Hazards of healthy living: bottled water and salad vegetables as risk factors for Campylobacter infection

Emerg Infect Dis. 2003 Oct;9(10):1219-25. doi: 10.3201/eid0910.020823.

Abstract

Campylobacter is the most common cause of bacterial gastroenteritis worldwide, yet the etiology of this infection remains only partly explained. In a retrospective cohort study, we compared 213 sporadic campylobacter case-patients with 1,144 patients with negative fecal samples. Information was obtained on food history, animal contact, foreign travel, leisure activities, medical conditions, and medication use. Eating chicken, eating food from a fried chicken outlet, eating salad vegetables, drinking bottled water, and direct contact with cows or calves were all independently associated with infection. The population-attributable fractions for these risk factors explained nearly 70% of sporadic campylobacter infections. Eating chicken is a well-established risk factor, but consuming salad and bottled water are not. The association with salad may be explained by cross-contamination of food within the home, but the possibility that natural mineral water is a risk factor for campylobacter infection could have wide public health implications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Campylobacter Infections / etiology*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Food Microbiology*
  • Foodborne Diseases / etiology*
  • Gastroenteritis / etiology
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Public Health
  • Risk Factors
  • Vegetables / microbiology
  • Wales
  • Water Microbiology
  • Water Supply