Abstract
A pathogen may emerge as an important public health problem because of changes in itself or its transmission pathways. Alternatively, a microorganism may emerge as a pathogen or acquire new public health importance because of changes in host susceptibility to infection. Factors influencing host susceptibility within the population as a whole include increases in the number of immunocompromised patients; increased use of immunosuppressive agents, particularly among persons receiving cancer chemotherapy or undergoing organ transplantation; aging of the population; and malnutrition. In considering the emergence of foodborne pathogens and designing interventions to limit their spread, the susceptibility of these population subgroups to specific infections should be taken into account.
Full Text
The Full Text of this article is available as a PDF (139.0 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Angulo F. J., Swerdlow D. L. Bacterial enteric infections in persons infected with human immunodeficiency virus. Clin Infect Dis. 1995 Aug;21 (Suppl 1):S84–S93. doi: 10.1093/clinids/21.supplement_1.s84. [DOI] [PubMed] [Google Scholar]
- Bates J., Jordens J. Z., Griffiths D. T. Farm animals as a putative reservoir for vancomycin-resistant enterococcal infection in man. J Antimicrob Chemother. 1994 Oct;34(4):507–514. doi: 10.1093/jac/34.4.507. [DOI] [PubMed] [Google Scholar]
- Bennett R. G. Diarrhea among residents of long-term care facilities. Infect Control Hosp Epidemiol. 1993 Jul;14(7):397–404. [PubMed] [Google Scholar]
- Black R. E., Brown K. H., Becker S. Effects of diarrhea associated with specific enteropathogens on the growth of children in rural Bangladesh. Pediatrics. 1984 Jun;73(6):799–805. [PubMed] [Google Scholar]
- Black R. E., Brown K. H., Becker S. Malnutrition is a determining factor in diarrheal duration, but not incidence, among young children in a longitudinal study in rural Bangladesh. Am J Clin Nutr. 1984 Jan;39(1):87–94. doi: 10.1093/ajcn/39.1.87. [DOI] [PubMed] [Google Scholar]
- Blaser M. J., Feldman R. A. From the centers for disease control. Salmonella bacteremia: reports to the Centers for Disease Control, 1968-1979. J Infect Dis. 1981 May;143(5):743–746. doi: 10.1093/infdis/143.5.743. [DOI] [PubMed] [Google Scholar]
- Carter A. O., Borczyk A. A., Carlson J. A., Harvey B., Hockin J. C., Karmali M. A., Krishnan C., Korn D. A., Lior H. A severe outbreak of Escherichia coli O157:H7--associated hemorrhagic colitis in a nursing home. N Engl J Med. 1987 Dec 10;317(24):1496–1500. doi: 10.1056/NEJM198712103172403. [DOI] [PubMed] [Google Scholar]
- Celum C. L., Chaisson R. E., Rutherford G. W., Barnhart J. L., Echenberg D. F. Incidence of salmonellosis in patients with AIDS. J Infect Dis. 1987 Dec;156(6):998–1002. doi: 10.1093/infdis/156.6.998. [DOI] [PubMed] [Google Scholar]
- Centers for Disease Control and Prevention (CDC) Update: trends in AIDS incidence, deaths, and prevalence--United States, 1996. MMWR Morb Mortal Wkly Rep. 1997 Feb 28;46(8):165–173. [PubMed] [Google Scholar]
- Feldman M., Cryer B., McArthur K. E., Huet B. A., Lee E. Effects of aging and gastritis on gastric acid and pepsin secretion in humans: a prospective study. Gastroenterology. 1996 Apr;110(4):1043–1052. doi: 10.1053/gast.1996.v110.pm8612992. [DOI] [PubMed] [Google Scholar]
