Risk factors for typhoid fever in the Mekong delta, southern Viet Nam: a case-control study
In order to identify risk factors for typhoid fever in a highly endemic area, we undertook a case-control study in the Mekong delta, Viet Nam. Cases were 144 consecutive patients admitted to hospital with blood culture-confirmed typhoid fever. Two controls (1 in the hospital and 1 in the community)...
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Veröffentlicht in: | Transactions of the Royal Society of Tropical Medicine and Hygiene 2001, Vol.95 (1), p.19-23 |
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description | In order to identify risk factors for typhoid fever in a highly endemic area, we undertook a case-control study in the Mekong delta, Viet Nam. Cases were 144 consecutive patients admitted to hospital with blood culture-confirmed typhoid fever. Two controls (1 in the hospital and 1 in the community) were chosen for each case. Standardized interviews were conducted with questions regarding recent contact with a typhoid fever patient, eating habits, hygiene and socio-economic level. Cases were more likely to have been in contact with a patient with typhoid fever than hospital controls (adjusted odds ratio (OR) = 5 · 2, 95% confidence interval (95%CI) 1 · 7–15 · 9) or community controls (adjusted OR = 11 · 9, 95%CI 2 · 3–60 ·7); 11% and 14% of typhoid fever cases (compared to hospital or community controls, respectively) were attributable to recent contact with a patient with this disease. These findings suggest that strategies directed towards the persons in contact with a patient might reduce the incidence of secondary cases of typhoid fever. |
doi_str_mv | 10.1016/S0035-9203(01)90318-9 |
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Cases were 144 consecutive patients admitted to hospital with blood culture-confirmed typhoid fever. Two controls (1 in the hospital and 1 in the community) were chosen for each case. Standardized interviews were conducted with questions regarding recent contact with a typhoid fever patient, eating habits, hygiene and socio-economic level. Cases were more likely to have been in contact with a patient with typhoid fever than hospital controls (adjusted odds ratio (OR) = 5 · 2, 95% confidence interval (95%CI) 1 · 7–15 · 9) or community controls (adjusted OR = 11 · 9, 95%CI 2 · 3–60 ·7); 11% and 14% of typhoid fever cases (compared to hospital or community controls, respectively) were attributable to recent contact with a patient with this disease. 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Cases were 144 consecutive patients admitted to hospital with blood culture-confirmed typhoid fever. Two controls (1 in the hospital and 1 in the community) were chosen for each case. Standardized interviews were conducted with questions regarding recent contact with a typhoid fever patient, eating habits, hygiene and socio-economic level. Cases were more likely to have been in contact with a patient with typhoid fever than hospital controls (adjusted odds ratio (OR) = 5 · 2, 95% confidence interval (95%CI) 1 · 7–15 · 9) or community controls (adjusted OR = 11 · 9, 95%CI 2 · 3–60 ·7); 11% and 14% of typhoid fever cases (compared to hospital or community controls, respectively) were attributable to recent contact with a patient with this disease. These findings suggest that strategies directed towards the persons in contact with a patient might reduce the incidence of secondary cases of typhoid fever.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pilot Projects</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Salmonella typhi</subject><subject>Tropical medicine</subject><subject>typhoid fever</subject><subject>Typhoid Fever - epidemiology</subject><subject>Viet Nam</subject><subject>Vietnam - epidemiology</subject><issn>0035-9203</issn><issn>1878-3503</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkG9rFDEQh4NY7Fn9CEpAEIWuJptNNvGNyKGtclXwH6IvQjaZ2PT2NmeSLb1v7_buOF_6amDmmZkfD0KPKHlBCRUvvxDCeKVqwp4R-lwRRmWl7qAZla2sGCfsLpodkGN0P-crQmpOubqHjimtJSFczNCvzyEvsTe2xJSxjwmXzfoyBoc9XEPCYcDlEvAFLOPwGzvoiznFOY5TMw34e4CCP5rVK2ywNRkqG4eSYo9zGd3mATryps_wcF9P0Ld3b7_Oz6vFp7P38zeLyja1KpV3spYNN009peqMtI1sLLedkK1XSnRCSWg8by0FYZ3jVhLqiaKtgc7bWrAT9HR3d53inxFy0auQLfS9GSCOWbctmS6rZgL5DrQp5pzA63UKK5M2mhJ9a1VvrepbZZpQvbWq1bT3eP9g7Fbg_m3tNU7Akz1gsjW9T2awIR841QrF6omqdlTIBW4OU5OWWrSs5fr8x0_94UIxtWDz7dvXOx4medcBks42wGDBhQS2aBfDf4L_BYhTogM</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Luxemburger, Christine</creator><creator>Duc, Chau Minh</creator><creator>Lanh, Mai Ngoc</creator><creator>Wain, John</creator><creator>Hien, Tran Tinh</creator><creator>Simpson, Julie A.