Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence
<p>Abstract</p> <p>Background</p> <p>A waterborne outbreak of Giardia lamblia gastroenteritis led to a high prevalance of long-lasting fatigue and abdominal symptoms. The aim was to describe the clinical characteristics, disability and employmentloss in a case series of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-02-01
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| Series: | BMC Gastroenterology |
| Online Access: | http://www.biomedcentral.com/1471-230X/12/13 |
| _version_ | 1818542441887694848 |
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| author | Naess Halvor Nyland Morten Hausken Trygve Follestad Inghild Nyland Harald I |
| author_facet | Naess Halvor Nyland Morten Hausken Trygve Follestad Inghild Nyland Harald I |
| author_sort | Naess Halvor |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>A waterborne outbreak of Giardia lamblia gastroenteritis led to a high prevalance of long-lasting fatigue and abdominal symptoms. The aim was to describe the clinical characteristics, disability and employmentloss in a case series of patients with Chronic Fatigue Syndrome (CFS) after the infection.</p> <p>Methods</p> <p>Patients who reported persistent fatigue, lowered functional capacity and sickness leave or delayed education after a large community outbreak of giardiasis enteritis in the city of Bergen, Norway were evaluated with the established Centers for Disease Control and Prevention criteria for CFS. Fatigue was self-rated by the Fatigue Severity Scale (FSS). Physical and mental health status and functional impairment was measured by the Medical Outcome Severity Scale-short Form-36 (SF-36). The Hospital Anxiety and Depression Scale (HADS) was used to measure co-morbid anxiety and depression. Inability to work or study because of fatigue was determined by sickness absence certified by a doctor.</p> <p>Results</p> <p>A total of 58 (60%) out of 96 patients with long-lasting post-infectious fatigue after laboratory confirmed giardiasis were diagnosed with CFS. In all, 1262 patients had laboratory confirmed giardiasis. At the time of referral (mean illness duration 2.7 years) 16% reported improvement, 28% reported no change, and 57% reported progressive course with gradual worsening. Mean FSS score was 6.6. A distinctive pattern of impairment was documented with the SF-36. The physical functioning, vitality (energy/fatigue) and social functioning were especially reduced. Long-term sickness absence from studies and work was noted in all patients.</p> <p>Conclusion</p> <p>After giardiasis enteritis at least 5% developed clinical characteristics and functional impairment comparable to previously described post-infectious fatigue syndrome.</p> |
| first_indexed | 2024-12-11T22:22:07Z |
| format | Article |
| id | doaj.art-2a7b9e1807e24ec28a7e422a0ee1b685 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-11T22:22:07Z |
| publishDate | 2012-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-2a7b9e1807e24ec28a7e422a0ee1b6852022-12-22T00:48:24ZengBMCBMC Gastroenterology1471-230X2012-02-011211310.1186/1471-230X-12-13Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absenceNaess HalvorNyland MortenHausken TrygveFollestad InghildNyland Harald I<p>Abstract</p> <p>Background</p> <p>A waterborne outbreak of Giardia lamblia gastroenteritis led to a high prevalance of long-lasting fatigue and abdominal symptoms. The aim was to describe the clinical characteristics, disability and employmentloss in a case series of patients with Chronic Fatigue Syndrome (CFS) after the infection.</p> <p>Methods</p> <p>Patients who reported persistent fatigue, lowered functional capacity and sickness leave or delayed education after a large community outbreak of giardiasis enteritis in the city of Bergen, Norway were evaluated with the established Centers for Disease Control and Prevention criteria for CFS. Fatigue was self-rated by the Fatigue Severity Scale (FSS). Physical and mental health status and functional impairment was measured by the Medical Outcome Severity Scale-short Form-36 (SF-36). The Hospital Anxiety and Depression Scale (HADS) was used to measure co-morbid anxiety and depression. Inability to work or study because of fatigue was determined by sickness absence certified by a doctor.</p> <p>Results</p> <p>A total of 58 (60%) out of 96 patients with long-lasting post-infectious fatigue after laboratory confirmed giardiasis were diagnosed with CFS. In all, 1262 patients had laboratory confirmed giardiasis. At the time of referral (mean illness duration 2.7 years) 16% reported improvement, 28% reported no change, and 57% reported progressive course with gradual worsening. Mean FSS score was 6.6. A distinctive pattern of impairment was documented with the SF-36. The physical functioning, vitality (energy/fatigue) and social functioning were especially reduced. Long-term sickness absence from studies and work was noted in all patients.</p> <p>Conclusion</p> <p>After giardiasis enteritis at least 5% developed clinical characteristics and functional impairment comparable to previously described post-infectious fatigue syndrome.</p>http://www.biomedcentral.com/1471-230X/12/13 |
| spellingShingle | Naess Halvor Nyland Morten Hausken Trygve Follestad Inghild Nyland Harald I Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence BMC Gastroenterology |
| title | Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence |
| title_full | Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence |
| title_fullStr | Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence |
| title_full_unstemmed | Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence |
| title_short | Chronic fatigue syndrome after Giardia enteritis: clinical characteristics, disability and long-term sickness absence |
| title_sort | chronic fatigue syndrome after giardia enteritis clinical characteristics disability and long term sickness absence |
| url | http://www.biomedcentral.com/1471-230X/12/13 |
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