- Gruenewald R., Blum S., Chan J. Relationship between human immunodeficiency virus infection and salmonellosis in 20- to 59-year-old residents of New York City. Clin Infect Dis. 1994 Mar;18(3):358–363. doi: 10.1093/clinids/18.3.358. [DOI] [PubMed] [Google Scholar]
- Hargrett-Bean N. T., Pavia A. T., Tauxe R. V. Salmonella isolates from humans in the United States, 1984-1986. MMWR CDC Surveill Summ. 1988 Jun;37(2):25–31. [PubMed] [Google Scholar]
- Hofflin J. M., Potasman I., Baldwin J. C., Oyer P. E., Stinson E. B., Remington J. S. Infectious complications in heart transplant recipients receiving cyclosporine and corticosteroids. Ann Intern Med. 1987 Feb;106(2):209–216. doi: 10.7326/0003-4819-106-2-209. [DOI] [PubMed] [Google Scholar]
- Lee L. A., Puhr N. D., Maloney E. K., Bean N. H., Tauxe R. V. Increase in antimicrobial-resistant Salmonella infections in the United States, 1989-1990. J Infect Dis. 1994 Jul;170(1):128–134. doi: 10.1093/infdis/170.1.128. [DOI] [PubMed] [Google Scholar]
- Levine W. C., Buehler J. W., Bean N. H., Tauxe R. V. Epidemiology of nontyphoidal Salmonella bacteremia during the human immunodeficiency virus epidemic. J Infect Dis. 1991 Jul;164(1):81–87. doi: 10.1093/infdis/164.1.81. [DOI] [PubMed] [Google Scholar]
- Lew J. F., Glass R. I., Gangarosa R. E., Cohen I. P., Bern C., Moe C. L. Diarrheal deaths in the United States, 1979 through 1987. A special problem for the elderly. JAMA. 1991 Jun 26;265(24):3280–3284. [PubMed] [Google Scholar]
- Luft B. J., Brooks R. G., Conley F. K., McCabe R. E., Remington J. S. Toxoplasmic encephalitis in patients with acquired immune deficiency syndrome. JAMA. 1984 Aug 17;252(7):913–917. [PubMed] [Google Scholar]
- Luft B. J., Naot Y., Araujo F. G., Stinson E. B., Remington J. S. Primary and reactivated toxoplasma infection in patients with cardiac transplants. Clinical spectrum and problems in diagnosis in a defined population. Ann Intern Med. 1983 Jul;99(1):27–31. doi: 10.7326/0003-4819-99-1-27. [DOI] [PubMed] [Google Scholar]
- Montecalvo M. A., Horowitz H., Gedris C., Carbonaro C., Tenover F. C., Issah A., Cook P., Wormser G. P. Outbreak of vancomycin-, ampicillin-, and aminoglycoside-resistant Enterococcus faecium bacteremia in an adult oncology unit. Antimicrob Agents Chemother. 1994 Jun;38(6):1363–1367. doi: 10.1128/aac.38.6.1363. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morris J. G., Jr, Shay D. K., Hebden J. N., McCarter R. J., Jr, Perdue B. E., Jarvis W., Johnson J. A., Dowling T. C., Polish L. B., Schwalbe R. S. Enterococci resistant to multiple antimicrobial agents, including vancomycin. Establishment of endemicity in a university medical center. Ann Intern Med. 1995 Aug 15;123(4):250–259. doi: 10.7326/0003-4819-123-4-199508150-00002. [DOI] [PubMed] [Google Scholar]
- Papanicolaou G. A., Meyers B. R., Meyers J., Mendelson M. H., Lou W., Emre S., Sheiner P., Miller C. Nosocomial infections with vancomycin-resistant Enterococcus faecium in liver transplant recipients: risk factors for acquisition and mortality. Clin Infect Dis. 1996 Oct;23(4):760–766. doi: 10.1093/clinids/23.4.760. [DOI] [PubMed] [Google Scholar]
