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Mycobacteriology and Aerobic Actinomycetes

Population-Based Case Control Study of Seroprevalence of Mycobacterium paratuberculosis in Patients with Crohn's Disease and Ulcerative Colitis

Charles N. Bernstein, James F. Blanchard, Patricia Rawsthorne, Michael T. Collins
Charles N. Bernstein
1Inflammatory Bowel Disease Clinical and Research Centre
2Departments of Internal Medicine
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  • For correspondence: cbernst@cc.umanitoba.ca
James F. Blanchard
1Inflammatory Bowel Disease Clinical and Research Centre
3Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
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Patricia Rawsthorne
1Inflammatory Bowel Disease Clinical and Research Centre
2Departments of Internal Medicine
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Michael T. Collins
4The Department of Microbiology, University of Wisconsin at Madison, Madison, Wisconsin
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DOI: 10.1128/JCM.42.3.1129-1135.2004
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Tables

  • TABLE 1.

    Demographic characteristics of the study groups

    ParameterValue for groupa
    Crohn's diseaseUlcerative colitisHealthy controlsSibling controls
    Age (yr)
        Mean36.4 ± 7.8^37.4 ± 7.6^39.8 ± 5.639.3 ± 8.5
        range18-5018-5024-4920-50
    Gender (% female)60.8^54.9^72.460.1
    Urban living (%)58.463.259.148.5
    Born in developing nation (%)1.13.02.90.6
    Childhood consumption ofb:
    Milk (mean ± SD)4.65 ± 0.894.51 ± 1.094.7 ± 0.834.63 ± 0.92
        Unpasteurized milk1.07 ± 1.81^1.23 ± 1.93^^1.72 ± 2.181.57 ± 2.08
        Chicken2.94 ± 0.66^^3.01 ± 0.65^^2.82 ± 0.652.88 ± 0.64
        Beef3.34 ± 0.733.35 ± 0.683.37 ± 0.743.32 ± 0.72
        Pork2.44 ± 0.872.49 ± 0.862.55 ± 0.772.59 ± 0.79
    Childhood primary water source other than tap (%)c29^^30.9^^37.442.7
    Ever lived on a poultry farm10.613.8^^8.214.5
    Ever lived on dairy or beef farm13.118.7^^14.823.7
    Ever lived on pig farm7.512.3^^6.716.3
    • ↵ a n values were as follows: for Crohn's disease group, 283; for ulcerative colitis group, 144; for healthy controls, 402; and for sibling controls, 138. ^,P < 0.001 versus control; ^^, P ≤ 0.03 versus control.

    • ↵ b Values are means ± standard deviations and indicate frequency of consumption based on the following scale: 0, never; 1, less than once a month; 2, 1 to 3 times a month; 3, 1 to 2 times a week; 4, 3 to 6 times a week; 5, every day. The statistics highlighted in the table are for comparisons of means of scores.

    • ↵ c Subjects were given a choice of primary water source during childhood of tap water, well water, or other water sources.

  • TABLE 2.

    Percentage of M. paratuberculosis-seropositive subjects by demographic variables

    Variable% M. paratuberculosis seropositiveOdds ratio (95% CI)
    First-degree family member with IBD
        Positive34.81.01 (0.74-1.37)
        Negative34.91.00
    Birth in non-Western nation
        Positive33.30.93 (0.35-2.50)
        Negative35.01.00
    Gender
        Female35.91.11 (0.84-1.47)
        Male33.51.00
    Urban residence
        Positive37.31.27 (0.96-1.68)
        Negative31.91.00
    Primary non-tap water source as child
        Positive33.90.93 (0.69-1.26)
        Negative35.61.00
    Lived on poultry farm
        Positive27.60.68 (0.43-1.06)
        Negative36.11.00
    Lived on dairy/beef farm
        Positive33.50.92 (0.65-1.31)
        Negative35.41.00
    Lived on pig farm
        Positive34.40.97 (0.62-1.51)
        Negative35.21.00
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Population-Based Case Control Study of Seroprevalence of Mycobacterium paratuberculosis in Patients with Crohn's Disease and Ulcerative Colitis
Charles N. Bernstein, James F. Blanchard, Patricia Rawsthorne, Michael T. Collins
Journal of Clinical Microbiology Mar 2004, 42 (3) 1129-1135; DOI: 10.1128/JCM.42.3.1129-1135.2004

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Population-Based Case Control Study of Seroprevalence of Mycobacterium paratuberculosis in Patients with Crohn's Disease and Ulcerative Colitis
Charles N. Bernstein, James F. Blanchard, Patricia Rawsthorne, Michael T. Collins
Journal of Clinical Microbiology Mar 2004, 42 (3) 1129-1135; DOI: 10.1128/JCM.42.3.1129-1135.2004
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KEYWORDS

Colitis, Ulcerative
Crohn Disease
Mycobacterium avium subsp. paratuberculosis
Paratuberculosis

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