A comparison of gastroenteritis in a general practice-based study and a community-based study.

Abstract:

:We compared gastroenteritis cases that consulted a general practitioner (GP) with those who did not in a community-based study and also with those in a GP-based study. We aimed to identify factors associated with consultation, and with inclusion of cases by GPs, and secondly to study the effects on the frequency of detection of pathogens. Furthermore, we estimated the under-ascertainment by GPs. Both studies were performed in The Netherlands in the same population in an overlapping time-period. Overall, 5% of community cases consulted a GP. Cases who consulted suffered from more severe episodes than non-consulting cases. Inclusion of cases by GPs, instead of a study team, caused a selection of more severe cases with more chronic symptoms. When extrapolating data from GP-based studies, it should be taken into account that, in general practice, gastroenteritis due to bacteria and Giardia lamblia is a relatively large proportion of that in the community and gastroenteritis due to Norwalk-like viruses is a relatively small proportion. The incidence of gastroenteritis in general practices was estimated between 14 and 35 per 1000 person years.

journal_name

Epidemiol Infect

authors

de Wit MA,Kortbeek LM,Koopmans MP,de Jager CJ,Wannet WJ,Bartelds AI,van Duynhoven YT

doi

10.1017/s0950268801006082

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

389-97

issue

3

eissn

0950-2688

issn

1469-4409

journal_volume

127

pub_type

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