Irritable bowel syndrome—post salmonella infection

McKendrick, M.W.; Read, N W

doi:10.1016/s0163-4453(94)94871-2

Cited by 273 publications

(174 citation statements)

References 3 publications

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“…Our study however raises the possibility that IBS may develop after infection with infectious agents of unknown origin and may also be a complication of cases with less severe IID. Campylobacter and salmonella have been identified as causative organisms in the development of IBS [4,19]. In our study only five of our cases who developed IBS, had campylobacter isolated.…”

Section: Comparison With Other Studiesmentioning

confidence: 47%

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

et al. 2003

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The infectious intestinal disease study of England: a prospective evaluation of symptoms and health care use after an acute episode. Epidemiology and infection, 130 (3 SUMMARYThe 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.

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Section: Comparison With Other Studiesmentioning

confidence: 47%

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

et al. 2003

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“…With regard to infection, we are now beginning to see the real data to directly support the concept of post-infective or post-dysenteric IBS. Infection and IBS First reported by McKendrick and Read [24] , the occurrence of IBS following bacteriologicallyconfirmed gastroenteritis has now been documented in several studies [25][26][27][28][29][30] . The risk of developing IBS following an episode of gastroenteritis is in the order of 4%-23%, with females, those with a more severe initial illness and pre-morbid psychopathology being most at risk [25,26,28,30] .…”

Section: Infection Inflammation Immunity and Ibsmentioning

confidence: 94%

Changing face of irritable bowel syndrome

Quigley¹

2006

WJG

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Recent years have witnessed tremendous progress in our understanding of irritable bowel syndrome (IBS). It is evident that this is a truly global disease associated with significant symptoms and impairments in personal and social functioning for afflicted individuals. Advances in our understanding of gut flora-mucosal interactions, the enteric nervous system and the brain-gut axis have led to substantial progress in the pathogenesis of symptoms in IBS and have provided some hints towards the basic etiology of this disorder, in some subpopulations, at the very least. We look forward to a time when therapy will be addressed to pathophysiology and perhaps, even to primary etiology. In the meantime, a model based on a primary role for intestinal inflammation serves to integrate the various strands, which contribute to the presentation of IBS

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“…Several studies have established the causative pathogens of PI-IBS, including Shigella spp., 16,23 pathogenic E. coli, 22 Salmonella spp., 13,18 C. jejuni, 15 G. duodenali, 19 Trichinella britovi, 25 norovirus, 26 or combinations of the preceding pathogens. 14,22 The reported incidence of PI-IBS varies from about 5-30%, 11 and PI-IBS is now a well-recognized consequence of acute infectious gastroenteritis.…”

Section: Discussionmentioning

confidence: 99%

“…12 Post-infectious IBS (PI-IBS) is defined as the acute onset of new IBS symptoms in an individual who has not previously met the criteria for IBS immediately following an acute illness characterized by 2 or more of the following: fever, vomiting, diarrhea, or positive bacterial stool culture. 12 Although there have been many reports regarding PI-IBS associated with pathogens such as Shigella spp., pathogenic Escherichia coli, Salmonella, Campylobacter jejuni, and Giardia duodenalis in the past 20 years, [13][14][15][16][17][18][19] most of these reports address the shortterm clinical course of PI-IBS, and only few examined the longterm course (≥ 5 years) of PI-IBS. [20][21][22][23] We previously reported on the clinical course of PI-IBS in a homogenous cohort comprised of patients recovered from shigellosis.…”

Section: Introductionmentioning

confidence: 99%

Long-term Clinical Course of Post-infectious Irritable Bowel Syndrome After Shigellosis: A 10-year Follow-up Study

Youn

Kim

Lim

et al. 2016

J Neurogastroenterol Motil

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Background/AimsA limited number of studies are available regarding the long-term natural history of post-infectious irritable bowel syndrome (PI-IBS). We aimed to investigate the long-term clinical course of PI-IBS. MethodsA prospective cohort study was conducted from a 2001 shigellosis outbreak in a Korean hospital with about 2000 employees. A cohort of 124 hospital employees who were infected by Shigella sonnei due to contaminated food in the cafeteria, and 105 sex-and age-matched, non-infected, controls were serially followed for their bowel symptoms by questionnaire surveys for 10 years. ResultsThe Shigella-infected cohort showed significantly higher odds ratio for irritable bowel syndrome (IBS) at 1-year (11.90; 95% CI, 1.49-95.58) and 3-year (3.93; 95% CI, 1.20-12.86) follow-up, compared to their controls. However, corresponding odds ratio for PI-IBS was not significantly increased at 5-year (1.88; 95% CI, 0.64-5.54) and 8-year (1.87; 95% CI, 0.62-5.19) follow-up. At 10-year followup survey, the prevalence of IBS was similar for the Shigella-infected cohort and their controls (23.3% versus 19.7%, P = 0.703). Risk factors which were independently associated with PI-IBS among the Shigella-infected cohort included younger age, previous history of functional bowel disorder, and longer duration of diarrhea at baseline. ConclusionsPatients who were infected by Shigella sonnei experienced significantly increased risk of IBS until 3 years after shigellosis, and modestly increased risk until 8 years, but showed similar risk of IBS with uninfected controls at 10 years post-infection. PI-IBS is quite a chronic disorder, and follows a long-term natural course.

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Irritable bowel syndrome—post salmonella infection

Cited by 273 publications

References 3 publications

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

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

Changing face of irritable bowel syndrome

Long-term Clinical Course of Post-infectious Irritable Bowel Syndrome After Shigellosis: A 10-year Follow-up Study

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