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Increased Incidence of Escherichia Coli Bacteremia Post-Christchurch Earthquake 2011: Possible Associations

Published online by Cambridge University Press:  21 February 2013

Mona Schousboe ,
Jania Lynds  and
Chris Ambrose
Mona Schousboe*
Affiliation:
Canterbury District Health Board, Christchurch, New Zealand
Jania Lynds
Affiliation:
Canterbury District Health Board, Christchurch, New Zealand
Chris Ambrose
Affiliation:
Canterbury District Health Board, Christchurch, New Zealand
*
Correspondence: Mona Schousboe, FRCPA Canterbury Health Laboratories CDHB, PO Box 151 Christchurch 8001, New Zealand E-mail [email protected]
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Abstract

Introduction

Earthquakes are natural events that contribute to the transmission of infectious diseases. The aim of this research was to determine whether the observed increase in Escherichia coli (E. coli) bloodstream infections (BSI) during the period March-June 2011 was associated with the February 2011 Christchurch earthquake.

Methods

Descriptive statistics and spatial distributional analysis techniques were used to quantify patients with E. coli BSI in 2009-2011.

Results

E. coli BSI acquired from non-catheter related urinary tract infection (UTI) was the predominant infection type, with the greatest increase during March-June 2011. Bacteremia incidence was higher in females than in males for 2009-2011. In 2011, the median age of patients was 75 years, and an increase in males acquiring such infections was noted. Spatial distributional analysis failed to show direct association between bacteremia cases and liquefaction-related land damage or drinking water contamination. A higher incidence of E. coli BSI post-earthquake in the eastern suburbs, which tend towards a higher level of socioeconomic deprivation, was observed.

Conclusion

A number of possible factors contributing to the observed increase in E. coli BSI acquired from UTI in 2011 were considered. Individuals with higher deprivation indices, males and the elderly may be particularly vulnerable to the effects of a major disaster with subsequent breakdown of infrastructure. These findings have important implications in natural disaster situations, and justify development of strategies to identify UTI and pyelonephritis risk factors and to manage E. coli bacteremia incidence rates.

SchousboeM, LyndsJ, AmbroseC. Increased Incidence of Escherichia Coli Bacteremia Post-Christchurch Earthquake 2011: Possible Associations. Prehosp Disaster Med. 2013;28(3):1-8.

Keywords

bacteremiaChristchurchdisasterearthquakepyelonephritis
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 3 , June 2013 , pp. 202 - 209
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Linscott, AJ. Natural disasters - a microbe's paradise. Clinical Microbiology Newsletter. 2007;29(8):57-62.CrossRefGoogle Scholar
2.Sever, MS, Erek, E, Vanholder, R, et al. Lessons learned from the catastrophic Marmara earthquake: factors influencing the final outcome of renal victims. Clin Nephrol. 2004;61(6):413-421.CrossRefGoogle ScholarPubMed
3.Wang, Y, Hao, P, Lu, B, et al. Causes of infection after earthquake, China, 2008. Emerg Infect Dis. 2010;16(6):974-975.CrossRefGoogle ScholarPubMed
4.Keven, K, Ates, K, Sever, MS, et al. Infectious complications after mass disasters: the Marmara earthquake experience. Scand J Inf Dis. 2003;35(2):110-113.CrossRefGoogle ScholarPubMed
5.Ardagh, MW, Richardson, SK, et al. The initial health-system response to the earthquake in Christchurch, New Zealand, in February, 2011. 2012;379(9831):2109-2115.CrossRefGoogle Scholar
6.Wagenlehner, FME, Pilatz, A, Weidner, W. Urosepsis - from the view of the urologist. Int J Antimicrob Agents. 2011;38(Suppl):51-57.CrossRefGoogle ScholarPubMed
7.Salmond, C, Crampton, P, Atkinson, J. NZ Dep. 2006 Index of Deprivation. Wellington: Department of Public Health, University of Otago Wellington; 2007.Google Scholar
8.Dairiki Shortliffe, LM, McCue, JD. Urinary tract infection at the age extremes: pediatrics and geriatrics. Am J Med. 2002;113(Suppl 1):55-66.CrossRefGoogle Scholar
9.Chin, BS, Kim, MS, Han, SH, et al. Risk factors of all-cause in-hospital mortality among Korean elderly bacteremic urinary tract infection (UTI) patients. Arch Gerontol Geriatr. 2011;52(1):e50-e55.CrossRefGoogle ScholarPubMed
10.Offner, PJ, Moore, EE, Biffl, WL. Male gender is a risk factor for major infections after surgery. Arch Surg. 1999;134(9):935-938.CrossRefGoogle ScholarPubMed
11.Potangaroa, R, Wilkinson, S, Zare, M, Steinfort, P. The management of portable toilets in the eastern suburbs of Christchurch after the February 22, 2011 earthquake. Australasian Journal of Disaster and Trauma Studies. 2011;2:35-48.Google Scholar
12.Beetz, R. Mild dehydration: a risk factor of urinary tract infection? Eur J Clin Nutr. 2003;57(Suppl 2):S52-S58.CrossRefGoogle ScholarPubMed
13.Kamel Hosam, K. The frequency and factors linked to a urinary tract infection coding in patients undergoing hip fracture surgery. Journal of the American Medical Directors Association. 2005;6(5):316-332.CrossRefGoogle ScholarPubMed
14.Sung, SA, Kang, YS, Lee, SY, et al. Acute renal failure in acute pyelonephritis. Korean J Med. 2003;64(2):217-224.Google Scholar
15.Andriole, VT. Water, acidosis, and experimental pyelonephritis. J Clin Invest. 1970;49(1):21-30.CrossRefGoogle ScholarPubMed