title: Factors associated with sporadic verotoxigenic Escherichia coli infection in children with diarrhea from the Central Eastern Area of Argentina.
abstract: Verotoxigenic Escherichia coli (VTEC) are one of the most important emerging foodborne pathogens and the principal cause of hemolytic uremic syndrome (HUS). This entity has been recognized worldwide as a priority issue in the field of zoonoses and public health, and Argentina is the country with the highest incidence of HUS in children less than 5 years of age.The lack of specific treatment, combined with the high morbidity rate of VTEC infection, makes prevention the main tool for reducing the incidence of HUS. The current work aimed at assessing the factors associated with sporadic VTEC infection in children with acute diarrhea from the Central Eastern area of Argentina where the incidence rate of HUS in children under 5 is the highest worldwide. A univariate analysis was performed to identify potential factors associated with VTEC infection by calculating odds ratios (OR) with 95% confidence intervals (CI). Then, a multivariate logistic regression model was performed. Interaction and association between significant factors were checked. "Recent consumption of food prepared outside home" (OR: 2.4, 95% CI 1.05-5.7) and "recent vegetables consumption" (OR=0.4; 0.2-0.8) were identified as independent factors associated with VTEC infection. We believe that the data obtained from this study further the current knowledge about the epidemiology of VTEC infection in Argentina and could be considered when planning strategies for the prevention of the disease.
authors.affiliation: Fac. de Cs. Veterinarias-UNCPBA, Depto. de Sanidad Animal y Medicina Preventiva, Tandil, Buenos Aires, Argentina. mrivero@vet.unicen.edu.ar
authors.forename: Mariana Alejandra
authors.initials: MA
authors.lastname: Rivero
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Passucci
authors.forename: Edgardo Mario
authors.initials: EM
authors.lastname: Rodriguez
authors.forename: Marcelo Lisandro
authors.initials: ML
authors.lastname: Signorini
authors.forename: Héctor Dante
authors.initials: HD
authors.lastname: Tarabla
authors.forename: Alberto Ernesto
authors.initials: AE
authors.lastname: Parma
mesh_terms: D000208:Acute Disease; D001118:Argentina / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D016001:Confidence Intervals; D003967:Diarrhea / Q000382:microbiology*; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D005243:Feces / Q000382:microbiology; D005260:Female; D005516:Food Microbiology; D006463:Hemolytic-Uremic Syndrome / Q000453:epidemiology / Q000382:microbiology; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D054323:Shiga-Toxigenic Escherichia coli; D014675:Vegetables / Q000382:microbiology