Impact of the COVID-19 Pandemic on Foodborne Disease Healthcare-Seeking Behavior and Diagnoses at a Large Academic Medical System.

IF 1.9 2区农林科学 Q3 FOOD SCIENCE & TECHNOLOGY Foodborne pathogens and disease Pub Date : 2024-09-04 DOI:10.1089/fpd.2023.0092

James A Barkley, Robert L Scharff, Joan-Miquel Balada-Llasat, Barbara Kowalcyk

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Abstract

The objective of this study was to examine changes in healthcare-seeking behaviors and diagnostic practices around foodborne illness during the COVID-19 pandemic in a large university-based health system. A retrospective cohort study of individuals diagnosed with pathogens commonly transmitted through food between 2015 and 2020 was undertaken using electronic medical record data. Regression models were used to compare measured incidence rates of various foodborne pathogens as well as associated healthcare-seeking behaviors during the pandemic year of 2020 to previous years. Incidence of campylobacteriosis, cholera, and norovirus in 2020 significantly decreased, respectively, by 65.5% (p < 0.01), 90.1% (p = 0.02), and 73.0% (p = 0.03) compared with an average from 2017- to 019. Average annual visits for patients included in our sample significantly increased by 8.0% when comparing the average from 2017-2019 to 2020 (p < 0.01). These results suggest that the pandemic impacted healthcare use related to foodborne disease either due to reduced exposure to foodborne pathogens or reduced willingness to seek healthcare.

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COVID-19 大流行对大型学术医疗系统食源性疾病就医行为和诊断的影响。

本研究的目的是在一个以大学为基础的大型医疗系统中，考察 COVID-19 大流行期间围绕食源性疾病的就医行为和诊断方法的变化。本研究利用电子病历数据，对 2015 年至 2020 年期间确诊为常经食物传播的病原体感染者进行了回顾性队列研究。研究采用回归模型，将 2020 年大流行年期间各种食源性病原体的测得发病率以及相关的就医行为与往年进行比较。与 2017 年至 019 年的平均水平相比，2020 年弯曲杆菌病、霍乱和诺如病毒的发病率分别大幅下降了 65.5%（p < 0.01）、90.1%（p = 0.02）和 73.0%（p = 0.03）。与 2017-2019 年至 2020 年的平均值相比，样本中患者的年平均就诊率显著增加了 8.0%（p < 0.01）。这些结果表明，大流行影响了与食源性疾病有关的医疗保健使用，原因可能是接触食源性病原体的机会减少或就医意愿降低。

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来源期刊

Foodborne pathogens and disease 医学-食品科技

CiteScore

5.30

自引率

3.60%

发文量

审稿时长

1 months

期刊介绍： Foodborne Pathogens and Disease is one of the most inclusive scientific publications on the many disciplines that contribute to food safety. Spanning an array of issues from "farm-to-fork," the Journal bridges the gap between science and policy to reduce the burden of foodborne illness worldwide. Foodborne Pathogens and Disease coverage includes: Agroterrorism Safety of organically grown and genetically modified foods Emerging pathogens Emergence of drug resistance Methods and technology for rapid and accurate detection Strategies to destroy or control foodborne pathogens Novel strategies for the prevention and control of plant and animal diseases that impact food safety Biosecurity issues and the implications of new regulatory guidelines Impact of changing lifestyles and consumer demands on food safety.