A demanda por carne de frango vem crescendo globalmente, assim como as exigências com relação à qualidade microbiológica do produto final. Associa-se a frequência de Campylobacter spp. em aves às enterites em humanos. O principal reservatório do agente é o trato digestivo de animais de diversas espécies, como aves de corte. Campylobacter spp. possui ampla diversidade genotípica e fenotípica, e apresentam diversos mecanismos de virulência para se aderir e colonizar o epitélio intestinal no hospedeiro. Apesar de o controle sanitário e biossegurança implementados nas granjas refletirem na redução de contaminação das carcaças no matadouro-frigorífico, esses procedimentos não eliminam o Campylobacter completamente das aves, podendo comprometer a qualidade microbiológica do produto final e propiciar casos de toxinfecção de origem alimentar aos consumidores. Esse trabalho tem como objetivo verificar a ocorrência de seis genes de virulência de Campylobacter jejuni em amostras de carcaças de frango e em casos de campilobacteriose em humanos. Foram avaliadas 50 amostras de C. jejuni, das quais 25 eram de origem aviária, provenientes da coleção do Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), e 25 eram de origem humana, cedidas pela Fundação Oswaldo Cruz (FIOCRUZ). A técnica de reação em cadeia da polimerase (PCR) foi utilizada para detecção dos genes iam, flaA, cdtA, cdtB, cdtC e wlaN. Das amostras analisadas, 92% (23/25) de origem humana e 88% (22/25) de origem aviária foram positivas para o gene cdtB, 44% (11/25) de origem humana e 84% (21/25) de origem aviária para o gene cdtA; 20% (5/25) de origem humana e 80% (20/25) de origem aviária para o gene flaA; 48% (12/25) de origem humana e 76% (19/25) de origem aviária para o gene cdtC; 16% (4/25) de origem aviária para o gene wlaN e 12% (3/25) de origem humana e 4% (1/25) de origem aviária foram positivas para o gene iam. Em nenhuma das amostras pesquisadas de origem humana (0/25) foi observado o gene wlaN. Com este trabalho concluiu-se que os genes pesquisados podem estar presentes em cepas de C. jejuni provenientes de carne de frango e nas cepas isoladas de casos de infecção alimentar em humanos. Ainda assim, conforme os resultados apresentados, o gene cdtB teve maior frequência nas amostras provenientes de origem humana e aviária. / The demand for poultry meat has increased globally, as well as the microbiologic requirements of the final product. The frequency of Campylobacter spp. in poultry meat has been related to enteritis in humans. The digestive tract of several animals’ species, as poultries, is the main reservatory of the agent. Campylobacter spp. has a wide genotypic and phenotypic diversity, and, in addition to that, it presents several virulence factors which allow to adhere and colonize the intestinal epithelium of the host. Although good hygienic and biosecurity practices employed at poultry farms help to reduce the carcass contamination, these procedures do not completely eliminate Campylobacter spp. at the slaughterhouses and it may affect the microbiologic quality of the final product, which may cause alimentary toxinfection cases. This study aims to verify the occurrence of six virulence genes of Campylobacter jejuni from poultry carcasses samples and campylobacteriosis cases in humans. 50 samples of C. jejuni were evaluated, of which 25 were originated from poultry collected at the Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), and 25 were originated from human samples of the Fundação Oswaldo Cruz (FIOCRUZ). Polymerase chain reaction (PCR) technique was employed to detect the following genes: iam, flaA, cdtA, cdtB, cdtC and wlaN. In the samples analyzed, 92% (23/25) from human origin and 88% (22/25) from poultry for cdtB gene; 44% (11/25) from human origin and 84% (21/25) from poultry for cdtA gene; 20% (5/25) from human origin and 80% (20/25) from poultry for flaA gene; 48% (12/25) from human origin and 76% (19/25) from poultry for cdtC gene; 16% (4/25) from poultry for wlaN and gene 12% (3/25) from human origin and 4% (1/25) from poultry were positive for iam gene. This study concludes that the researched genes may be present in Campylobacter from poultry meat origin and from isolates of human cases of alimentary toxinfection. However, according to the results found, the cdtB gene had a higher frequency in samples of human and avian origin.

