Cargando…

Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016

Listeria monocytogenes is a foodborne pathogen that disproportionally affects pregnant females, older adults, and immunocompromised individuals. Using U.S. Foodborne Diseases Active Surveillance Network (FoodNet) surveillance data, we examined listeriosis incidence rates and rate ratios (RRs) by age...

Descripción completa

Detalles Bibliográficos
Autores principales: Pohl, Aurelie M., Pouillot, Régis, Bazaco, Michael C., Wolpert, Beverly J., Healy, Jessica M., Bruce, Beau B., Laughlin, Mark E., Hunter, Jennifer C., Dunn, John R., Hurd, Sharon, Rowlands, Jemma V., Saupe, Amy, Vugia, Duc J., Van Doren, Jane M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482898/
https://www.ncbi.nlm.nih.gov/pubmed/30735066
http://dx.doi.org/10.1089/fpd.2018.2548
_version_ 1783413966416904192
author Pohl, Aurelie M.
Pouillot, Régis
Bazaco, Michael C.
Wolpert, Beverly J.
Healy, Jessica M.
Bruce, Beau B.
Laughlin, Mark E.
Hunter, Jennifer C.
Dunn, John R.
Hurd, Sharon
Rowlands, Jemma V.
Saupe, Amy
Vugia, Duc J.
Van Doren, Jane M.
author_facet Pohl, Aurelie M.
Pouillot, Régis
Bazaco, Michael C.
Wolpert, Beverly J.
Healy, Jessica M.
Bruce, Beau B.
Laughlin, Mark E.
Hunter, Jennifer C.
Dunn, John R.
Hurd, Sharon
Rowlands, Jemma V.
Saupe, Amy
Vugia, Duc J.
Van Doren, Jane M.
author_sort Pohl, Aurelie M.
collection PubMed
description Listeria monocytogenes is a foodborne pathogen that disproportionally affects pregnant females, older adults, and immunocompromised individuals. Using U.S. Foodborne Diseases Active Surveillance Network (FoodNet) surveillance data, we examined listeriosis incidence rates and rate ratios (RRs) by age, sex, race/ethnicity, and pregnancy status across three periods from 2008 to 2016, as recent incidence trends in U.S. subgroups had not been evaluated. The invasive listeriosis annual incidence rate per 100,000 for 2008–2016 was 0.28 cases among the general population (excluding pregnant females), and 3.73 cases among pregnant females. For adults ≥70 years, the annual incidence rate per 100,000 was 1.33 cases. No significant change in estimated listeriosis incidence was found over the 2008–2016 period, except for a small, but significantly lower pregnancy-associated rate in 2011–2013 when compared with 2008–2010. Among the nonpregnancy-associated cases, RRs increased with age from 0.43 (95% confidence interval: 0.25–0.73) for 0- to 14-year olds to 44.9 (33.5–60.0) for ≥85-year olds, compared with 15- to 44-year olds. Males had an incidence of 1.28 (1.12–1.45) times that of females. Compared with non-Hispanic whites, the incidence was 1.57 (1.18–1.20) times higher among non-Hispanic Asians, 1.49 (1.22–1.83) among non-Hispanic blacks, and 1.73 (1.15–2.62) among Hispanics. Among females of childbearing age, non-Hispanic Asian females had 2.72 (1.51–4.89) and Hispanic females 3.13 (2.12–4.89) times higher incidence than non-Hispanic whites. We observed a higher percentage of deaths among older patient groups compared with 15- to 44-year olds. This study is the first characterizing higher RRs for listeriosis in the United States among non-Hispanic blacks and Asians compared with non-Hispanic whites. This information for public health risk managers may spur further research to understand if differences in listeriosis rates relate to differences in consumption patterns of foods with higher contamination levels, food handling practices, comorbidities, immunodeficiencies, health care access, or other factors.
format Online
Article
Text
id pubmed-6482898
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Mary Ann Liebert, Inc., publishers
record_format MEDLINE/PubMed
