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Risk factors for sporadic Yersinia enterocolitica infections: a systematic review and meta-analysis

2020Journal article Open access
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dc.contributor.authorGuillier, Laurent
dc.contributor.authorFravalo, Philippe
dc.contributor.authorLeclercq, Alexandre
dc.contributor.authorThébault, Anne
dc.contributor.authorKooh, Pauline
dc.contributor.authorCadavez, Vasco
dc.contributor.authorGonzales-Barron, Ursula
dc.date.accessioned2018-02-19T10:00:00Z
dc.date.accessioned2021-02-27T18:06:10Z
dc.date.available2018-01-19T10:00:00Z
dc.date.available2021-02-27T18:06:10Z
dc.date.issued2020
dc.description.abstractYersinia enterocolotica is an important causative agent of diarrheal illness. A systematic review and meta-analysis of case-control studies were performed to determine the main risk factors associated with sporadic Y. enterocolitica infections. Suitable scientific articles published between 1987 and 2017 were identified through a systematic literature search and subject to methodological quality assessment. From each study, odds ratios (OR) were extracted or calculated, as well as study characteristics such as population type, design, type of model used and risk factor categorization. Mixed-effects meta-analytical models were adjusted by population type to appropriate data partitions. From 807 identified references, the quality assessment stage was passed by 14 case-control studies focusing on sporadic Y. enterocolitica infections which provided 165 ORs for meta-analysis. All studies considered Y. enterocolitica as the cause of sporadic infections and are mainly located in Europe. The meta-analysis identified host-specifics factors, animal and food exposures as significant risk factors. The meta-analysis confirms the predominant role of the pig reservoir. The occupational contact with pigs and the consumption of pork meat are significantly associated with sporadic Y. enterocolitica infections occurrence. The consumption of raw or undercooked pork meat is also a very important risk factor. Untreated drinking water was also identified as risk factor. Further studies with other enteropathogenic Yersinia species, especially Y. pseudotuberculosis, and/or from other continents would help to refine conclusions of the meta-analysis of the risk factors of yersiniosis.en_EN
dc.description.sponsorshipU. Gonzales-Barron and V. Cadavez are grateful to the Foundation for Science and Technology (FCT, Portugal) for financial support through national funds FCT/MCTES to CIMO (UIDB/00690/2020). U. Gonzales- Barron acknowledges FCT, P.I., for the institutional scientific employment programme.
dc.description.versioninfo:eu-repo/semantics/publishedVersionen_EN
dc.identifier.citationGuillier, Laurent; Fravalo, Philippe; Leclercq, Alexandre; Thébault, Anne; Kooh, Pauline; Cadavez, Vasco; Gonzales-Barron, Ursula (2020). Risk factors for sporadic Yersinia enterocolitica infections: a systematic review and meta-analysis. Microbial Risk Analysis. ISSN 2352-3522. p. 1-10en_EN
dc.identifier.doi10.1016/j.mran.2020.100141en_EN
dc.identifier.urihttp://hdl.handle.net/10198/23432
dc.language.isoeng
dc.peerreviewedyesen_EN
dc.relationMountain Research Center
dc.subjectCase-control studiesen_EN
dc.subjectMeta-regressionen_EN
dc.subjectResearch synthesisen_EN
dc.subjectYersinia enterocoliticaen_EN
dc.titleRisk factors for sporadic Yersinia enterocolitica infections: a systematic review and meta-analysisen_EN
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleMountain Research Center
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F00690%2F2020/PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameCadavez
person.familyNameGonzales-Barron
person.givenNameVasco
person.givenNameUrsula
person.identifierR-000-HDG
person.identifier.ciencia-id441B-01AB-A12E
person.identifier.ciencia-id0813-C319-B62A
person.identifier.orcid0000-0002-3077-7414
person.identifier.orcid0000-0002-8462-9775
person.identifier.ridA-3958-2010
person.identifier.scopus-author-id9039121900
person.identifier.scopus-author-id9435483700
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccessen_EN
rcaap.typearticleen_EN
relation.isAuthorOfPublication57b410e9-f6b7-42ff-ab3d-b526278715eb
relation.isAuthorOfPublication17c6b98f-4fb5-41d3-839a-6f77ec70021a
relation.isAuthorOfPublication.latestForDiscovery57b410e9-f6b7-42ff-ab3d-b526278715eb
relation.isProjectOfPublication29718e93-4989-42bb-bcbc-4daff3870b25
relation.isProjectOfPublication.latestForDiscovery29718e93-4989-42bb-bcbc-4daff3870b25

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