Real-life food-safety behavior and incidence of foodborne infections in solid organ transplant recipients.

Details

Serval ID
serval:BIB_D8A5B5FDB9AB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Real-life food-safety behavior and incidence of foodborne infections in solid organ transplant recipients.
Journal
American journal of transplantation
Author(s)
Lindup M., van den Bogaart L., Golshayan D., Aubert J.D., Vionnet J., Regamey J., Pascual M., Manuel O., Mombelli M.
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Publication state
Published
Issued date
05/2020
Peer-reviewed
Oui
Volume
20
Number
5
Pages
1424-1430
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Food-safety measures are recommended in solid organ transplant (SOT) recipients. However, the actual adherence of patients in a real-life setting and the impact on the incidence of foodborne infections remain largely unexplored. We performed a survey among SOT recipients followed at our institution, aiming to evaluate their food-safety behavior. We assessed the incidence of microbiologically proven foodborne infections by chart review. One hundred ninety-seven SOT recipients (kidney = 117, lung = 35, liver = 29, and heart = 16) participated in the survey. Overall, 17.7% of the participants observed all food-safety recommendations (22.0% avoided food at risk of contamination while 67.9% applied hygiene recommendations). Patients within the first year after transplantation (odds ratio [OR] 5.42; P = .001) and females (OR 4.67; P = .001) followed food-safety recommendations more closely. Although the majority of SOT recipients felt concerned and actively sought information on food safety (68%-70%), only 27% were able to recognize all risks of foodborne infection in hypothetical scenarios. Incidence of proven foodborne infections was 17.9% (95% confidence interval 9.9%-30.9%) 5 years after transplantation. Importantly, foodborne infections occurred exclusively among patients not following food-safety recommendations. In summary, most SOT recipients eat foods that make them at risk of foodborne infections. Our results indicate that there is room for improvement in patient education, particularly later after transplantation, and reinforce current food-safety recommendations.
Keywords
clinical research/practice, education, infection and infectious agents, infectious disease, organ transplantation in general, patient education, patient safety, survey
Pubmed
Web of science
Create date
05/12/2019 22:48
Last modification date
13/06/2020 5:20
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