Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.

Very few reports describe all hospitalized patients with campylobacteriosis in the setting of a single waterborne outbreak. This study describes the demographics, comorbidities, clinical features, microbiology, treatment and complications of 67 hospitalized children and adults during a large waterbo...

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Autores principales:	Nicolay Mortensen, Solveig Aalstad Jonasson, Ingrid Viola Lavesson, Knut Erik Emberland, Sverre Litleskare, Knut-Arne Wensaas, Guri Rortveit, Nina Langeland, Kurt Hanevik
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1e56f793e5d64c9b8e4f3e5cf9abb08e
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spelling	oai:doaj.org-article:1e56f793e5d64c9b8e4f3e5cf9abb08e2021-12-02T20:04:09ZCharacteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.1932-620310.1371/journal.pone.0248464https://doaj.org/article/1e56f793e5d64c9b8e4f3e5cf9abb08e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0248464https://doaj.org/toc/1932-6203Very few reports describe all hospitalized patients with campylobacteriosis in the setting of a single waterborne outbreak. This study describes the demographics, comorbidities, clinical features, microbiology, treatment and complications of 67 hospitalized children and adults during a large waterborne outbreak of Campylobacter jejuni in Askoy, Norway in 2019, where more than 2000 people in a community became ill. We investigated factors that contributed to hospitalization and treatment choices. Data were collected from electronic patient records during and after the outbreak. Fifty adults and seventeen children were included with a biphasic age distribution peaking in toddlers and middle-aged adults. Most children, 14 out of 17, were below 4 years of age. Diarrhea was the most commonly reported symptom (99%), whereas few patients (9%) reported bloody stools. Comorbidities were frequent in adults (63%) and included cardiovascular disease, pre-existing gastrointestinal disease or chronic renal failure. Comorbidities in children (47%) were dominated by pulmonary and gastrointestinal diseases. Adult patients appeared more severely ill than children with longer duration of stay, higher levels of serum creatinine and CRP and rehydration therapy. Ninety-two percent of adult patients were treated with intravenous fluid as compared with 12% of children. Almost half of the admitted children received antibiotics. Two patients died, including a toddler. Both had significant complicating factors. The demographic and clinical findings presented may be useful for health care planning and patient management in Campylobacter outbreaks both in primary health care and in hospitals.Nicolay MortensenSolveig Aalstad JonassonIngrid Viola LavessonKnut Erik EmberlandSverre LitleskareKnut-Arne WensaasGuri RortveitNina LangelandKurt HanevikPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 3, p e0248464 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nicolay Mortensen Solveig Aalstad Jonasson Ingrid Viola Lavesson Knut Erik Emberland Sverre Litleskare Knut-Arne Wensaas Guri Rortveit Nina Langeland Kurt Hanevik Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
description	Very few reports describe all hospitalized patients with campylobacteriosis in the setting of a single waterborne outbreak. This study describes the demographics, comorbidities, clinical features, microbiology, treatment and complications of 67 hospitalized children and adults during a large waterborne outbreak of Campylobacter jejuni in Askoy, Norway in 2019, where more than 2000 people in a community became ill. We investigated factors that contributed to hospitalization and treatment choices. Data were collected from electronic patient records during and after the outbreak. Fifty adults and seventeen children were included with a biphasic age distribution peaking in toddlers and middle-aged adults. Most children, 14 out of 17, were below 4 years of age. Diarrhea was the most commonly reported symptom (99%), whereas few patients (9%) reported bloody stools. Comorbidities were frequent in adults (63%) and included cardiovascular disease, pre-existing gastrointestinal disease or chronic renal failure. Comorbidities in children (47%) were dominated by pulmonary and gastrointestinal diseases. Adult patients appeared more severely ill than children with longer duration of stay, higher levels of serum creatinine and CRP and rehydration therapy. Ninety-two percent of adult patients were treated with intravenous fluid as compared with 12% of children. Almost half of the admitted children received antibiotics. Two patients died, including a toddler. Both had significant complicating factors. The demographic and clinical findings presented may be useful for health care planning and patient management in Campylobacter outbreaks both in primary health care and in hospitals.
format	article
author	Nicolay Mortensen Solveig Aalstad Jonasson Ingrid Viola Lavesson Knut Erik Emberland Sverre Litleskare Knut-Arne Wensaas Guri Rortveit Nina Langeland Kurt Hanevik
author_facet	Nicolay Mortensen Solveig Aalstad Jonasson Ingrid Viola Lavesson Knut Erik Emberland Sverre Litleskare Knut-Arne Wensaas Guri Rortveit Nina Langeland Kurt Hanevik
author_sort	Nicolay Mortensen
title	Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
title_short	Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
title_full	Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
title_fullStr	Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
title_full_unstemmed	Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.
title_sort	characteristics of hospitalized patients during a large waterborne outbreak of campylobacter jejuni in norway.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1e56f793e5d64c9b8e4f3e5cf9abb08e
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Characteristics of hospitalized patients during a large waterborne outbreak of Campylobacter jejuni in Norway.

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