Lack of association between long-term illness and infectious intestinal disease in New Zealand

N Z Med J. 2004 May 21;117(1194):U893.

Abstract

Aims: To investigate whether the increase in notified cases of infectious intestinal disease in New Zealand from 1988 to 2001 has resulted in a concurrent increase in associated secondary illness cases.

Methods: National surveillance system data were compared to hospital discharge data.

Results: No statistically significant correlation between the number of cases of campylobacteriosis and Guillain-Barre syndrome (GBS) was found. There was no statistically significant correlation between the number of cases of campylobacteriosis, salmonellosis, shigellosis, and any of the categories of reactive arthritis; apart from two correlations with campylobacteriosis: with arthropathy associated with Reiter's disease and nonspecific urethritis (Pearson correlation R2=0.69; p<0.02) and unspecified infective arthritis (Pearson correlation R2=0.75; p<0.008). The later category is likely to include cases of both infective and non-infective aetiology.

Conclusion: In New Zealand, infectious intestinal diseases are not making a significant contribution to the burden of hospitalisation for reactive arthritis or GBS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthritis, Infectious / epidemiology
  • Arthritis, Reactive / epidemiology*
  • Campylobacter Infections / epidemiology
  • Campylobacter Infections / microbiology
  • Campylobacter jejuni / isolation & purification
  • Communicable Diseases / epidemiology*
  • Comorbidity
  • Disease Notification / statistics & numerical data
  • Disease Outbreaks / statistics & numerical data
  • Dysentery / epidemiology
  • Dysentery, Bacillary / epidemiology
  • Guillain-Barre Syndrome / epidemiology*
  • Hemolytic-Uremic Syndrome / epidemiology
  • Hospitalization / statistics & numerical data
  • Hospitalization / trends*
  • Humans
  • Incidence
  • Intestinal Diseases / epidemiology*
  • New Zealand / epidemiology
  • Population Surveillance