Abstract：
OBJECTIVE:To review the epidemiological differences between culture-positive and culture-negative (but ipaH PCR-positive) cases of shigellosis in Sydney Local Health District (SLHD), NSW, to inform whether changes to the national case definition for shigellosis are required. METHODS:An audit of all cases of shigellosis (culture-positive vs. culture-negative/PCR-positive) in SLHD from 1 January 2013 to 30 June 2015 was conducted and demographic, clinical and risk factors were analysed and compared between these groups. RESULTS:Of the 148 shigellosis cases notified to SLHD, 122 cases (85 culture-positive vs. 37 culture-negative) were included for analysis. Culture-positive cases were more likely than culture-negative/PCR-positive cases to have experienced at least three symptoms (OR 3.18, 95%CI 1.3-7.5), been hospitalised (OR 4.2, 95%CI 1.4-13.2), and have had men-who-have-sex-with-men exposure identified as the source of their infection (OR 28.7, 95%CI 6.2-132.6). CONCLUSIONS:This study has identified that culture-positive vs. culture-negative/PCR-positive shigellosis cases in NSW differ by clinical severity and risk factors for infection. Implications for public health: The study findings warrant further research to determine the true diagnostic prevalence of Shigella in the culture-negative/PCR-positive group in the Australian context, in order to inform further changes to the national case definition for shigellosis.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Quinn E,Najjar Z,Huhtinen E,Jegasothy E,Gupta Ldoi
10.1111/1753-6405.12844subject
Has Abstractpub_date
2019-02-01 00:00:00pages
41-45issue
1eissn
1326-0200issn
1753-6405journal_volume
43pub_type
杂志文章abstract：OBJECTIVE:The efficiency of regulation of public health risks has been questioned on the grounds that the costs of regulation may outweigh the benefits. There are strong arguments that risk management is best left to the market place, where individual consumers can make the trade-off between risk and the forgone benefi...
journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.2001.tb00548.x
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:To examine the relationship between self-reported and clinical measurements for high blood pressure (HBP) and high cholesterol (HC) in a random population sample. METHOD:A representative population sample of adults aged 18 years and over living in the north-west region of Adelaide (n=1537) were recruited to ...
journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1753-6405.2010.00572.x
更新日期：2010-08-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/1753-6405.12591
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.1998.tb01421.x
更新日期：1998-06-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1467-842x.1998.tb01500.x
更新日期：1998-12-01 00:00:00
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doi：10.1111/1753-6405.12566
更新日期：2016-12-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1467-842x.2000.tb01564.x
更新日期：2000-06-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.2006.tb00465.x
更新日期：2006-10-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1753-6405.2007.00080.x
更新日期：2007-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1753-6405.2011.00779.x
更新日期：2011-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2003.tb00818.x
更新日期：2003-10-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章,随机对照试验
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更新日期：2010-10-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.2004.tb00635.x
更新日期：2004-02-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1467-842x.2000.tb00526.x
更新日期：2000-12-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/1753-6405.12731
更新日期：2018-04-01 00:00:00
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doi：10.1111/1753-6405.12561
更新日期：2016-10-01 00:00:00
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doi：10.1111/j.1467-842x.2002.tb00266.x
更新日期：2002-02-01 00:00:00
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doi：10.1111/j.1467-842x.2005.tb00203.x
更新日期：2005-08-01 00:00:00
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更新日期：2003-01-01 00:00:00
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doi：10.1111/j.1467-842x.1996.tb01031.x
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更新日期：2004-12-01 00:00:00
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更新日期：1999-10-01 00:00:00
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doi：10.1111/j.1467-842x.2007.00053.x
更新日期：2007-06-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.1998.tb01466.x
更新日期：1998-10-01 00:00:00
abstract：OBJECTIVE:This study revisits disparities in health and wellbeing by sexual identity in Australia, identifying which domains demand priority policy intervention, documenting differences between gay/lesbian vs. bisexual populations, and examining change over time in the relative health and wellbeing of sexual minorities...
journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/1753-6405.12855
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To describe survey findings which measure broader gambling harms and provide benchmark data to evaluate an awareness and education program to minimise harm; part of NZ's public health approach to problem gambling. To assess whether previously reported ethnic and socio-economic disparities are evident when res...
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doi：10.1111/j.1753-6405.2012.00847.x
更新日期：2012-04-01 00:00:00
