Evidence map›Paper›PMID 38867266›Full record

ArticleBMC public health2024

Clostridium and Cryptosporidium outbreak linked to a splash pad.

Anna de Andrés Aguayo, Joan-Pau Millet, Laia Álvarez-Bruned, David Palma, Anna Gómez, Pau Gallés, Sara Sabaté, Gabriela Álvarez, Virginia Rodriguez, Thais Cornejo and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Anna de Andrés AguayoServei d'Epidemiología. Agència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
Joan-Pau MilletAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain. jmillet@aspb.cat.
Laia Álvarez-BrunedAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
David PalmaCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Plaza Lesseps 1, Barcelona, 08023, Spain.
Anna GómezAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
Pau GallésPublic Health Department of Reus City Council, Ample, Reus, 13-43202, Spain.
Sara SabatéAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
Gabriela ÁlvarezAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.
Virginia RodriguezVall d'Hebron Hospital Universitari, Plaza Lesseps 1, Barcelona, 08023, Spain.
Thais CornejoVall d'Hebron Hospital Universitari, Plaza Lesseps 1, Barcelona, 08023, Spain.
Cristina RiusAgència de Salut Pública de Barcelona, Plaza Lesseps 1, Barcelona, 08023, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background. Splash pads for recreational purposes are widespread. Using these pads can pose a health risk if they lack installation regulation and water quality supervision. Our aim was to describe a waterborne disease outbreak caused by Clostridium perfringens and Cryptosporidium spp. in a Barcelona district and the measures taken for its control.

methods. On August 2018, 71 cases of acute gastroenteritis were detected, affecting people who used a splash pad or were in contact with a user. Microbiological and environmental investigations were carried out. A descriptive analysis of the sample and Poisson regression models adjusted for age and sex were performed, obtaining frequencies, median values, and adjusted prevalence ratios with their 95% confidence intervals.

resultsThe median age of the cases was 6.7 years, 27 (38%) required medical care, and three (4.2%) were hospitalized. The greater the number of times a person entered the area, the greater the number of symptoms and their severity. Nineteen (76%) of the 25 stool samples collected from cases showed the presence of one or both pathogens. Environmental investigations showed deficiencies in the facilities and identified the presence of both species in the splash pad. Health education and hygiene measures were carried out, and 14 days after the closure of the facilities, no more cases related to the pad were recorded.

conclusions. Specific regulations are needed on the use of splash pads for recreational purposes. Until these regulations are in place, these types of facility should comply with the regulations that apply to swimming pools and spas, including those related to the design of the tanks, water recirculation systems, and adequate disinfection systems.

Indexed as

Clostridium InfectionsCryptosporidiosisCryptosporidiumDisease OutbreaksAdolescentAdultChildChild, PreschoolClostridium perfringensFemaleGastroenteritisHumansInfantMaleMiddle AgedSpainAGEClostridium perfringensCryptosporidium spp.Epidemiological surveillanceEpidemiologyOutbreakSplash padSpray parkWalkable fountainsWaterborne disease outbreak

Identifiers

PMID38867266
PMCPMC11167891

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Registered trials

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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.