A case-control study of acute respiratory tract infection in general practice patients in The Netherlands.
Identifieur interne : 000356 ( Main/Corpus ); précédent : 000355; suivant : 000357A case-control study of acute respiratory tract infection in general practice patients in The Netherlands.
Auteurs : Arianne B. Van Gageldonk-Lafeber ; Marie-Louise A. Heijnen ; Aad I M. Bartelds ; Marcel F. Peters ; Simone M. Van Der Plas ; Berry WilbrinkSource :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2005.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Case-Control Studies (MeSH), Child (MeSH), Child, Preschool (MeSH), Common Cold (epidemiology), Family Practice (MeSH), Female (MeSH), Humans (MeSH), Infant (MeSH), Male (MeSH), Middle Aged (MeSH), Netherlands (epidemiology), Respiratory Tract Infections (epidemiology), Respiratory Tract Infections (microbiology), Respiratory Tract Infections (transmission), Respiratory Tract Infections (virology), Rhinovirus (MeSH), Streptococcal Infections (epidemiology), Streptococcus pyogenes (MeSH).
- MESH :
- geographic , epidemiology : Netherlands.
- epidemiology : Common Cold, Respiratory Tract Infections, Streptococcal Infections.
- microbiology : Respiratory Tract Infections.
- transmission : Respiratory Tract Infections.
- virology : Respiratory Tract Infections.
- Acute Disease, Adolescent, Adult, Aged, Case-Control Studies, Child, Child, Preschool, Family Practice, Female, Humans, Infant, Male, Middle Aged, Rhinovirus, Streptococcus pyogenes.
Abstract
BACKGROUND
Acute respiratory tract infections (ARTIs) are responsible for considerable morbidity in the community, but little is known about the presence of respiratory pathogens in asymptomatic individuals. We hypothesized that asymptomatic persons could have a subclinical infection and thus act as a source of transmission.
METHODS
During the period of 2000-2003, all patients with ARTI who visited their sentinel general practitioner had their data reported to estimate the incidence of ARTI in Dutch general practices. A random selection of these patients (case patients) and an equal number of asymptomatic persons visiting for other complaints (control subjects) were included in a case-control study. Nose and throat swabs of participants were tested for a broad range of pathogens.
RESULTS
The overall incidence of ARTI was 545 cases per 10,000 person-years, suggesting that, in the Dutch population, an estimated 900,000 persons annually consult their general practitioner for respiratory complaints. Rhinovirus was most common in case patients (24%), followed by influenza virus type A (11%) and coronavirus (7%). Viruses were detected in 58% of the case patients, beta -hemolytic streptococci group A were detected in 11%, and mixed infections were detected in 3%. Pathogens were detected in approximately 30% of control subjects, particularly in the youngest age groups.
CONCLUSION
This study confirms that most ARTIs are viral and supports the reserved policy of prescribing antibiotics. In both case and control subjects, rhinovirus was the most common pathogen. Of bacterial infections, only group A beta-hemolytic streptococci were more common in case patients than in control subjects. Furthermore, we demonstrated that asymptomatic persons might be a neglected source of transmission.
DOI: 10.1086/431982
PubMed: 16028157
PubMed Central: PMC7107976
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pubmed:16028157Le document en format XML
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Bartelds</name></author><author><name sortKey="Peters, Marcel F" sort="Peters, Marcel F" uniqKey="Peters M" first="Marcel F" last="Peters">Marcel F. Peters</name></author><author><name sortKey="Van Der Plas, Simone M" sort="Van Der Plas, Simone M" uniqKey="Van Der Plas S" first="Simone M" last="Van Der Plas">Simone M. Van Der Plas</name></author><author><name sortKey="Wilbrink, Berry" sort="Wilbrink, Berry" uniqKey="Wilbrink B" first="Berry" last="Wilbrink">Berry Wilbrink</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16028157</idno><idno type="pmid">16028157</idno><idno type="doi">10.1086/431982</idno><idno type="pmc">PMC7107976</idno><idno type="wicri:Area/Main/Corpus">000356</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000356</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A case-control study of acute respiratory tract infection in general practice patients in The Netherlands.</title><author><name sortKey="Van Gageldonk Lafeber, Arianne B" sort="Van Gageldonk Lafeber, Arianne B" uniqKey="Van Gageldonk Lafeber A" first="Arianne B" last="Van Gageldonk-Lafeber">Arianne B. Van Gageldonk-Lafeber</name><affiliation><nlm:affiliation>Department of Infectious Diseases Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Heijnen, Marie Louise A" sort="Heijnen, Marie Louise A" uniqKey="Heijnen M" first="Marie-Louise A" last="Heijnen">Marie-Louise A. Heijnen</name></author><author><name sortKey="Bartelds, Aad I M" sort="Bartelds, Aad I M" uniqKey="Bartelds A" first="Aad I M" last="Bartelds">Aad I M. Bartelds</name></author><author><name sortKey="Peters, Marcel F" sort="Peters, Marcel F" uniqKey="Peters M" first="Marcel F" last="Peters">Marcel F. Peters</name></author><author><name sortKey="Van Der Plas, Simone M" sort="Van Der Plas, Simone M" uniqKey="Van Der Plas S" first="Simone M" last="Van Der Plas">Simone M. Van Der Plas</name></author><author><name sortKey="Wilbrink, Berry" sort="Wilbrink, Berry" uniqKey="Wilbrink B" first="Berry" last="Wilbrink">Berry Wilbrink</name></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Common Cold (epidemiology)</term><term>Family Practice (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Netherlands (epidemiology)</term><term>Respiratory Tract Infections (epidemiology)</term><term>Respiratory Tract Infections (microbiology)</term><term>Respiratory Tract