Study of infectious intestinal disease in England : rates in the community, presenting to general practice, and reported to national surveillance.
Objective To establish the incidence and aetiology of infectious intestinal disease in the community and presenting to general practitioners.
Comparison with incidence and aetiology of cases reaching national laboratory based surveillance.
Design Population based community cohort incidence study, general practice based incidence studies, and case linkage to national laboratory surveillance.
Setting 70 general practices throughout England.
Participants 459 975 patients served by the practices.
Community surveillance of 9776 randomly selected patients.
Main outcome measures Incidence of infectious intestinal disease in community and reported to general practice.
Results 781 cases were identified in the community cohort, giving an incidence of 19.4/100 person years (95% confidence interval 18.1 to 20.8). 8770 cases presented to general practice (3.3/100 person years (2.94 to 3.75)). One case was reported to national surveillance for every 1.4 laboratory identifications, 6.2 stools sent for laboratory investigation, 23 cases presenting to general practice, and 136 community cases.
The ratio of cases in the community to cases reaching national surveillance was lower for bacterial pathogens (salmonella 3.2 : 1, campylobacter 7.6 : 1) than for viruses (rotavirus 35 : 1, small round structured viruses 1562 : 1).
There were many cases for which no organism was identified. (...)
Mots-clés Pascal : Infection, Intestin, Epidémiologie, Incidence, Etiologie, Pratique professionnelle, Médecin généraliste, Etude comparative, Système national, Surveillance, Royaume Uni, Europe, Homme, Intestin pathologie, Appareil digestif pathologie
Mots-clés Pascal anglais : Infection, Gut, Epidemiology, Incidence, Etiology, Professional practice, General practitioner, Comparative study, National system, Surveillance, United Kingdom, Europe, Human, Intestinal disease, Digestive diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0233228
Code Inist : 002B30A01A2. Création : 16/11/1999.