Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2010-10-25
pubmed:abstractText
In summer 2008, we investigated an outbreak of diarrhoeal illness in participants of a mountain-bike event in Wales (UK) which had been affected by heavy rain. We conducted a retrospective cohort study to investigate the cause using an internet-based questionnaire. Fifty-three percent of those contacted responded, and 161 (46·5%) out of the 347 responders, reported gastrointestinal symptoms. Median day of onset was 3 days following the event. Ten riders reported receiving a laboratory-confirmed diagnosis of Campylobacter. Multivariate logistic regression analysis identified the inadvertent ingestion of mud (OR 2·5, 95% CI 1·5-4·2, P<0·001) and eating 'other' food during the event (OR 2·1, 95% CI 1·2-3·6, P=0·01) as significant risk factors for illness. We concluded that the outbreak was caused by Campylobacter, spread to the riders by the inadvertent ingestion of mud which had been contaminated with sheep faeces from the rural course. Mountain-bike race organizers should consider microbiological hazards when risk-assessing potential race courses. The internet is an efficient tool for the investigation of outbreaks in computer-literate populations.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1469-4409
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
138
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1704-11
pubmed:meshHeading
pubmed-meshheading:20587125-Adolescent, pubmed-meshheading:20587125-Adult, pubmed-meshheading:20587125-Animals, pubmed-meshheading:20587125-Athletes, pubmed-meshheading:20587125-Campylobacter, pubmed-meshheading:20587125-Campylobacter Infections, pubmed-meshheading:20587125-Cohort Studies, pubmed-meshheading:20587125-Diarrhea, pubmed-meshheading:20587125-Disease Outbreaks, pubmed-meshheading:20587125-Female, pubmed-meshheading:20587125-Humans, pubmed-meshheading:20587125-Internet, pubmed-meshheading:20587125-Male, pubmed-meshheading:20587125-Middle Aged, pubmed-meshheading:20587125-Questionnaires, pubmed-meshheading:20587125-Retrospective Studies, pubmed-meshheading:20587125-Sheep, pubmed-meshheading:20587125-Soil Microbiology, pubmed-meshheading:20587125-Telemedicine, pubmed-meshheading:20587125-Wales, pubmed-meshheading:20587125-Young Adult, pubmed-meshheading:20587125-Zoonoses
pubmed:year
2010
pubmed:articleTitle
Using the internet for rapid investigation of an outbreak of diarrhoeal illness in mountain bikers.
pubmed:affiliation
Communicable Disease Surveillance Centre, National Public Health Service for Wales, Cardiff, UK. sian.griffiths6@wales.nhs.uk)
pubmed:publicationType
Journal Article