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The Infectious Intestinal Disease Study of England: A prospective evaluation of symptoms and health care use after an acute episode

Published online by Cambridge University Press:  25 June 2003

P. CUMBERLAND ,
D. SETHI ,
P. J. RODERICK ,
J. G. WHEELER ,
J. M. COWDEN ,
J. A. ROBERTS ,
L. C. RODRIGUES ,
M. J. HUDSON  and
D. S. TOMPKINS
P. CUMBERLAND
Affiliation:
London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
D. SETHI
Affiliation:
London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
P. J. RODERICK
Affiliation:
University of Southampton, Southampton, UK
J. G. WHEELER
Affiliation:
London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
J. M. COWDEN
Affiliation:
Scottish Centre for Infection and Environmental Health, Clifton Place, Glasgow G3 7W, UK
J. A. ROBERTS
Affiliation:
London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
L. C. RODRIGUES
Affiliation:
London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
M. J. HUDSON
Affiliation:
Centre for Applied Microbiology and Research, Porton, Wiltshire, UK
D. S. TOMPKINS
Affiliation:
Leeds Public Health Laboratory, Bridle Path, York Road, Leeds LS15 7TR, UK
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Abstract

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The sequelae of Infectious Intestinal Disease (IID) in a population-based sample of cases and matched controls were investigated for a period of 3 months following the initial infection. Incident cases of IID presenting to GPs or occurring in the community and controls were studied at 3 weeks and over a 3-month follow-up period. Cases were six times more likely than controls to have gastrointestinal symptoms, particularly diarrhoea, at 3 weeks. Ten per cent of cases consulted their GP in the 3 months after episode and 2·3% were referred to hospital. GP presentation rates were twice as high in cases. Gastrointestinal symptoms persist after IID, leading to an increased likelihood of GP consultation and hospital referral. Diagnosis of irritable bowel syndrome may be more likely following IID. The burden of IID is likely to be considerable given its high incidence and the frequency of such sequelae.

Type
Research Article
Information
Epidemiology & Infection , Volume 130 , Issue 3 , June 2003 , pp. 453 - 460
Copyright
© 2003 Cambridge University Press