ABSTRACT
A large database of Campylobacter isolates precisely identified at the species level was used to compare patients' characteristics. In a multivariate analysis, Campylobacter coli was found more often in older patients and in patients having traveled abroad and less often in summertime than Campylobacter jejuni. Campylobacter fetus infection occurred in much older patients and in hospitalized patients with a systemic disease.
Subject(s)
Campylobacter Infections/epidemiology , Campylobacter Infections/microbiology , Campylobacter coli/isolation & purification , Campylobacter fetus/isolation & purification , Campylobacter jejuni/isolation & purification , Adult , Age Factors , Aged , Female , Hospitalization , Humans , Male , Seasons , TravelABSTRACT
BACKGROUND: Use of cellular phones has been shown to be associated with crashes but many external distractions remain to be studied. OBJECTIVE: To assess the risk associated with diversion of attention due to unexpected events or secondary tasks at the wheel. DESIGN: Responsibility case-control study. SETTING: Adult emergency department of the Bordeaux University Hospital (France) from April 2010 to August 2011. PARTICIPANTS: 955 injured drivers presenting as a result of motor vehicle crash. MAIN OUTCOME MEASURES: The main outcome variable was responsibility for the crash. Exposures were external distraction, alcohol use, psychotropic medicine use, and sleep deprivation. Potential confounders were sociodemographic and crash characteristics. RESULTS: Beyond classical risk factor found to be associated with responsibility, results showed that distracting events inside the vehicle (picking up an object), distraction due to driver activity (smoking) and distracting events occurring outside were associated with an increased probability of being at fault. These distraction-related factors accounted for 8% of injurious road crashes. LIMITATIONS: Retrospective responsibility self-assessment. CONCLUSIONS: Diverted attention may carry more risk than expected. Our results are supporting recent research efforts to detect periods of driving vulnerability related to inattention.
Subject(s)
Accidents, Traffic/statistics & numerical data , Attention , Automobile Driving , Liability, Legal , Adolescent , Adult , Alcohol Drinking/epidemiology , Case-Control Studies , Emergency Service, Hospital , Female , France , Humans , Male , Middle Aged , Retrospective Studies , Risk Factors , Self Report , Young AdultABSTRACT
OBJECTIVE: To assess the association between mind wandering (thinking unrelated to the task at hand) and the risk of being responsible for a motor vehicle crash. DESIGN: Responsibility case-control study. SETTING: Adult emergency department of a university hospital in France, April 2010 to August 2011. PARTICIPANTS: 955 drivers injured in a motor vehicle crash. MAIN OUTCOME MEASURES: Responsibility for the crash, mind wandering, external distraction, negative affect, alcohol use, psychotropic drug use, and sleep deprivation. Potential confounders were sociodemographic and crash characteristics. RESULTS: Intense mind wandering (highly disrupting/distracting content) was associated with responsibility for a traffic crash (17% (78 of 453 crashes in which the driver was thought to be responsible) v 9% (43 of 502 crashes in which the driver was not thought to be responsible); adjusted odds ratio 2.12, 95% confidence interval 1.37 to 3.28). CONCLUSIONS: Mind wandering while driving, by decoupling attention from visual and auditory perceptions, can jeopardise the ability of the driver to incorporate information from the environment, thereby threatening safety on the roads.