A demanda por carne de frango vem crescendo globalmente, assim como as exigências com relação à qualidade microbiológica do produto final. Associa-se a frequência de Campylobacter spp. em aves às enterites em humanos. O principal reservatório do agente é o trato digestivo de animais de diversas espécies, como aves de corte. Campylobacter spp. possui ampla diversidade genotípica e fenotípica, e apresentam diversos mecanismos de virulência para se aderir e colonizar o epitélio intestinal no hospedeiro. Apesar de o controle sanitário e biossegurança implementados nas granjas refletirem na redução de contaminação das carcaças no matadouro-frigorífico, esses procedimentos não eliminam o Campylobacter completamente das aves, podendo comprometer a qualidade microbiológica do produto final e propiciar casos de toxinfecção de origem alimentar aos consumidores. Esse trabalho tem como objetivo verificar a ocorrência de seis genes de virulência de Campylobacter jejuni em amostras de carcaças de frango e em casos de campilobacteriose em humanos. Foram avaliadas 50 amostras de C. jejuni, das quais 25 eram de origem aviária, provenientes da coleção do Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), e 25 eram de origem humana, cedidas pela Fundação Oswaldo Cruz (FIOCRUZ). A técnica de reação em cadeia da polimerase (PCR) foi utilizada para detecção dos genes iam, flaA, cdtA, cdtB, cdtC e wlaN. Das amostras analisadas, 92% (23/25) de origem humana e 88% (22/25) de origem aviária foram positivas para o gene cdtB, 44% (11/25) de origem humana e 84% (21/25) de origem aviária para o gene cdtA; 20% (5/25) de origem humana e 80% (20/25) de origem aviária para o gene flaA; 48% (12/25) de origem humana e 76% (19/25) de origem aviária para o gene cdtC; 16% (4/25) de origem aviária para o gene wlaN e 12% (3/25) de origem humana e 4% (1/25) de origem aviária foram positivas para o gene iam. Em nenhuma das amostras pesquisadas de origem humana (0/25) foi observado o gene wlaN. Com este trabalho concluiu-se que os genes pesquisados podem estar presentes em cepas de C. jejuni provenientes de carne de frango e nas cepas isoladas de casos de infecção alimentar em humanos. Ainda assim, conforme os resultados apresentados, o gene cdtB teve maior frequência nas amostras provenientes de origem humana e aviária. / The demand for poultry meat has increased globally, as well as the microbiologic requirements of the final product. The frequency of Campylobacter spp. in poultry meat has been related to enteritis in humans. The digestive tract of several animals’ species, as poultries, is the main reservatory of the agent. Campylobacter spp. has a wide genotypic and phenotypic diversity, and, in addition to that, it presents several virulence factors which allow to adhere and colonize the intestinal epithelium of the host. Although good hygienic and biosecurity practices employed at poultry farms help to reduce the carcass contamination, these procedures do not completely eliminate Campylobacter spp. at the slaughterhouses and it may affect the microbiologic quality of the final product, which may cause alimentary toxinfection cases. This study aims to verify the occurrence of six virulence genes of Campylobacter jejuni from poultry carcasses samples and campylobacteriosis cases in humans. 50 samples of C. jejuni were evaluated, of which 25 were originated from poultry collected at the Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), and 25 were originated from human samples of the Fundação Oswaldo Cruz (FIOCRUZ). Polymerase chain reaction (PCR) technique was employed to detect the following genes: iam, flaA, cdtA, cdtB, cdtC and wlaN. In the samples analyzed, 92% (23/25) from human origin and 88% (22/25) from poultry for cdtB gene; 44% (11/25) from human origin and 84% (21/25) from poultry for cdtA gene; 20% (5/25) from human origin and 80% (20/25) from poultry for flaA gene; 48% (12/25) from human origin and 76% (19/25) from poultry for cdtC gene; 16% (4/25) from poultry for wlaN and gene 12% (3/25) from human origin and 4% (1/25) from poultry were positive for iam gene. This study concludes that the researched genes may be present in Campylobacter from poultry meat origin and from isolates of human cases of alimentary toxinfection. However, according to the results found, the cdtB gene had a higher frequency in samples of human and avian origin.

