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- Gherasim, Alin, et al.
(författare)
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Risk factors and potential preventive measures for nephropatia epidemica in Sweden 2011-2012 : a case-control study
- 2015
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Ingår i: Infection Ecology & Epidemiology. - : Informa UK Limited. - 2000-8686. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Nephropatia epidemica (NE), a relatively mild form of hemorrhagic fever with renal syndrome caused by the Puumala virus (PUUV), is endemic in northern Sweden. We aim to study the risk factors associated with NE in this region.METHODS: We conducted a matched case-control study between June 2011 and July 2012. We compared confirmed NE cases with randomly selected controls, matched by age, sex, and place of infection or residence. We analyzed the association between NE and several occupational, environmental, and behavioral exposures using conditional logistic regression.RESULTS: We included in the final analysis 114 cases and 300 controls, forming 246 case-control pairs. Living in a house with an open space beneath, making house repairs, living less than 50 m from the forest, seeing rodents, and smoking were significantly associated with NE.CONCLUSION: Our results could orient public health policies targeting these risk factors and subsequently reduce the NE burden in the region.
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| 2. |
- Wallensten, Anders, et al.
(författare)
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Extended spectrum beta-lactamases detected in Escherichia coli from gulls in Stockholm, Sweden
- 2011
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Ingår i: Infection Ecology & Epidemiology. - : Informa UK Limited. - 2000-8686. ; 1, s. 7030-
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Tidskriftsartikel (refereegranskat)abstract
- In order to investigate if bacterial antibiotic resistance was present in gull populations in urbanised areas, we conducted a study in which faecal samples from gulls were collected in central Stockholm, Sweden in April and May 2010 and screened for extended spectrum beta-lactamases (ESBL)-type antibiotic resistance. Eighteen of 194 randomly selected Escherichia coli isolates harboured ESBL of CTX-M phenotype. Since the bacteria are unlikely to have developed the resistance in gulls, it may indicate leakage of resistant bacteria to the environment. As many gulls find food and shelter in cities around the world and thereby share their habitat with dense human populations, the finding that as many as 9% of gulls carry ESBL-type antibiotic resistance may imply that zoonotic transmission between gulls, humans, and other animals is likely to occur in such places. This study illustrates how ecologically widespread the problem of antibiotic resistance has become and this has implications for future policy making to reduce the spread of bacteria with antibiotic resistance.
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