Campylobacter jejuni infections in children under 15 years of age in Attica, Greece.
  • To differentiate between risk and protective factors for Campylobacter jejuni infections in a pediatric population.
  • To provide data that can inform public health interventions and parental guidance.

Main Methods:

  • A case-control study design was employed in the urban area of Attica, Greece.
  • 205 pediatric cases of Campylobacter jejuni infection were matched with 205 control subjects by age group and gender.
  • Conditional multivariate logistic regression analysis was used to assess the association between potential risk factors and disease occurrence.

Main Results:

  • Ethnicity was strongly associated with an increased risk of infection (OR 5.06, 95% CI 2.49-10.28).
  • Consumption of chicken in the week prior to illness onset (OR 1.97, 95% CI 1.10-3.55) and playing in the garden (OR 1.83, 95% CI 1.05-3.19) were also independently linked to higher disease occurrence.
  • Consumption of raw vegetables demonstrated a protective effect, reducing the odds of infection (OR 0.48, 95% CI 0.27-0.85).

Conclusions:

  • Specific demographic (ethnicity) and behavioral factors (chicken consumption, garden play) are significant risk factors for Campylobacter jejuni infections in children in Attica, Greece.
  • Dietary habits, specifically the consumption of raw vegetables, may play a protective role against these infections.
  • Findings highlight the need for tailored public health messaging and interventions focusing on identified risk factors in this population.

Related Concept Videos

Giardiasis01:12

Giardiasis

Giardiasis is a globally prevalent intestinal infection caused by the protozoan parasite Giardia duodenalis (also known as G. lamblia or G. intestinalis). This flagellated protozoan is the most frequently identified intestinal parasite in the United States and worldwide. Transmission primarily occurs via the fecal-oral route, with infection arising from ingestion of water or food contaminated with cysts. Individuals in low-resource settings, international travelers, outdoor enthusiasts, daycare...
Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Amebiasis01:28

Amebiasis

Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Investigation of Disease Outbreaks01:23

Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Reservoir of Infection01:30

Reservoir of Infection

Infectious diseases arise from intricate interactions between pathogens and their reservoirs. A reservoir of infection refers to the natural habitat where a pathogen lives, grows, and multiplies, serving as a continual source of infection. Reservoirs are broadly classified as either living or nonliving, and each plays a unique role in disease transmission, significantly influencing public health interventions and control strategies.Humans act as reservoirs for a wide array of pathogens,...