Table 2. Epidemiologic factors associated with pathogens of diarrhea.
Epidemiological factors | Possible pathogens | |
---|---|---|
Food-related | Food at hotel or restaurant | Norovirus, nontyphoidal Salmonella, Clostridium perfringens, Bacillus cereus, Staphylococcus aureus, Campylobacter, ETEC, STEC, Listeria, Shigella, Cyclospora cayetanensis, Cryptosporidium |
Unpasteurized milk | Salmonella, Campylobacter, Yersinia enterocolitica, S. aureus toxin, Cryptosporidium, STEC, Brucella (goat milk products), Mycobacterium bovis, Coxiella burnetii | |
Raw or uncooked meat or poultry | STEC (meat), C. perfringens (meat, poultry), Salmonella (poultry), Campylobacter (poultry), Yersinia (pork, pork intestine), S. aureus (poultry), Trichinella (pork, wild animal meat) | |
Fruits or vegetables | STEC, nontyphoidal Salmonella, Cyclospora, Cryptosporidium, Norovirus, Hepatitis A, Listeria monocytogenes | |
Uncooked eggs | Salmonella, Shigella | |
Shellfish | Vibrio, Norovirus, Hepatitis A, Plesiomonas | |
Exposure or contact | Consumption of unsterilized water | Campylobacter, Cryptosporidium, Giardia, Shigella, Salmonella, STEC, Plesiomonas shigelloides |
Swimming at a pool | Cryptosporidium | |
Prisons | Norovirus, C. difficile, Shigella, Cryptosporidium, Giardia, STEC, Rotavirus | |
Childcare services | Rotavirus, Cryptosporidium, Giardia, Shigella, STEC | |
Recent antibiotic use | C. difficile, multi-drug-resistant Salmonella | |
Travel history to areas with poor public health | Escherichia coli (enteroaggregative, enterotoxigenic, enteroinvasive), Shigella, Salmonella Typhi, nontyphoidal Salmonella, Campylobacter, Vibrio cholerae,Entamoeba histolytica, Giardia, Blastocystis, Cyclospora, Cystoisospora, Cryptosporidium | |
Contact with pets that have diarrhea | Campylobacter, Yersinia | |
Contact with pig stool | Balantidium coli | |
Contact with poultry | Non-typhoidal Salmonella | |
Visits to farms or zoos | STEC, Cryptosporidium, Campylobacter |
ETEC, enterotoxigenic E. coli; STEC, Shiga toxin-producing E. coli.