PMID- 27965105 OWN - NLM STAT- MEDLINE DCOM- 20170214 LR - 20211204 IS - 2352-3964 (Electronic) IS - 2352-3964 (Linking) VI - 15 DP - 2017 Feb TI - Factors Associated with Sequelae of Campylobacter and Non-typhoidal Salmonella Infections: A Systematic Review. PG - 100-111 LID - S2352-3964(16)30585-0 [pii] LID - 10.1016/j.ebiom.2016.12.006 [doi] AB - Despite the significant global burden of gastroenteritis and resulting sequelae, there is limited evidence on risk factors for sequelae development. We updated and extended previous systematic reviews by assessing the role of antibiotics, proton pump inhibitors (PPI) and symptom severity in the development of sequelae following campylobacteriosis and salmonellosis. We searched four databases, including PubMed, from 1 January 2011 to 29 April 2016. Observational studies reporting sequelae of reactive arthritis (ReA), Reiter's syndrome (RS), irritable bowel syndrome (IBS) and Guillain-Barre syndrome (GBS) following gastroenteritis were included. The primary outcome was incidence of sequelae of interest amongst cases of campylobacteriosis and salmonellosis. A narrative synthesis was conducted where heterogeneity was high. Of the 55 articles included, incidence of ReA (n=37), RS (n=5), IBS (n=12) and GBS (n=9) were reported following campylobacteriosis and salmonellosis. A pooled summary for each sequela was not estimated due to high level of heterogeneity across studies (I2>90%). PPI usage and symptoms were sparsely reported. Three out of seven studies found a statistically significant association between antibiotics usage and development of ReA. Additional primary studies investigating risk modifying factors in sequelae of GI infections are required to enable targeted interventions. CI - Copyright (c) 2016 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Esan, Oluwaseun B AU - Esan OB AD - Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom; National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom. Electronic address: oluwaseun.esan@phc.ox.ac.uk. FAU - Pearce, Madison AU - Pearce M AD - National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom; Department of Zoology, University of Oxford, United Kingdom. FAU - van Hecke, Oliver AU - van Hecke O AD - Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom. FAU - Roberts, Nia AU - Roberts N AD - Bodleian Health Care libraries, University of Oxford, United Kingdom. FAU - Collins, Dylan R J AU - Collins DRJ AD - Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom. FAU - Violato, Mara AU - Violato M AD - National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom; Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, United Kingdom. FAU - McCarthy, Noel AU - McCarthy N AD - National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom; Department of Zoology, University of Oxford, United Kingdom; Warwick Medical School, University of Warwick, United Kingdom. FAU - Perera, Rafael AU - Perera R AD - Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom; National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom. FAU - Fanshawe, Thomas R AU - Fanshawe TR AD - Nuffield Department of Primary Care Health Sciences, University of Oxford, United Kingdom; National Institute for Health Research, Health Protection Research Unit, Gastrointestinal Infections, University of Oxford, United Kingdom. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20161208 PL - Netherlands TA - EBioMedicine JT - EBioMedicine JID - 101647039 RN - 0 (Anti-Bacterial Agents) RN - 0 (PHB2 protein, human) RN - 0 (Prohibitins) SB - IM MH - Anti-Bacterial Agents/adverse effects/therapeutic use MH - *Campylobacter MH - Campylobacter Infections/*complications/diagnosis/drug therapy/*epidemiology MH - Gastroenteritis/complications/epidemiology/microbiology MH - Humans MH - Incidence MH - Prohibitins MH - Risk Factors MH - *Salmonella MH - Salmonella Infections/*complications/diagnosis/drug therapy/*epidemiology PMC - PMC5233817 OTO - NOTNLM OT - Acid suppression OT - Antibiotics OT - Campylobacter OT - Gastroenteritis OT - Salmonella OT - Sequelae EDAT- 2016/12/15 06:00 MHDA- 2017/02/15 06:00 PMCR- 2016/12/08 CRDT- 2016/12/15 06:00 PHST- 2016/11/09 00:00 [received] PHST- 2016/12/06 00:00 [revised] PHST- 2016/12/06 00:00 [accepted] PHST- 2016/12/15 06:00 [pubmed] PHST- 2017/02/15 06:00 [medline] PHST- 2016/12/15 06:00 [entrez] PHST- 2016/12/08 00:00 [pmc-release] AID - S2352-3964(16)30585-0 [pii] AID - 10.1016/j.ebiom.2016.12.006 [doi] PST - ppublish SO - EBioMedicine. 2017 Feb;15:100-111. doi: 10.1016/j.ebiom.2016.12.006. Epub 2016 Dec 8.