A demanda por carne de frango vem crescendo globalmente, assim como as exigências com relação à qualidade microbiológica do produto final. Associa-se a frequência de Campylobacter spp. em aves às enterites em humanos. O principal reservatório do agente é o trato digestivo de animais de diversas espécies, como aves de corte. Campylobacter spp. possui ampla diversidade genotípica e fenotípica, e apresentam diversos mecanismos de virulência para se aderir e colonizar o epitélio intestinal no hospedeiro. Apesar de o controle sanitário e biossegurança implementados nas granjas refletirem na redução de contaminação das carcaças no matadouro-frigorífico, esses procedimentos não eliminam o Campylobacter completamente das aves, podendo comprometer a qualidade microbiológica do produto final e propiciar casos de toxinfecção de origem alimentar aos consumidores. Esse trabalho tem como objetivo verificar a ocorrência de seis genes de virulência de Campylobacter jejuni em amostras de carcaças de frango e em casos de campilobacteriose em humanos. Foram avaliadas 50 amostras de C. jejuni, das quais 25 eram de origem aviária, provenientes da coleção do Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), e 25 eram de origem humana, cedidas pela Fundação Oswaldo Cruz (FIOCRUZ). A técnica de reação em cadeia da polimerase (PCR) foi utilizada para detecção dos genes iam, flaA, cdtA, cdtB, cdtC e wlaN. Das amostras analisadas, 92% (23/25) de origem humana e 88% (22/25) de origem aviária foram positivas para o gene cdtB, 44% (11/25) de origem humana e 84% (21/25) de origem aviária para o gene cdtA; 20% (5/25) de origem humana e 80% (20/25) de origem aviária para o gene flaA; 48% (12/25) de origem humana e 76% (19/25) de origem aviária para o gene cdtC; 16% (4/25) de origem aviária para o gene wlaN e 12% (3/25) de origem humana e 4% (1/25) de origem aviária foram positivas para o gene iam. Em nenhuma das amostras pesquisadas de origem humana (0/25) foi observado o gene wlaN. Com este trabalho concluiu-se que os genes pesquisados podem estar presentes em cepas de C. jejuni provenientes de carne de frango e nas cepas isoladas de casos de infecção alimentar em humanos. Ainda assim, conforme os resultados apresentados, o gene cdtB teve maior frequência nas amostras provenientes de origem humana e aviária. / The demand for poultry meat has increased globally, as well as the microbiologic requirements of the final product. The frequency of Campylobacter spp. in poultry meat has been related to enteritis in humans. The digestive tract of several animals’ species, as poultries, is the main reservatory of the agent. Campylobacter spp. has a wide genotypic and phenotypic diversity, and, in addition to that, it presents several virulence factors which allow to adhere and colonize the intestinal epithelium of the host. Although good hygienic and biosecurity practices employed at poultry farms help to reduce the carcass contamination, these procedures do not completely eliminate Campylobacter spp. at the slaughterhouses and it may affect the microbiologic quality of the final product, which may cause alimentary toxinfection cases. This study aims to verify the occurrence of six virulence genes of Campylobacter jejuni from poultry carcasses samples and campylobacteriosis cases in humans. 50 samples of C. jejuni were evaluated, of which 25 were originated from poultry collected at the Centro de Diagnóstico e Pesquisa em Patologia Aviária (CDPA - UFRGS), and 25 were originated from human samples of the Fundação Oswaldo Cruz (FIOCRUZ). Polymerase chain reaction (PCR) technique was employed to detect the following genes: iam, flaA, cdtA, cdtB, cdtC and wlaN. In the samples analyzed, 92% (23/25) from human origin and 88% (22/25) from poultry for cdtB gene; 44% (11/25) from human origin and 84% (21/25) from poultry for cdtA gene; 20% (5/25) from human origin and 80% (20/25) from poultry for flaA gene; 48% (12/25) from human origin and 76% (19/25) from poultry for cdtC gene; 16% (4/25) from poultry for wlaN and gene 12% (3/25) from human origin and 4% (1/25) from poultry were positive for iam gene. This study concludes that the researched genes may be present in Campylobacter from poultry meat origin and from isolates of human cases of alimentary toxinfection. However, according to the results found, the cdtB gene had a higher frequency in samples of human and avian origin.

An enhanced notified enteric disease surveillance trial began on 1 July 2007 and continued until 30 June 2008. The aim of the trial was to measure the quality, timeliness and completeness of data collected and submitted by a regional Public Health Service (PHS) to the Institute of Environmental Science and Research Limited (ESR), via the national disease database (EpiSurv) for notified cases of enteric diseases. The trial evaluated two different methods of data collection: postal questionnaires and telephone interviews. Telephone interview techniques were used to improve the contact rate, timeliness and completeness of data gathered from all notified cases of campylobacteriosis in the Manawatu, Horowhenua and Tararua regions. The target set for the project was to achieve a 95% contact rate with 90% full completion of all EpiSurv data fields. For all notified cases of campylobacteriosis a 97% contact rate was achieved in a time frame of between zero to 20 days (three day median) and completeness of all the EpiSurv case report fields ranged between 96 – 100% in the final data. Prior to the commencement of the study, between 1 July 2004 to 30 June 2005, MidCentral PHS (MCPHS) made contact with around 58% of all notified cases of campylobacteriosis and 77% of all other notified enteric disease cases1 . A short pre-screen mail questionnaire, with reply-paid envelope, was sent to all notified cases of cryptosporidiosis, giardiasis, salmonellosis and yersiniosis in the MCPHS regions. EpiSurv case report fields were completed using information supplied in the