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Campylobacter infections: the emerging national pattern
Abstract:
In the United States, 8,837 Campylobacter isolates and eight outbreaks of Campylobacter infections were reported in 1984, a national isolation rate of 4.9/100,000. C. jejuni represented 99 per cent of reported isolates. Age-specific incidence was highest among infants (11/100,000), and young adults (8/100,000); infants in the second month of life were at highest risk. An unexplained nationwide November peak, not observed in previous years, occurred in all age groups and suggests there is an homogeneous nationwide source for this infection.
Insights
In 1984, Campylobacter infections affected 4.9 per 100,000 people in the US, primarily infants and young adults. A mysterious November surge suggests a widespread, common source of this bacterial infection.
Area of Science:
- Epidemiology
- Infectious Diseases
- Microbiology
Background:
- Campylobacter infections are a significant public health concern in the United States.
- Understanding the epidemiology of Campylobacter jejuni is crucial for effective control strategies.
Purpose of the Study:
- To analyze the incidence and demographic patterns of Campylobacter infections in the US during 1984.
- To identify potential sources and contributing factors for a notable increase in infections.
Main Methods:
- Analysis of national surveillance data for Campylobacter isolates and outbreaks reported in 1984.
- Calculation of age-specific incidence rates.
- Examination of temporal trends, including seasonal variations.
Main Results:
- A total of 8,837 Campylobacter isolates and 8 outbreaks were reported, yielding a national isolation rate of 4.9/100,000.
- Campylobacter jejuni accounted for 99% of isolates.
- Highest incidence rates were observed in infants (11/100,000) and young adults (8/100,000), with the highest risk in infants aged 2 months.
- An unexplained nationwide peak in November occurred across all age groups.
Conclusions:
- Campylobacter infections disproportionately affect infants and young adults.
- The uniform November surge suggests a common, nationwide source impacting all demographics.
- Further investigation is warranted to identify the source of the November increase in Campylobacter infections.