荷兰感染后肠易激综合征的疾病负担。
Disease burden of post-infectious irritable bowel syndrome in The Netherlands.
机构信息
Laboratory for Zoonoses and Environmental Microbiology, Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
出版信息
Epidemiol Infect. 2010 Nov;138(11):1650-6. doi: 10.1017/S0950268810000531. Epub 2010 Mar 12.
Post-infectious irritable bowel syndrome (PI-IBS) has been established as a sequel of infectious intestinal disease (IID). The aim of this study was to estimate the burden of PI-IBS caused by the pathogens Campylobacter, Salmonella and Shigella, and to compare this with other outcomes associated with these pathogens. The attributable risk of PI-IBS due to bacterial pathogens was calculated and linked to national data on gastroenteritis incidence and measures for severity and duration of illness in order to estimate the burden of PI-IBS. One year post-infection, IBS developed in 9% of patients with bacterial IID. The burden of PI-IBS adds over 2300 disability adjusted life years to the total annual disease burden for the selected pathogens. PI-IBS is a frequent sequel of IID, resulting in a considerable disease burden compared to other outcomes. If this relationship is not considered, this will result in an underestimation of the disease burden of IID.
感染后肠易激综合征(PI-IBS)已被确立为感染性肠道疾病(IID)的后遗症。本研究旨在评估由弯曲杆菌、沙门氏菌和志贺氏菌引起的 PI-IBS 的负担,并将其与与这些病原体相关的其他结果进行比较。计算了因细菌病原体引起的 PI-IBS 的归因风险,并将其与国家关于肠胃炎发病率的数据以及疾病严重程度和持续时间的措施联系起来,以估计 PI-IBS 的负担。感染后 1 年,IID 患者中有 9%出现 IBS。PI-IBS 使所选病原体的总年度疾病负担增加了 2300 多个伤残调整生命年。PI-IBS 是 IID 的常见后遗症,与其他结果相比,会导致相当大的疾病负担。如果不考虑这种关系,IID 的疾病负担将被低估。