Department of Exposure, Federal Institute for Risk Assessment, Berlin, Germany.
PLoS One. 2019 May 15;14(5):e0216867. doi: 10.1371/journal.pone.0216867. eCollection 2019.
Bacteria of the genus Campylobacter are an important cause of human illness worldwide. Campylobacter infections are expressed as gastroenteritis and can lead to severe sequelae like reactive arthritis, Guillain-Barré syndrome, irritable bowel syndrome and inflammatory bowel disease. In Germany, Campylobacter-associated gastroenteritis cases are notifiable but there is no reporting obligation for the sequelaes and the disease burden is clearly underestimated. The aim of our study was to quantify reliably the current disease burden of all Campylobacter spp.-associated diseases for Germany with the method of disability-adjusted life years (DALYs). DALYs combine mortality and morbidity in a single summary measure, whereby one DALY represents the loss of one year in full health. For acute gastroenteritis, we estimated 967 DALYs of which only 484 DALYs were detected within the reporting system. Overall, we estimated that 8811 DALYs were caused by the campylobacter-related diseases known so far. 98% of the DALYs were associated with morbidity and 2% with mortality. Mortality was caused by the health outcomes Gastroenteritis and Guillain-Barré syndrome exclusively.
弯曲杆菌属细菌是全世界人类疾病的重要病因。弯曲杆菌感染表现为肠胃炎,可导致严重的后遗症,如反应性关节炎、格林-巴利综合征、肠易激综合征和炎症性肠病。在德国,弯曲杆菌相关性肠胃炎病例是需要报告的,但对于后遗症没有报告义务,疾病负担明显被低估。我们的研究目的是使用伤残调整生命年(DALYs)方法可靠地量化德国所有弯曲杆菌属相关疾病的当前疾病负担。DALYs 将死亡率和发病率合并为一个单一的综合指标,其中一年完全健康的损失被定义为一个 DALY。对于急性肠胃炎,我们估计有 967 个 DALYs,其中只有 484 个 DALYs 在报告系统中被检测到。总的来说,我们估计目前已知的与弯曲杆菌相关的疾病导致了 8811 个 DALYs。98%的 DALYs 与发病率有关,2%与死亡率有关。死亡率仅由肠胃炎和格林-巴利综合征这两种健康结果引起。