</creator><creator>Kam, Le Hoang</creator><creator>Tu Thuy, Nguyen Thi</creator><creator>White, Nicholas J.</creator><creator>Farrar, Jeremy J.</creator><general>Elsevier Ltd</general><general>Royal Society of Tropical Medicine and Hygiene</general><general>Elsevier</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2001</creationdate><title>Risk factors for typhoid fever in the Mekong delta, southern Viet Nam: a case-control study</title><author>Luxemburger, Christine ; Duc, Chau Minh ; Lanh, Mai Ngoc ; Wain, John ; Hien, Tran Tinh ; Simpson, Julie A. ; Kam, Le Hoang ; Tu Thuy, Nguyen Thi ; White, Nicholas J. ; Farrar, Jeremy J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-fd82845a42128ba8c484c5cb687f996b698e4f57c1e6cdd5c801f0917aebfc263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the digestive system and abdomen</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pilot Projects</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Salmonella typhi</topic><topic>Tropical medicine</topic><topic>typhoid fever</topic><topic>Typhoid Fever - epidemiology</topic><topic>Viet Nam</topic><topic>Vietnam - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luxemburger, Christine</creatorcontrib><creatorcontrib>Duc, Chau Minh</creatorcontrib><creatorcontrib>Lanh, Mai Ngoc</creatorcontrib><creatorcontrib>Wain, John</creatorcontrib><creatorcontrib>Hien, Tran Tinh</creatorcontrib><creatorcontrib>Simpson, Julie A.</creatorcontrib><creatorcontrib>Kam, Le Hoang</creatorcontrib><creatorcontrib>Tu Thuy, Nguyen Thi</creatorcontrib><creatorcontrib>White, Nicholas J.</creatorcontrib><creatorcontrib>Farrar, Jeremy J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luxemburger, Christine</au><au>Duc, Chau Minh</au><au>Lanh, Mai Ngoc</au><au>Wain, John</au><au>Hien, Tran Tinh</au><au>Simpson, Julie A.</au><au>Kam, Le Hoang</au><au>Tu Thuy, Nguyen Thi</au><au>White, Nicholas J.</au><au>Farrar, Jeremy J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for typhoid fever in the Mekong delta, southern Viet Nam: a case-control study</atitle><jtitle>Transactions of the Royal Society of Tropical Medicine and Hygiene</jtitle><addtitle>Trans R Soc Trop Med Hyg</addtitle><date>2001</date><risdate>2001</risdate><volume>95</volume><issue>1</issue><spage>19</spage><epage>23</epage><pages>19-23</pages><issn>0035-9203</issn><eissn>1878-3503</eissn><coden>TRSTAZ</coden><abstract>In order to identify risk factors for typhoid fever in a highly endemic area, we undertook a case-control study in the Mekong delta, Viet Nam. Cases were 144 consecutive patients admitted to hospital with blood culture-confirmed typhoid fever. Two controls (1 in the hospital and 1 in the community) were chosen for each case. Standardized interviews were conducted with questions regarding recent contact with a typhoid fever patient, eating habits, hygiene and socio-economic level. Cases were more likely to have been in contact with a patient with typhoid fever than hospital controls (adjusted odds ratio (OR) = 5 · 2, 95% confidence interval (95%CI) 1 · 7–15 · 9) or community controls (adjusted OR = 11 · 9, 95%CI 2 · 3–60 ·7); 11% and 14% of typhoid fever cases (compared to hospital or community controls, respectively) were attributable to recent contact with a patient with this disease. 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subjects | Adolescent Adult Aged Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Case-Control Studies Child Child, Preschool Female Hospitalization - statistics & numerical data Human bacterial diseases Humans Infant Infant, Newborn Infectious diseases Logistic Models Male Medical sciences Middle Aged Pilot Projects Prevalence Risk Factors Salmonella typhi Tropical medicine typhoid fever Typhoid Fever - epidemiology Viet Nam Vietnam - epidemiology |
title | Risk factors for typhoid fever in the Mekong delta, southern Viet Nam: a case-control study |
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