returned questionnaires. Return rate, timeliness, and completeness were compared with the telephone interview group. Fifty three percent of cases we attempted to contact via mail questionnaire responded within two to 63 days (six day median) and completeness of all the EpiSurv case report fields ranged between 81 – 100%. In addition, we monitored the newly introduced ESR Early Aberration Reporting System (EARS) flags for increased levels of disease compared to historical disease rates, and assessed its usefulness as a tool to identify potential outbreaks in the region. While no outbreaks that had not already been identified by PHS staff were found by monitoring the EARS system, EARS has become an important tool in the MCPHS for comparing our rates of disease with bordering PHSs. EARS also provided a good quick reference tool for media enquiries and the graphs produced in EARS have been well utilised as visual aids for training and seminars presented during the trial period. The results of the surveillance trial initiatives were compared to the rest of New Zealand (NZ) over the same time frame and with a comparable, medium-sized, PHS. While the results of the telephone interviews from the MCPHS trial were close to the comparable PHS, they were significantly higher than for the rest of NZ. The postal questionnaires achieved a lower contact rate than the comparable PHS but similar to the rest of NZ. However, the quality of data gathered in the returned MCPHS postal questionnaire was significantly higher in most fields. Additional analysis was undertaken which indicated that those cases living in higher deprivation and rural areas were less likely to respond to a postal questionnaire. An over-representation of common enteric disease notifications from rural areas in the MCPHS was also highlighted by our research. This trial has shown the effectiveness of utilising telephone interviews and telemarketing techniques for gathering timely and complete data for human enteric disease surveillance within the MCPHS. It has also demonstrated that a short pre-screen questionnaire can be effective in collecting good quality data needed to complete the standard EpiSurv case report form.

An enhanced notified enteric disease surveillance trial began on 1 July 2007 and continued until 30 June 2008. The aim of the trial was to measure the quality, timeliness and completeness of data collected and submitted by a regional Public Health Service (PHS) to the Institute of Environmental Science and Research Limited (ESR), via the national disease database (EpiSurv) for notified cases of enteric diseases. The trial evaluated two different methods of data collection: postal questionnaires and telephone interviews. Telephone interview techniques were used to improve the contact rate, timeliness and completeness of data gathered from all notified cases of campylobacteriosis in the Manawatu, Horowhenua and Tararua regions. The target set for the project was to achieve a 95% contact rate with 90% full completion of all EpiSurv data fields. For all notified cases of campylobacteriosis a 97% contact rate was achieved in a time frame of between zero to 20 days (three day median) and completeness of all the EpiSurv case report fields ranged between 96 – 100% in the final data. Prior to the commencement of the study, between 1 July 2004 to 30 June 2005, MidCentral PHS (MCPHS) made contact with around 58% of all notified cases of campylobacteriosis and 77% of all other notified enteric disease cases1 . A short pre-screen mail questionnaire, with reply-paid envelope, was sent to all notified cases of cryptosporidiosis, giardiasis, salmonellosis and yersiniosis in the MCPHS regions. EpiSurv case report fields were completed using information supplied in the returned questionnaires. Return rate, timeliness, and completeness were compared with the telephone interview group. Fifty three percent of cases we attempted to contact via mail questionnaire responded within two to 63 days (six day median) and completeness of all the EpiSurv case report fields ranged between 81 – 100%. In addition, we monitored the newly introduced ESR Early Aberration Reporting System (EARS) flags for increased levels of disease compared to historical disease rates, and assessed its usefulness as a tool to identify potential outbreaks in the region. While no outbreaks that had not already been identified by PHS staff were found by monitoring the EARS system, EARS has become an important tool in the MCPHS for comparing our rates of disease with bordering PHSs. EARS also provided a good quick reference tool for media enquiries and the graphs produced in EARS have been well utilised as visual aids for training and seminars presented during the trial period. The results of the surveillance trial initiatives were compared to the rest of New Zealand (NZ) over the same time frame and with a comparable, medium-sized, PHS. While the results of the telephone interviews from the MCPHS trial were close to the comparable PHS, they were significantly higher than for the rest of NZ. The postal questionnaires achieved a lower contact rate than the comparable PHS but similar to the rest of NZ. However, the quality of data gathered in the returned MCPHS postal questionnaire was significantly higher in most fields. Additional analysis was undertaken which indicated that those cases living in higher deprivation and rural areas were less likely to respond to a postal questionnaire. An over-representation of common enteric disease notifications from rural areas in the MCPHS was also highlighted by our research. This trial has shown the effectiveness of utilising telephone interviews and telemarketing techniques for gathering timely and complete data for human enteric disease surveillance within the MCPHS. It has also demonstrated that a short pre-screen questionnaire can be effective in collecting good quality data needed to complete the standard EpiSurv case report form.