Infections (transmission)</term><term>Respiratory Tract Infections (virology)</term><term>Rhinovirus (MeSH)</term><term>Streptococcal Infections (epidemiology)</term><term>Streptococcus pyogenes (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Common Cold</term><term>Respiratory Tract Infections</term><term>Streptococcal Infections</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Case-Control Studies</term><term>Child</term><term>Child, Preschool</term><term>Family Practice</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Rhinovirus</term><term>Streptococcus pyogenes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Acute respiratory tract infections (ARTIs) are responsible for considerable morbidity in the community, but little is known about the presence of respiratory pathogens in asymptomatic individuals. We hypothesized that asymptomatic persons could have a subclinical infection and thus act as a source of transmission.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>During the period of 2000-2003, all patients with ARTI who visited their sentinel general practitioner had their data reported to estimate the incidence of ARTI in Dutch general practices. A random selection of these patients (case patients) and an equal number of asymptomatic persons visiting for other complaints (control subjects) were included in a case-control study. Nose and throat swabs of participants were tested for a broad range of pathogens.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The overall incidence of ARTI was 545 cases per 10,000 person-years, suggesting that, in the Dutch population, an estimated 900,000 persons annually consult their general practitioner for respiratory complaints. Rhinovirus was most common in case patients (24%), followed by influenza virus type A (11%) and coronavirus (7%). Viruses were detected in 58% of the case patients, beta -hemolytic streptococci group A were detected in 11%, and mixed infections were detected in 3%. Pathogens were detected in approximately 30% of control subjects, particularly in the youngest age groups.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This study confirms that most ARTIs are viral and supports the reserved policy of prescribing antibiotics. In both case and control subjects, rhinovirus was the most common pathogen. Of bacterial infections, only group A beta-hemolytic streptococci were more common in case patients than in control subjects. Furthermore, we demonstrated that asymptomatic persons might be a neglected source of transmission.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16028157</PMID><DateCompleted><Year>2006</Year><Month>04</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>4</Issue><PubDate><Year>2005</Year><Month>Aug</Month><Day>15</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>A case-control study of acute respiratory tract infection in general practice patients in The Netherlands.</ArticleTitle><Pagination><MedlinePgn>490-7</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Acute respiratory tract infections (ARTIs) are responsible for considerable morbidity in the community, but little is known about the presence of respiratory pathogens in asymptomatic individuals. We hypothesized that asymptomatic persons could have a subclinical infection and thus act as a source of transmission.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">During the period of 2000-2003, all patients with ARTI who visited their sentinel general practitioner had their data reported to estimate the incidence of ARTI in Dutch general practices. A random selection of these patients (case patients) and an equal number of asymptomatic persons visiting for other complaints (control subjects) were included in a case-control study. Nose and throat swabs of participants were tested for a broad range of pathogens.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The overall incidence of ARTI was 545 cases per 10,000 person-years, suggesting that, in the Dutch population, an estimated 900,000 persons annually consult their general practitioner for respiratory complaints. Rhinovirus was most common in case patients (24%), followed by influenza virus type A (11%) and coronavirus (7%). Viruses were detected in 58% of the case patients, beta -hemolytic streptococci group A were detected in 11%, and mixed infections were detected in 3%. Pathogens were detected in approximately 30% of control subjects, particularly in the youngest age groups.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study confirms that most ARTIs are viral and supports the reserved policy of prescribing antibiotics. In both case and control subjects, rhinovirus was the most common pathogen. Of bacterial infections, only group A beta-hemolytic streptococci were more common in case patients than in control subjects. Furthermore, we demonstrated that asymptomatic persons might be a neglected source of transmission.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Gageldonk-Lafeber</LastName><ForeName>Arianne B</ForeName><Initials>AB</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heijnen</LastName><ForeName>Marie-Louise A</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Bartelds</LastName><ForeName>Aad I M</ForeName><Initials>AI</Initials></Author><Author ValidYN="Y"><LastName>Peters</LastName><ForeName>Marcel F</ForeName><Initials>MF</Initials></Author><Author ValidYN="Y"><LastName>van der Plas</LastName><ForeName>Simone M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Wilbrink</LastName><ForeName>Berry</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>07</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Clin Infect Dis. 2005 Aug 15;41(4):503-6</RefSource><PMID Version="1">16028159</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000293" 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