Journal
BMC PUBLIC HEALTH
Volume 14, Issue -, Pages -Publisher
BMC
DOI: 10.1186/1471-2458-14-1203
Keywords
Foodborne disease; Campylobacter; Systematic literature review; Meta-analysis; Chronic sequelae; Reactive arthritis; Irritable bowel syndrome; Inflammatory bowel disease; Guillain Barre syndrome; Haemolytic uraemic syndrome
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Funding
- Canadian Institutes of Health Research (CIHR) Institute of Population
- Public Health/Public Health Agency of Canada Applied Public Health Research Chair
- Public Health Agency of Canada
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Background: Understanding of chronic sequelae development after Campylobacter infection is limited. The objective of the study was to determine via systematic review and meta-analysis the proportion of Campylobacter cases that develop chronic sequelae. Methods: A systematic review of English language articles published prior to July 2011 located using Pubmed, Agricola, CabDirect, and Food Safety and Technology Abstracts. Observational studies reporting the number of Campylobacter cases that developed reactive arthritis (ReA), Reiter's syndrome (RS), haemolytic uraemic syndrome (HUS), irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), Guillain Barre syndrome (GBS) or Miller Fisher syndrome (MFS) were included. Data extraction through independent extraction of articles by four reviewers (two per article). Random effects meta-analysis was performed and heterogeneity was assessed using the I-2 value. Meta-regression was used to explore the influence of study level variables on heterogeneity. Results: A total of 31 studies were identified; 20 reported on ReA, 2 reported on RS, 9 reported on IBS, 3 studies reported on IBD, 8 reported on GBS, 1 reported on MFS and 3 reported on HUS. The proportion of Campylobacter cases that developed ReA was 2.86% (95% CI 1.40% - 5.61%, I-2 = 97.7%), irritable bowel syndrome was 4.01% (95% CI 1.41% - 10.88%, I-2 = 99.2%). Guillain Barre syndrome was 0.07% (95% CI 0.03% - 0.15%, I-2 = 72.7%). Conclusions: A significant number of Campylobacter cases develop a chronic sequela. However, results should be interpreted with caution due to the high heterogeneity.
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