An enhanced notified enteric disease surveillance trial began on 1 July 2007 and continued until 30 June 2008. The aim of the trial was to measure the quality, timeliness and completeness of data collected and submitted by a regional Public Health Service (PHS) to the Institute of Environmental Science and Research Limited (ESR), via the national disease database (EpiSurv) for notified cases of enteric diseases. The trial evaluated two different methods of data collection: postal questionnaires and telephone interviews. Telephone interview techniques were used to improve the contact rate, timeliness and completeness of data gathered from all notified cases of campylobacteriosis in the Manawatu, Horowhenua and Tararua regions. The target set for the project was to achieve a 95% contact rate with 90% full completion of all EpiSurv data fields. For all notified cases of campylobacteriosis a 97% contact rate was achieved in a time frame of between zero to 20 days (three day median) and completeness of all the EpiSurv case report fields ranged between 96 – 100% in the final data. Prior to the commencement of the study, between 1 July 2004 to 30 June 2005, MidCentral PHS (MCPHS) made contact with around 58% of all notified cases of campylobacteriosis and 77% of all other notified enteric disease cases1 . A short pre-screen mail questionnaire, with reply-paid envelope, was sent to all notified cases of cryptosporidiosis, giardiasis, salmonellosis and yersiniosis in the MCPHS regions. EpiSurv case report fields were completed using information supplied in the returned questionnaires. Return rate, timeliness, and completeness were compared with the telephone interview group. Fifty three percent of cases we attempted to contact via mail questionnaire responded within two to 63 days (six day median) and completeness of all the EpiSurv case report fields ranged between 81 – 100%. In addition, we monitored the newly introduced ESR Early Aberration Reporting System (EARS) flags for increased levels of disease compared to historical disease rates, and assessed its usefulness as a tool to identify potential outbreaks in the region. While no outbreaks that had not already been identified by PHS staff were found by monitoring the EARS system, EARS has become an important tool in the MCPHS for comparing our rates of disease with bordering PHSs. EARS also provided a good quick reference tool for media enquiries and the graphs produced in EARS have been well utilised as visual aids for training and seminars presented during the trial period. The results of the surveillance trial initiatives were compared to the rest of New Zealand (NZ) over the same time frame and with a comparable, medium-sized, PHS. While the results of the telephone interviews from the MCPHS trial were close to the comparable PHS, they were significantly higher than for the rest of NZ. The postal questionnaires achieved a lower contact rate than the comparable PHS but similar to the rest of NZ. However, the quality of data gathered in the returned MCPHS postal questionnaire was significantly higher in most fields. Additional analysis was undertaken which indicated that those cases living in higher deprivation and rural areas were less likely to respond to a postal questionnaire. An over-representation of common enteric disease notifications from rural areas in the MCPHS was also highlighted by our research. This trial has shown the effectiveness of utilising telephone interviews and telemarketing techniques for gathering timely and complete data for human enteric disease surveillance within the MCPHS. It has also demonstrated that a short pre-screen questionnaire can be effective in collecting good quality data needed to complete the standard EpiSurv case report form.

Submitted by Claudia Rocha (claudia.rocha@udesc.br) on 2018-02-19T14:47:21Z No. of bitstreams: 1 PGCA16MA200.pdf: 906352 bytes, checksum: a8a793c2fb4ce9135d1ad04376522869 (MD5) / Made available in DSpace on 2018-02-19T14:47:21Z (GMT). No. of bitstreams: 1 PGCA16MA200.pdf: 906352 bytes, checksum: a8a793c2fb4ce9135d1ad04376522869 (MD5) Previous issue date: 2016-02-25 / Among the pathogens foodborne are thermophilic bacteria of genus Campylobacter, gastroenteritis important agents of food-borne, in this case called campylobacteriosis. Campylobacter are defined as Gram-negative, curved or spiral, capnófilos with characteristic movement of corkscrew or comes and goes. They stand out as considerable thermophilic Campylobacter transmission sources for man meat and chicken giblets contaminated during handling and misguided slaughter operations, and cross-contamination of these with other foods that will be eaten raw. Due to the emphasis that the western region of Santa Catarina has the production and marketing of chicken, it was necessary to verify the occurrence of the pathogen in chilled carcasses of chickens slaughtered in this region, and its behavior to the seasons. For a period of 26 months, from January 2013, chicken carcass samples were weekly collected after the cooling process water in slaughterhouses under Federal Inspection of the three largest micro-regions in broiler slaughter number of the western region of Santa Catarina, totaling 808 samples. Campylobacter thermophiles was performed according