spelling pubmed-64828982019-04-26 Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016 Pohl, Aurelie M. Pouillot, Régis Bazaco, Michael C. Wolpert, Beverly J. Healy, Jessica M. Bruce, Beau B. Laughlin, Mark E. Hunter, Jennifer C. Dunn, John R. Hurd, Sharon Rowlands, Jemma V. Saupe, Amy Vugia, Duc J. Van Doren, Jane M. Foodborne Pathog Dis Original Articles Listeria monocytogenes is a foodborne pathogen that disproportionally affects pregnant females, older adults, and immunocompromised individuals. Using U.S. Foodborne Diseases Active Surveillance Network (FoodNet) surveillance data, we examined listeriosis incidence rates and rate ratios (RRs) by age, sex, race/ethnicity, and pregnancy status across three periods from 2008 to 2016, as recent incidence trends in U.S. subgroups had not been evaluated. The invasive listeriosis annual incidence rate per 100,000 for 2008–2016 was 0.28 cases among the general population (excluding pregnant females), and 3.73 cases among pregnant females. For adults ≥70 years, the annual incidence rate per 100,000 was 1.33 cases. No significant change in estimated listeriosis incidence was found over the 2008–2016 period, except for a small, but significantly lower pregnancy-associated rate in 2011–2013 when compared with 2008–2010. Among the nonpregnancy-associated cases, RRs increased with age from 0.43 (95% confidence interval: 0.25–0.73) for 0- to 14-year olds to 44.9 (33.5–60.0) for ≥85-year olds, compared with 15- to 44-year olds. Males had an incidence of 1.28 (1.12–1.45) times that of females. Compared with non-Hispanic whites, the incidence was 1.57 (1.18–1.20) times higher among non-Hispanic Asians, 1.49 (1.22–1.83) among non-Hispanic blacks, and 1.73 (1.15–2.62) among Hispanics. Among females of childbearing age, non-Hispanic Asian females had 2.72 (1.51–4.89) and Hispanic females 3.13 (2.12–4.89) times higher incidence than non-Hispanic whites. We observed a higher percentage of deaths among older patient groups compared with 15- to 44-year olds. This study is the first characterizing higher RRs for listeriosis in the United States among non-Hispanic blacks and Asians compared with non-Hispanic whites. This information for public health risk managers may spur further research to understand if differences in listeriosis rates relate to differences in consumption patterns of foods with higher contamination levels, food handling practices, comorbidities, immunodeficiencies, health care access, or other factors. Mary Ann Liebert, Inc., publishers 2019-04-01 2019-04-10 /pmc/articles/PMC6482898/ /pubmed/30735066 http://dx.doi.org/10.1089/fpd.2018.2548 Text en © Aurelie M. Pohl et al. 2019; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Pohl, Aurelie M.
Pouillot, Régis
Bazaco, Michael C.
Wolpert, Beverly J.
Healy, Jessica M.
Bruce, Beau B.
Laughlin, Mark E.
Hunter, Jennifer C.
Dunn, John R.
Hurd, Sharon
Rowlands, Jemma V.
Saupe, Amy
Vugia, Duc J.
Van Doren, Jane M.
Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title_full Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title_fullStr Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title_full_unstemmed Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title_short Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
title_sort differences among incidence rates of invasive listeriosis in the u.s. foodnet population by age, sex, race/ethnicity, and pregnancy status, 2008–2016
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482898/
https://www.ncbi.nlm.nih.gov/pubmed/30735066
http://dx.doi.org/10.1089/fpd.2018.2548
work_keys_str_mv AT pohlaureliem differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT pouillotregis differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT bazacomichaelc differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT wolpertbeverlyj differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT healyjessicam differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT brucebeaub differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT laughlinmarke differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT hunterjenniferc differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT dunnjohnr differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT hurdsharon differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT rowlandsjemmav differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT saupeamy differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT vugiaducj differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016
AT vandorenjanem differencesamongincidenceratesofinvasivelisteriosisintheusfoodnetpopulationbyagesexraceethnicityandpregnancystatus20082016