2026-04-14T03:35:16Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/116012025-10-24T10:27:21Zcom_2072_378070com_2072_378040col_2072_378092

Clostridium and Cryptosporidium outbreak linked to a splash pad de Andrés Aguayo, Anna Millet, Joan Pau Álvarez Bruned, Laia Palma, David Gómez-Gutiérrez, Anna Cornejo Sánchez, Thais Gallés, Pau Rodríguez Garrido, Virginia Institut Català de la Salut [de Andrés Aguayo A] Servei d’Epidemiologia, Agència de Salut Pública de Barcelona, Barcelona, Spain. [Millet JP, Álvarez-Bruned L, Gómez A] Agència de Salut Pública de Barcelona, Barcelona, Spain. [Palma D] Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Barcelona, Spain. [Gallés P] Public Health Department of Reus City Council, Ample, Reus, Spain. [Rodriguez V, Cornejo T] Vall d’Hebron Hospital Universitari, Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus Aigua - Microbiologia Malalties transmissibles - Transmissió Malalties parasitàries Malalties bacterianes DISEASES::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Clostridium Infections HEALTH CARE::Environment and Public Health::Public Health::Disease Outbreaks DISEASES::Parasitic Diseases DISEASES::Bacterial Infections and Mycoses::Infection::Communicable Diseases::Waterborne Diseases ENFERMEDADES::infecciones bacterianas y micosis::infecciones bacterianas::infecciones por bacterias grampositivas::infecciones por Clostridium ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::brotes de enfermedades ENFERMEDADES::enfermedades parasitarias ENFERMEDADES::infecciones bacterianas y micosis::infección::enfermedades transmisibles::enfermedades transmitidas por el agua Clostridium perfringens; Epidemiological surveillance; Waterborne disease outbreak Clostridium perfringens; Vigilància epidemiològica; Brot de malalties transmeses per l'aigua Clostridium perfringens; Vigilancia epidemiológica; Brote de enfermedades transmitidas por el agua 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. Results The 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. 2024-06-17T11:19:39Z 2024-06-17T11:19:39Z 2024-06-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion de Andrés Aguayo A, Millet JP, Álvarez-Bruned L, Palma D, Gómez A, Gallés P, et al. Clostridium and Cryptosporidium outbreak linked to a splash pad. BMC Public Health. 2024 Jun 12;24:1578. 1471-2458 https://hdl.handle.net/11351/11601 10.1186/s12889-024-18870-7 38867266 http://hdl.handle.net/11351/11601 eng BMC Public Health;24 https://doi.org/10.1186/s12889-024-18870-7 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf BMC Scientia