to the methodology recommended by ISO 10272-1: 2006. Thermophilic Campylobacter were isolated in 1.82% (8/440) of the micro-region 1 of the samples, 4.95% (10/202) of samples of themicro-region 2 and 13.86% (23/166) samples of the micro-region 3 totaling 41 positive samples (5.07%) of the total samples collected. The index reported for the microregion 3 was statistically significant (P <0.05) when compared to the ratios found for the other two microregions. Although the prevalences have solid lower than expected when compared to the already published for this region, still provide risk to consumers, mainly through cross-contamination with food that will be consumed raw state, requiring greater controls on the production chain and slaughter of chickens. With respect to the seasons, the Campylobacter rates thermophilic were not statistically significant (P <0.05), however, it is necessary to evaluate for a longer period of time, since there was a numerically positive trend with respect to summer / Dentre os patógenos veiculados por alimentos, estão as bactérias termofílicas do gênero Campylobacter, importantes agentes de gastrenterite de origem alimentar, neste caso denominada de campilobacteriose. Campylobacter são definidos como bastonetes Gram-negativos, curvos ou espiralados, capnófilos, com movimento característico de saca-rolha ou em vai e vem. Destacam-se como consideráveis fontes de transmissão de Campylobacter termofílicos para o homem a carne e miúdos de frango, contaminadas durante a manipulação e operações de abate mal conduzidas, e a contaminação cruzada destes com outros alimentos que serão ingeridos crus. Devido ao destaque que a região oeste de Santa Catarina possui na produção e comercialização da carne de frango, fez-se necessário verificar a ocorrência do patógeno em carcaças resfriadas de frangos abatidos nesta região, e seu comportamento frente às estações do ano. Por um período de 26 meses, a partir de janeiro de 2013, foram semanalmente coletadas amostras de carcaça de frango, após o processo de resfriamento em água, em abatedouros sob Inspeção Federal das três maiores microrregiões em número de abate de frangos da região oeste de Santa Catarina, totalizando 808 amostras. Foi realizada a pesquisa de Campylobacter termofílicos conforme a metodologia recomendada pela ISO 10272-1:2006. Campylobacter termofílicos foram isolados em 1,82% (8/440) das amostras da microrregião 1, em 4,95% (10/202) das amostras da microrregião 2 e em 13,86% (23/166) amostras da microrregião 3, totalizando 41 amostras positivas (5,07%) do total de amostras coletadas. O índice relatado para a microrregião 3 foi estatisticamente significativo (P<0,05) quando comparado aos índices encontrados para as outras duas microrregiões. Embora as taxas encontradas tenham sidas abaixo das esperadas quando comparadas com as já publicadas para esta região, ainda fornecem riscos aos consumidores, principalmente por meio da contaminação cruzada com alimentos que serão consumidos crús, sendo necessários controles maiores na cadeia produtiva e abate dos frangos. Com relação às estações do ano, os índices de Campylobacter termofílicos não foram estatisticamente significativos (P<0,05), porém, faz-se necessário uma avaliação por um período maior de tempo, já que houve uma tendência numericamente positiva com relação ao verão

No description available.

La campylobactériose représente la principale cause de gastro-entérite bactérienne dans les pays industrialisés. L’épidémiologie de la maladie est complexe, impliquant plusieurs sources et voies de transmission. L’objectif principal de ce projet était d’étudier les facteurs environnementaux impliqués dans le risque de campylobactériose et les aspects méthodologiques pertinents à cette problématique à partir des cas humains déclarés au Québec (Canada) entre 1996 et 2006. Un schéma conceptuel des sources et voies de transmission de Campylobacter a d’abord été proposé suivant une synthèse des connaissances épidémiologiques tirées d’une revue de littérature extensive. Le risque d’une récurrence de campylobactériose a ensuite été décrit selon les caractéristiques des patients à partir de tables de survie et de modèles de régression logistique. Comparativement au risque de campylobactériose dans la population générale, le risque d’un épisode récurrent était plus élevé pour les quatre années suivant un épisode. Ce risque était similaire entre les genres, mais plus élevé pour les personnes de régions rurales et plus faible pour les enfants de moins de quatre ans. Ces résultats suggèrent une absence d’immunité durable ou de résilience clinique suivant un épisode déclaré et/ou une ré-exposition périodique. L’objectif suivant portait sur le choix de l’unité géographique dans les études écologiques. Neuf critères mesurables ont été proposés, couvrant la pertinence biologique, la communicabilité, l’accès aux données, la distribution des variables d’exposition, des cas et de la population, ainsi que la forme de l’unité. Ces critères ont été appliqués à des unités géographiques dérivées de cadre administratif, sanitaire ou naturel. La municipalité affichait la meilleure performance, étant donné les objectifs spécifiques considérés. Les associations entre l’incidence de campylobactériose et diverses variables (densité de volailles, densité de ruminants, abattoirs, température, précipitations, densité de population, pourcentage de diplomation) ont ensuite été comparées pour sept unités géographiques différentes en utilisant des modèles conditionnels autorégressifs. Le nombre de variables statistiquement significatives variait selon le degré d’agrégation, mais la direction des associations était constante. Les unités plus agrégées tendaient à démontrer des forces d’association plus élevées, mais plus variables, à l’exception de l’abattoir. Cette étude a souligné l’importance du choix de l’unité géographique d’analyse lors d’une utilisation d’un devis d’étude écologique. Finalement, les associations entre l’incidence de campylobactériose et des caractéristiques environnementales ont été décrites selon quatre groupes d’âge et deux périodes saisonnières d’après une étude écologique. Un modèle de Poisson multi-niveau a été utilisé pour la modélisation, avec la municipalité comme unité. Une densité de ruminant élevée était positivement associée avec l’incidence de campylobactériose, avec une force d’association diminuant selon l’âge. Une densité de volailles élevée et la présence d’un abattoir de volailles à fort volume d’abattage étaient également associées à une incidence plus élevée, mais seulement pour les personnes de 16 à 34 ans. Des associations ont également été détectées avec la densité de population et les précipitations. À l’exception de la densité de population, les associations étaient constantes entre les périodes saisonnières. Un contact étroit avec les animaux de ferme explique le plus vraisemblablement les associations trouvées. La spécificité d’âge et de saison devrait être considérée dans les études futures sur la campylobactériose et dans l’élaboration de mesures préventives. / Campylobacteriosis is a leading cause of acute bacterial gastro-enteritis in industrialized countries. The epidemiology of the disease is complex, involving many sources and transmission pathways. The principal objective of this project was to study environmental factors and methodological aspects pertinent to the spatial epidemiology of human campylobacteriosis using cases reported in Quebec (Canada) between 1996 and 2006. A conceptual diagram of sources and transmission pathways of Campylobacter was first proposed following a synthesis of current epidemiological knowledge based on a comprehensive literature review. The risk of recurrent episodes in relation to patient characteristics was described. Life table estimates and logistic regression were used for modeling. Compared to campylobacteriosis risk in the general population, the risk for a recurrent disease event was higher for a period of four years with a decreasing trend. This increased risk was similar across gender but higher for people from rural areas and lower for children under four years old. These results may suggest the absence of durable immunity or clinical resilience following a first episode and/or periodic re-exposure, at least among reported cases. Next, criteria were proposed and applied to ascertain the best geographical unit to use. Nine measurable criteria were proposed, including biological relevance, communicability of results, ease of data access, distribution of exposure variables, cases and population, and unit shape. These criteria were applied to various geographical units derived from administrative, health services and natural frameworks. Ultimately, the municipal geographical unit performed the best, given the specific objectives of the study. Future research areas for optimizing the choice of geographical unit were discussed. Another objective was to estimate and compare the associations between incidence and various environmental characteristics (poultry density, ruminant density, slaughterhouse, temperature, and precipitation) and demographic characteristics (population density, diploma) using seven different geographical units. Conditional autoregressive models were used for statistical modeling. In general, the number of significant predictors decreased as the aggregation level increased but directions of associations were consistent. More aggregated scales tended to show larger but more variable estimates for all variables, with the exception of the presence of slaughterhouses. This study highlighted the need for careful selection and analysis of geographical units when using ecological designs in epidemiological studies. Finally, the association between environmental characteristics and incidence in relation to four age groups and deux seasonal periods was studied. A multi-level Poisson regression model was used for modeling at the municipal level. High ruminant density was positively associated with incidence but decreased with age. High poultry density and presence of a large poultry slaughterhouse were also associated with higher incidence for people aged 16-34. Associations were also detected with population density and average daily precipitation. Except for population density, associations were constant across seasonal periods. Close contact with farm animals is most likely involved in the associations observed. Clearly, age and season must be considered in future studies on campylobacteriosis and in the design of preventive measures.

