RESUMO
This study aimed to investigate the occurrence of complications, especially musculoskeletal symptoms, after sporadic Campylobacter jejuni enteritis of domestic origin in Finland. This multi-centre cross-sectional study was conducted during a seasonal peak in 2002. Questionnaires were sent to Campylobacter-positive patients, representing different geographical areas, 2 months after collection of positive stool samples. Medical records were viewed in several cases. Besides antimicrobial susceptibility testing C. jejuni isolates were serotyped. A total of 235 patients (58%) returned the questionnaire and 201 C. jejuni-positive patients were finally included in the study. Musculoskeletal symptoms associated with C. jejuni enteritis were frequent (39%); joint pain was most commonly reported (81%). The incidence of reactive arthritis was 4% and that of Achilles enthesopathy and/or heel pain was 9%. Stomach ache during enteritis was associated with the later development of joint pain. Antimicrobial treatment was common but did not prevent complications.
Assuntos
Infecções por Campylobacter/complicações , Campylobacter jejuni , Doenças Musculoesqueléticas/epidemiologia , Adolescente , Adulto , Criança , Pré-Escolar , Diarreia/complicações , Oftalmopatias/complicações , Oftalmopatias/epidemiologia , Feminino , Cardiopatias/complicações , Cardiopatias/epidemiologia , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/complicações , Neuralgia/complicações , Neuralgia/epidemiologia , Parestesia/complicações , Parestesia/epidemiologia , Autorrevelação , Inquéritos e Questionários , Doenças Urológicas/complicações , Doenças Urológicas/epidemiologia , Adulto JovemRESUMO
The relative importance of different risk-factors for Campylobacter infections and the role of bacterial strain and host characteristics are uncertain. Swimming in natural sources of water was recently described as a novel independent risk-factor for domestically-acquired Campylobacter infections. The present study investigated exposure factors and demographical characteristics (collected in a questionnaire), and determined whether Campylobacter jejuni serotypes could be linked to each other or to the severity of the disease in domestically-acquired sporadic C. jejuni infections during a seasonal peak in Finland. Swimming was associated positively with an age of Assuntos
Infecções por Campylobacter/etiologia
, Campylobacter jejuni/classificação
, Adolescente
, Adulto
, Fatores Etários
, Idoso
, Idoso de 80 Anos ou mais
, Infecções por Campylobacter/tratamento farmacológico
, Criança
, Pré-Escolar
, Estudos Transversais
, Feminino
, Hospitalização
, Humanos
, Lactente
, Tempo de Internação
, Masculino
, Pessoa de Meia-Idade
, Fatores de Risco
, Sorotipagem
, Natação