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A common, symptom-based case definition for gastroenteritis

  • S. E. MAJOWICZ (a1) (a2), G. HALL (a3), E. SCALLAN (a4), G. K. ADAK (a5), C. GAUCI (a6), T. F. JONES (a7), S. O'BRIEN (a8), O. HENAO (a4) and P. N. SOCKETT (a1) (a2)
  • DOI:
  • Published online: 09 August 2007

National studies determining the burden of gastroenteritis have defined gastroenteritis by its clinical picture, using symptoms to classify cases and non-cases. The use of different case definitions has complicated inter-country comparisons. We selected four case definitions from the literature, applied these to population data from Australia, Canada, Ireland, Malta and the United States, and evaluated how the epidemiology of illness varied. Based on the results, we developed a standard case definition. The choice of case definition impacted on the observed incidence of gastroenteritis, with a 1·5–2·1 times difference between definitions in a given country. The proportion of cases with bloody diarrhoea, fever, and the proportion who sought medical care and submitted a stool sample also varied. The mean age of cases varied by <5 years under the four definitions. To ensure comparability of results between studies, we recommend a standard symptom-based case definition, and minimum set of results to be reported.

Corresponding author
*Author for correspondence: Dr E. Scallan, 1600 Clifton Road NE MSD63, Atlanta, GA 30333, USA. (Email:
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3. MJ Farthing . Diarrhoea: a significant worldwide problem. International Journal of Antimicrobial Agents 2000; 14: 6569.

4. R Guerrant , Magnitude and impact of diarrheal diseases. Archives of Medical Research 2002; 33: 351355.

5. M Helms , Short and long term mortality associated with foodborne bacterial gastrointestinal infections: registry based study. British Medical Journal 2003; 326: 357.

6. PS Mead , Food-related illness and death in the United States. Emerging Infectious Diseases 1999; 5: 607625.

7. CM Zimmerman , Cost of diarrhea-associated hospitalizations and outpatient visits in an insured population of young children in the United States. Pediatric Infectious Diseases Journal 2001; 20: 1419.

8. N Thapar , IR Sanderson . Diarrhoea in children: an interface between developing and developed countries. Lancet 2004; 363: 641653.

10. JG Wheeler , Study of infectious intestinal disease in England: rates in the community, presenting to general practice, and reported to national surveillance. British Medical Journal 1999; 318: 10461050.

13. MAS de Wit , A population-based longitudinal study on the incidence and disease burden of gastroenteritis and Campylobacter and Salmonella infection in four regions of the Netherlands. European Journal of Epidemiology 2000; 16: 713718.

17. G Hall , Estimating foodborne gastroenteritis, Australia. Emerging Infectious Diseases 2005; 11: 12571264.

20. MAS de Wit , Sensor, a population-based cohort study on gastroenteritis in the Netherlands, incidence and etiology. American Journal of Epidemiology 2001; 154: 666674.

25. J Flint , Estimating the burden of acute gastroenteritis, foodborne disease and pathogens commonly transmitted by food; an international review. Clinical Infectious Diseases 2005; 41: 698704.

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