La campylobactériose représente la principale cause de gastro-entérite bactérienne dans les pays industrialisés. L’épidémiologie de la maladie est complexe, impliquant plusieurs sources et voies de transmission. L’objectif principal de ce projet était d’étudier les facteurs environnementaux impliqués dans le risque de campylobactériose et les aspects méthodologiques pertinents à cette problématique à partir des cas humains déclarés au Québec (Canada) entre 1996 et 2006. Un schéma conceptuel des sources et voies de transmission de Campylobacter a d’abord été proposé suivant une synthèse des connaissances épidémiologiques tirées d’une revue de littérature extensive. Le risque d’une récurrence de campylobactériose a ensuite été décrit selon les caractéristiques des patients à partir de tables de survie et de modèles de régression logistique. Comparativement au risque de campylobactériose dans la population générale, le risque d’un épisode récurrent était plus élevé pour les quatre années suivant un épisode. Ce risque était similaire entre les genres, mais plus élevé pour les personnes de régions rurales et plus faible pour les enfants de moins de quatre ans. Ces résultats suggèrent une absence d’immunité durable ou de résilience clinique suivant un épisode déclaré et/ou une ré-exposition périodique. L’objectif suivant portait sur le choix de l’unité géographique dans les études écologiques. Neuf critères mesurables ont été proposés, couvrant la pertinence biologique, la communicabilité, l’accès aux données, la distribution des variables d’exposition, des cas et de la population, ainsi que la forme de l’unité. Ces critères ont été appliqués à des unités géographiques dérivées de cadre administratif, sanitaire ou naturel. La municipalité affichait la meilleure performance, étant donné les objectifs spécifiques considérés. Les associations entre l’incidence de campylobactériose et diverses variables (densité de volailles, densité de ruminants, abattoirs, température, précipitations, densité de population, pourcentage de diplomation) ont ensuite été comparées pour sept unités géographiques différentes en utilisant des modèles conditionnels autorégressifs. Le nombre de variables statistiquement significatives variait selon le degré d’agrégation, mais la direction des associations était constante. Les unités plus agrégées tendaient à démontrer des forces d’association plus élevées, mais plus variables, à l’exception de l’abattoir. Cette étude a souligné l’importance du choix de l’unité géographique d’analyse lors d’une utilisation d’un devis d’étude écologique. Finalement, les associations entre l’incidence de campylobactériose et des caractéristiques environnementales ont été décrites selon quatre groupes d’âge et deux périodes saisonnières d’après une étude écologique. Un modèle de Poisson multi-niveau a été utilisé pour la modélisation, avec la municipalité comme unité. Une densité de ruminant élevée était positivement associée avec l’incidence de campylobactériose, avec une force d’association diminuant selon l’âge. Une densité de volailles élevée et la présence d’un abattoir de volailles à fort volume d’abattage étaient également associées à une incidence plus élevée, mais seulement pour les personnes de 16 à 34 ans. Des associations ont également été détectées avec la densité de population et les précipitations. À l’exception de la densité de population, les associations étaient constantes entre les périodes saisonnières. Un contact étroit avec les animaux de ferme explique le plus vraisemblablement les associations trouvées. La spécificité d’âge et de saison devrait être considérée dans les études futures sur la campylobactériose et dans l’élaboration de mesures préventives. / Campylobacteriosis is a leading cause of acute bacterial gastro-enteritis in industrialized countries. The epidemiology of the disease is complex, involving many sources and transmission pathways. The principal objective of this project was to study environmental factors and methodological aspects pertinent to the spatial epidemiology of human campylobacteriosis using cases reported in Quebec (Canada) between 1996 and 2006. A conceptual diagram of sources and transmission pathways of Campylobacter was first proposed following a synthesis of current epidemiological knowledge based on a comprehensive literature review. The risk of recurrent episodes in relation to patient characteristics was described. Life table estimates and logistic regression were used for modeling. Compared to campylobacteriosis risk in the general population, the risk for a recurrent disease event was higher for a period of four years with a decreasing trend. This increased risk was similar across gender but higher for people from rural areas and lower for children under four years old. These results may suggest the absence of durable immunity or clinical resilience following a first episode and/or periodic re-exposure, at least among reported cases. Next, criteria were proposed and applied to ascertain the best geographical unit to use. Nine measurable criteria were proposed, including biological relevance, communicability of results, ease of data access, distribution of exposure variables, cases and population, and unit shape. These criteria were applied to various geographical units derived from administrative, health services and natural frameworks. Ultimately, the municipal geographical unit performed the best, given the specific objectives of the study. Future research areas for optimizing the choice of geographical unit were discussed. Another objective was to estimate and compare the associations between incidence and various environmental characteristics (poultry density, ruminant density, slaughterhouse, temperature, and precipitation) and demographic characteristics (population density, diploma) using seven different geographical units. Conditional autoregressive models were used for statistical modeling. In general, the number of significant predictors decreased as the aggregation level increased but directions of associations were consistent. More aggregated scales tended to show larger but more variable estimates for all variables, with the exception of the presence of slaughterhouses. This study highlighted the need for careful selection and analysis of geographical units when using ecological designs in epidemiological studies. Finally, the association between environmental characteristics and incidence in relation to four age groups and deux seasonal periods was studied. A multi-level Poisson regression model was used for modeling at the municipal level. High ruminant density was positively associated with incidence but decreased with age. High poultry density and presence of a large poultry slaughterhouse were also associated with higher incidence for people aged 16-34. Associations were also detected with population density and average daily precipitation. Except for population density, associations were constant across seasonal periods. Close contact with farm animals is most likely involved in the associations observed. Clearly, age and season must be considered in future studies on campylobacteriosis and in the design of preventive measures.