Incidence and Risk Factors of Irritable Bowel Syndrome in Community Subjects with Culture-proven Bacterial Gastroenteritis
Open accessAbstract
BACKGROUND/AIMS: The aim of this study was to investigate the incidence and risk factors of irritable bowel syndrome (IBS) in community subjects with culture-proven bacterial gastroenteritis. METHODS: This was a prospective, community-based, cohort study, which followed patients with a recent history of culture-proven bacterial gastroenteritis. IBS was diagnosed with the use of the Rome II criteria at 3 and 6 months after bacterial dysentery. RESULTS: Sixty five cases were included and completed the 6 month follow-up. Thirty four cases (52.3%) were female. Salmonella was the pathogen most frequently identified and seen in 41 patients (63.1%). The cumulative incidence of IBS among patients with microbiologically proven bacterial gastroenteritis within a community was 9.2% and 12.3% at 3 and 6 months of follow-up, respectively. The duration of initial diarrhea (≥ 7 days) was associated with an increased risk for the development of IBS (aOR, 14.50 [95% CI, 1.38-152.72]; p=0.022). CONCLUSIONS: Our study suggests that the incidence of IBS among patients with culture-proven bacterial gastroenteritis within a community is similar to that reported among Western populations. A large, prospective study is encouraged to confirm our results and to evaluate the influence of the microbial species on the epidemiology of IBS in Asian populations.
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A study reported that irritable bowel syndrome developed in 9.2% of patients with culture-confirmed bacterial enteritis within three months and in 12.3% within six months.
“A study reported that irritable bowel syndrome developed in 9.2% of patients with bacterial enteritis confirmed through cultures within three months and in 12.3% of the patients within six months [21].”
From Guideline for the Antibiotic Use in Acute Gastroenteritis (2019) · cites this paper as [21]
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- Authors
- Koh, S.-J., Lee, D. H., Lee, S. H., Park, Y. S., Hwang, J. H., Kim, J. W., Jeong, S. H., Kim, N., Im, J. P., Kim, J. S., & Jung, H. C.
- Affiliations
- Seoul National University (KR)
- Seoul National University Bundang Hospital (KR)
- Corresponding author
- Lee, Dong Ho
- ORCID
- Venue
- The Korean Journal of Gastroenterology
- Published
- 2012
- Volume
- 60
- Issue
- 1
- Pages
- 13
- ISSN
- 1598-9992 (ISSN-L)
- 2233-6869
- OpenAlex
- W2076469080
- Cited by
- 16
- References
- 17
- Citations by year
- 2025: 1 · 2024: 2 · 2022: 2 · 2021: 1 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1 · 2012: 1
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Korean Journal of Gastroenterology (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Epidemiology › Microscopic Colitis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- irritable bowel syndrome, bacterial gastroenteritis, Salmonella, dysentery, incidence, risk factors, diarrhea duration, Rome II criteria, community-based cohort, Asian populations
- MeSH terms
- Adolescent, Adult, Aged, Diarrhea, Dysentery, Female, Follow-Up Studies, Gastroenteritis, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Salmonella, Shigella, Cohort Studies, Incidence, Odds Ratio, Irritable Bowel Syndrome, Young Adult
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