The magnitude and distribution of infectious intestinal disease in Malta: a population-based study

Gauci, Charmaine; Gilles, H. M.; O’Brien, Sarah J.; Mamo, Julian; Stabile, Isabel; Ruggeri, Franco Maria; Gatt, Anthony; Calleja, Neville; Spiteri, Gianfranco

doi:10.1017/s0950268806007795

Cited by 26 publications

(55 citation statements)

References 23 publications

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“…The proportion of symptomatic cases at the time of interview (11 . 7%) is in the range reported by other countries (7-18 %) [3][4][5]. Similarly, the proportion of cases with respiratory symptoms (36 .…”

Section: Discussionsupporting

confidence: 58%

“…42 to 1 . 3 episodes/person-year) [3][4][5][6][7][8][9][10][11][12][13], but higher than rates from prospective follow-up studies in England and Wales (0 . 19) [13] and The Netherlands (0 .…”

Section: Discussionmentioning

confidence: 72%

“…9 days) is at the lower end of the spectrum of reported results in other retrospective telephone surveys [3,9,12]. The proportion of symptomatic cases at the time of interview (11 .…”

Section: Discussionmentioning

confidence: 84%

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Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

et al. 2011

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In France surveillance underestimates the true burden of acute gastroenteritis (AG). We conducted a population-based, retrospective cross-sectional telephone survey between May 2009 and April 2010 in order to obtain more accurate estimates of the incidence and the burden of AG and to describe healthcare-seeking behaviour for AG. Of the 10 080 persons included in the survey, 260 respondents reported 263 episodes of AG. The incidence rate of AG was estimated at 0·33 cases/person-year (95% CI 0·28-0·37). It was highest in children aged <5 years and declined with age. Thirty-three percent (95% CI 27-40) of the AG cases consulted a physician and 76% (95% CI 70-82) used medication. Our results indicate that there are more than 21 million episodes of AG each year in France. These results allow a more accurate interpretation of the data derived from existing AG surveillance systems.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 72%

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Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

et al. 2011

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“…The methodology for community surveys has improved over the years and a common case definition was established to ensure international comparability [1][2][3]. These efforts resulted in cross-sectional studies for estimates for the burden of AGI from various countries [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] and additionally a few population-based cohort studies [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Acute gastrointestinal illness in adults in Germany: a population-based telephone survey

et al. 2013

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SUMMARYPopulation-based estimates of incidence and risk factors for acute gastrointestinal illness (AGI) are important for infectious disease surveillance and healthcare planning. We conducted a nationwide representative cross-sectional telephone survey of 21 262 adults over a 12-month period during 2008-2009 in Germany. Participants were asked if they had either AGI-related diarrhoea or vomiting in a 4-week recall period. We estimated 0·95 episodes/person per year (95% confidence interval 0·90-0·99), corresponding to 64·9 million episodes of AGI annually in adults, which results in 24·5 million outpatient visits, 19·9 million hospital days and 63·2 million days of work lost. We observed an overall declining trend of AGI with increasing age. Diarrhoea was more often reported than vomiting. The mean duration of illness was 3·8 days and did not differ between age groups. Social factors seemed to be weak predictors compared to state of health and health behaviour characteristics. This study allows international comparisons and contributes to the estimation of the global burden of AGI.

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“…Several countries have conducted population-based studies on acute diarrhoea to estimate its magnitude and frequency (7-21). In Malaysia (Fig.), while data captured through the public-health surveillance and hospital surveillance systems exist, most studies concentrated on acute diarrhoea among children (22-25).…”

Section: Introductionmentioning

confidence: 99%

Incidence and Determinants of Acute Diarrhoea in Malaysia: A Population-based Study

Kaur

Tee

Amal³

et al. 2011

J Health Popul Nutr

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Acute diarrhoea is a major health problem in many parts of the world, contributing to about 1.8 million deaths globally. The objectives of the study were to assess the incidence, determinants, and severity of acute diarrhoea in the population. A nation-wide cross-sectional survey involving about 57,000 respondents was conducted via face-to-face interview among eligible respondents of all ages. An acute diarrhoeal episode was defined as having three or more episodes of loose stools in any 24-hour period within the past four weeks before the interview. The severity was measured by duration of acute diarrhoea and associated symptoms. The variables tested as determinants were age, sex, ethnicity, the highest educational level, total monthly household income, and locality. Univariate, bivariate and multivariate procedures meant for complex study design were used in the analyses. The four-week incidence of acute diarrhoea was 5% [95% confidence interval (CI) 4.8-5.2]. The incidence of acute diarrhoea among the estimated population was the highest among young adults aged 20-29 years, Other Bumiputras (the pre-dominant ethnic group in East Malaysia), those with tertiary-level of education, those earning a monthly household income of less than RM 400, and rural dwellers. Only age, ethnicity, the highest level of education attained, and locality were significantly associated with acute diarrhoea in bivariate analysis. In multivariate analysis, these four variables were found to be the determinants of acute diarrhoea. Sex and monthly household income were excluded from the model. The mean duration of acute diarrhoea was 2.0 days (standard deviation 1.3). Forty-six percent of the respondents reported stomach cramps as an associated symptom. The findings revealed that acute diarrhoea is still a major public-health concern in Malaysia and grossly under-notified. There is a need for intensification of public-health intervention efforts to reduce the incidence of acute diarrhoea while improving surveillance and notification of the disease.

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The magnitude and distribution of infectious intestinal disease in Malta: a population-based study

Cited by 26 publications

References 23 publications

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

Burden of acute gastroenteritis and healthcare-seeking behaviour in France: a population-based study

Acute gastrointestinal illness in adults in Germany: a population-based telephone survey

Incidence and Determinants of Acute Diarrhoea in Malaysia: A Population-based Study

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