The Epidemiology of Vibrio Infections in Florida, 1981-1993

J Infect Dis. 1996 May;173(5):1176-83. doi: 10.1093/infdis/173.5.1176.

Abstract

The epidemiology of 690 Vibrio infections reported in Florida during 1981-1993 is described. Most infections resulted in one of three clinical syndromes: gastroenteritis (51%), wound infections (24%), or primary septicemia (17%). Case-fatality rates were 1% for gastroenteritis, 5% for wound infections, and 44% for primary septicemia. While gastroenteritis had little seasonal variation, 91% of primary septicemias and 86% of wound infections occurred from April through October, mostly due to the seasonality of Vibrio vulnificus and Vibrio parahaemolyticus infections. Infected wounds were largely a result of occupational activities around seawater. Some 68% of gastroenteritis cases and 83% of the primary septicemias were associated with raw oyster consumption. Preexisting liver disease was present in 48% of patients with primary septicemia and was associated with a fatal outcome in both wound infections (relative risk [RR], 28.3; 95% confidence interval [CI], 6.3-127.5; P < .0001) and primary septicemia (RR, 1.9; 95% CI, 1.2-3.1; P < .01).

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Bacteremia / epidemiology*
  • Bacteremia / microbiology
  • Bacteremia / mortality
  • Child
  • Child, Preschool
  • Female
  • Florida / epidemiology
  • Gastroenteritis / epidemiology*
  • Gastroenteritis / microbiology
  • Gastroenteritis / mortality
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Ostreidae
  • Prevalence
  • Risk Factors
  • Seasons
  • Shellfish
  • Vibrio Infections / epidemiology*
  • Vibrio Infections / microbiology
  • Vibrio Infections / mortality
  • Wound Infection / epidemiology*
  • Wound Infection / microbiology
  • Wound Infection / mortality