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Gastroenteritis in sentinel general practices,The Netherlands.

M A de Wit1, M P Koopmans, L M Kortbeek

  • 1National Institute of Public Health and the Environment, Department of Infectious Diseases Epidemiology, PO Box 1, 3720 BA Bilthoven, The Netherlands. matty.de.wit@rivm.nl

Emerging Infectious Diseases
|March 27, 2001
PubMed
Summary
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Gastroenteritis affects 79.7 per 10,000 person-years in the Netherlands. Campylobacter was the most common pathogen, identified in 10% of cases.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Gastroenteritis is a common illness requiring general practitioner consultation.
  • Understanding pathogen prevalence is crucial for public health interventions.

Purpose of the Study:

  • To determine the incidence of gastroenteritis in Dutch general practices.
  • To identify the spectrum of causative pathogens.
  • To estimate the annual burden of gastroenteritis consultations.

Main Methods:

  • A case-control study was conducted from 1996 to 1999.
  • Patients with gastroenteritis (cases) and controls with non-gastrointestinal symptoms were recruited.
  • Pathogen detection included bacteria, viruses, and parasites.

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Main Results:

  • The incidence of gastroenteritis was 79.7 per 10,000 person-years.
  • Campylobacter was the most frequent pathogen (10%), followed by Giardia lamblia, rotavirus, Norwalk-like viruses, and Salmonella.
  • An estimated 128,000 persons annually consulted a general practitioner for gastroenteritis.
  • A pathogen was identified in nearly 40% of cases.

Conclusions:

  • Gastroenteritis remains a significant public health concern in the Netherlands.
  • Bacterial pathogens, particularly Campylobacter, are leading causes.
  • Continued surveillance and pathogen identification are essential for effective management.