Evidence map›Paper›PMID 31419070›Full record

ArticleZoonoses and public health2019

Occupational swine exposure and Hepatitis E virus, Leptospira, Ascaris suum seropositivity and MRSA colonization in Austrian veterinarians, 2017-2018-A cross-sectional study.

Karin Taus, Friedrich Schmoll, Ziad El-Khatib, Herbert Auer, Heidemarie Holzmann, Stephan Aberle, Shiva Pekard-Amenitsch, Stefanie Monschein, Tatjana Sattler, Romana Steinparzer and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Zoonoses and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Karin TausAustrian Agency for Health and Food Safety (AGES), Vienna, Austria.
Friedrich SchmollAustrian Agency for Health and Food Safety (AGES), Mödling, Austria.ORCID 0000-0002-1887-9880
Ziad El-KhatibAustrian Agency for Health and Food Safety (AGES), Vienna, Austria.
Herbert AuerInstitute for Specific Prophylaxis and Tropical medicine, Centre for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Heidemarie HolzmannClinical Institute of Virology, Medical University of Vienna, Vienna, Austria.
Stephan AberleClinical Institute of Virology, Medical University of Vienna, Vienna, Austria.
Shiva Pekard-AmenitschAustrian Agency for Health and Food Safety (AGES), Graz, Austria.
Stefanie MonscheinAustrian Agency for Health and Food Safety (AGES), Graz, Austria.
Tatjana SattlerAustrian Agency for Health and Food Safety (AGES), Mödling, Austria.
Romana SteinparzerAustrian Agency for Health and Food Safety (AGES), Mödling, Austria.
Franz AllerbergerAustrian Agency for Health and Food Safety (AGES), Vienna, Austria.
Daniela SchmidAustrian Agency for Health and Food Safety (AGES), Vienna, Austria.
Austrian Agency for Health and Food Safety · ATMedical University of Vienna · ATKarolinska Institutet · SEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the prevalence of Hepatitis E Virus (HEV), Leptospira and Ascaris suum (A. suum) seropositivity, and of nasal methicillin-resistant Staphylococcus aureus (MRSA) colonization among Austrian practising veterinarians, and assessed the association with occupational swine livestock exposure. The 261 participants completed a questionnaire on demographics, intensity of occupational swine livestock contact and glove use during handling animals and their secretions. Participants' blood samples were tested for HEV, Leptospira and A. suum seropositivity and nasal swabs cultured for MRSA. We compared swine veterinarians (defined as >3 swine livestock visits/week) to non-swine veterinarians (≤3 swine livestock visits/week) with regard to the outcomes through calculating prevalence ratio (PR) and 95% confidence interval (CI). Furthermore, the relationship between occupational swine livestock contact and the study outcomes was examined by age (</≥55 years) and glove usage. The prevalence of nasal MRSA colonization was 13.4% (95% CI: 9.3-17.6), of HEV seropositivity 20.8% (95% CI: 15.8-25.7) and A. suum seropositivity 44% (95% CI: 37.7-50.2). The highest anti-leptospiral antibodies titres were 1:200 (L. hebdomadis) and 1:100 (L. autumnalis, L. caicola) found in three non-swine veterinarians. Compared to non-swine veterinarians, swine veterinarians were 1.9 (95% CI: 1.0-3.4) and 1.5 (95%CI: 1.0-2.3) times more likely HEV seropositive and A. suum seropositive, respectively, and 4.8 (95%CI: 2.5; 9.3) times more likely nasally colonized with MRSA. Among glove-using veterinarians, occupational swine contact was no longer a determinant for HEV seropositivity (PR 1.6; 95% CI: 0.8-2.9). Similar was found for A. suum seropositivity, which was no longer associated with occupational swine livestock contact in the subgroup of glove using, ≥55-year-old veterinarians (PR: 1.07; 95% CI: 0.4-3.3). Our findings indicate that >3 occupational swine livestock visits per week is associated with HEV and A. suum seropositivity and nasal MRSA colonization and that glove use may play a putative preventive role in acquiring HEV and A. suum. Further analytical epidemiological studies have to prove the causality of these associations.

Indexed as

Ascaris suumHepatitis E virusLeptospiraMethicillin-Resistant Staphylococcus aureusSwineVeterinariansAdultAnimalsAntibodies, BacterialAntibodies, HelminthAntibodies, ViralAscariasisAustriaCarrier StateCross-Sectional StudiesFemaleAntibodies, BacterialAntibodies, HelminthAntibodies, ViralA. suumAustriaHepatitis ELeptospiralivestockMRSA colonization

Identifiers

PMID31419070
PMCPMC6851874
OpenAlexW2968423743

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.