Pathogen-specific risk of reactive arthritis from bacterial causes of foodborne illness

J Rheumatol. 2013 May;40(5):712-4. doi: 10.3899/jrheum.121254. Epub 2013 Apr 1.

Abstract

Objective: Reactive arthritis (ReA) is a sequelae of common bacterial infections of acute gastroenteritis. We assessed incidence of ReA following Campylobacter, Salmonella, Shigella, or Yersinia infection utilizing a U.S. Department of Defense medical database.

Methods: Subjects with acute gastroenteritis attributed to these pathogens were matched with ≥ 4 unexposed subjects. Medical history was analyzed for 6 months postinfection to assess for incident ReA.

Results: A total of 1753 cases of gastroenteritis were identified. ReA incidence ranged from 0 to 4 per 100,000 person-years.

Conclusion: These data are consistent with prior studies and highlight the need for continued primary prevention efforts.

Keywords: FOODBORNE ILLNESS; PATHOGEN; REACTIVE ARTHRITIS.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acute Disease
  • Arthritis, Reactive / epidemiology
  • Arthritis, Reactive / microbiology*
  • Bacterial Infections / complications*
  • Bacterial Infections / epidemiology
  • Campylobacter Infections / complications
  • Campylobacter Infections / epidemiology
  • Databases, Factual
  • Dysentery, Bacillary / complications
  • Dysentery, Bacillary / epidemiology
  • Female
  • Foodborne Diseases*
  • Gastroenteritis / complications*
  • Gastroenteritis / epidemiology
  • Humans
  • Male
  • Military Medicine
  • Prohibitins
  • Retrospective Studies
  • Risk Factors
  • Salmonella Infections / complications
  • Salmonella Infections / epidemiology
  • United States / epidemiology
  • Yersinia Infections / complications
  • Yersinia Infections / epidemiology