Analysis of the FoodNet case-control study of sporadic Salmonella serotype Enteritidis infections using persons infected with other Salmonella serotypes as the comparison group

Epidemiol Infect. 2009 Mar;137(3):408-16. doi: 10.1017/S0950268808000897. Epub 2009 Feb 9.

Abstract

Use of well persons as the comparison group for laboratory-confirmed cases of sporadic salmonellosis may introduce ascertainment bias into case-control studies. Data from the 1996-1997 FoodNet case-control study of laboratory-confirmed Salmonella serogroups B and D infection were used to estimate the effect of specific behaviours and foods on infection with Salmonella serotype Enteritidis (SE). Persons with laboratory-confirmed Salmonella of other serotypes acted as the comparison group. The analysis included 173 SE cases and 268 non-SE controls. SE was associated with international travel, consumption of chicken prepared outside the home, and consumption of undercooked eggs prepared outside the home in the 5 days prior to diarrhoea onset. SE phage type 4 was associated with international travel and consumption of undercooked eggs prepared outside the home. The use of ill controls can be a useful tool in identifying risk factors for sporadic cases of Salmonella.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Female
  • Food Contamination
  • Food Microbiology*
  • Humans
  • Infant
  • Logistic Models
  • Male
  • Middle Aged
  • Population Surveillance
  • Risk Factors
  • Salmonella / isolation & purification
  • Salmonella Food Poisoning / epidemiology*
  • Salmonella Food Poisoning / microbiology*
  • Salmonella enteritidis / isolation & purification*
  • Surveys and Questionnaires
  • United States / epidemiology