- Perlman D. M., Ampel N. M., Schifman R. B., Cohn D. L., Patton C. M., Aguirre M. L., Wang W. L., Blaser M. J. Persistent Campylobacter jejuni infections in patients infected with the human immunodeficiency virus (HIV). Ann Intern Med. 1988 Apr;108(4):540–546. doi: 10.7326/0003-4819-108-4-540. [DOI] [PubMed] [Google Scholar]
- Porter S. B., Sande M. A. Toxoplasmosis of the central nervous system in the acquired immunodeficiency syndrome. N Engl J Med. 1992 Dec 3;327(23):1643–1648. doi: 10.1056/NEJM199212033272306. [DOI] [PubMed] [Google Scholar]
- Profeta S., Forrester C., Eng R. H., Liu R., Johnson E., Palinkas R., Smith S. M. Salmonella infections in patients with acquired immunodeficiency syndrome. Arch Intern Med. 1985 Apr;145(4):670–672. [PubMed] [Google Scholar]
- Remington J. S., Schimpff S. C. Occasional notes. Please don't eat the salads. N Engl J Med. 1981 Feb 12;304(7):433–435. doi: 10.1056/NEJM198102123040730. [DOI] [PubMed] [Google Scholar]
- Santos J. I. Nutrition, infection, and immunocompetence. Infect Dis Clin North Am. 1994 Mar;8(1):243–267. [PubMed] [Google Scholar]
- Schuchat A., Deaver K. A., Wenger J. D., Plikaytis B. D., Mascola L., Pinner R. W., Reingold A. L., Broome C. V. Role of foods in sporadic listeriosis. I. Case-control study of dietary risk factors. The Listeria Study Group. JAMA. 1992 Apr 15;267(15):2041–2045. [PubMed] [Google Scholar]
- Smith P. D., Macher A. M., Bookman M. A., Boccia R. V., Steis R. G., Gill V., Manischewitz J., Gelmann E. P. Salmonella typhimurium enteritis and bacteremia in the acquired immunodeficiency syndrome. Ann Intern Med. 1985 Feb;102(2):207–209. doi: 10.7326/0003-4819-102-2-207. [DOI] [PubMed] [Google Scholar]
- Smith P. D., Quinn T. C., Strober W., Janoff E. N., Masur H. NIH conference. Gastrointestinal infections in AIDS. Ann Intern Med. 1992 Jan 1;116(1):63–77. doi: 10.7326/0003-4819-116-1-63. [DOI] [PubMed] [Google Scholar]
- Sorvillo F. J., Lieb L. E., Waterman S. H. Incidence of campylobacteriosis among patients with AIDS in Los Angeles County. J Acquir Immune Defic Syndr. 1991;4(6):598–602. [PubMed] [Google Scholar]
- Tauxe R. V., Hargrett-Bean N., Patton C. M., Wachsmuth I. K. Campylobacter isolates in the United States, 1982-1986. MMWR CDC Surveill Summ. 1988 Jun;37(2):1–13. [PubMed] [Google Scholar]
- Taylor J. L., Dwyer D. M., Groves C., Bailowitz A., Tilghman D., Kim V., Joseph A., Morris J. G., Jr Simultaneous outbreak of Salmonella enteritidis and Salmonella schwarzengrund in a nursing home: association of S. enteritidis with bacteremia and hospitalization. J Infect Dis. 1993 Mar;167(3):781–782. doi: 10.1093/infdis/167.3.781. [DOI] [PubMed] [Google Scholar]
- Wolfe M. S., Louria D. B., Armstrong D., Blevins A. Salmonellosis in patients with neoplastic disease. A review of 100 episodes at Memorial Cancer Center over a 13-year period. Arch Intern Med. 1971 Oct;128(4):546–554. doi: 10.1001/archinte.128.4.546. [DOI] [PubMed] [Google Scholar]
- Wolfson J. S., Richter J. M., Waldron M. A., Weber D. J., McCarthy D. M., Hopkins C. C. Cryptosporidiosis in immunocompetent patients. N Engl J Med. 1985 May 16;312(20):1278–1282. doi: 10.1056/NEJM198505163122002. [DOI] [PubMed] [Google Scholar]