Campylobacter infections with and without bacteraemia- a comparative retrospective population-based study

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Abstract

Background
Bacteraemia with species in the genus Campylobacter is rare, and knowledge of the disease course in comparison to Campylobacter enteritis is limited.
Methods
This is a retrospective population-based study. Episodes of Campylobacter bacteraemia, and Campylobacter enteritis with a concurrent negative blood culture, that occurred between 2015 and 2022 in southern Sweden were identified through the laboratory database. Medical records were reviewed and clinical features between patients with bacteraemic Campylobacter infections were compared with patients with Campylobacter spp. found in faeces.
Results
A total of 29 bacteraemic infections with Campylobacter and 119 patients with Campylobacter spp. found in faeces were included. Patients with Campylobacter bacteraemia were statistically significantly older compared to patients with only enteritis (72 years, IQR 58-62 years, and 58 years, IQR 33-67 years, respectively, p < 0.0001). Eleven patients with bacteraemia developed sepsis within 48 hours from blood culturing and no patient died within 30 days from hospital admission.
Conclusions
Campylobacter bacteraemia is rare and occurs mainly in the elderly with co-morbidities. In comparison to Campylobacter infections limited to the gastrointestinal tract, patients with bacteraemic Campylobacter infections are older and seem more prone to develop sepsis. Classical gastroenteritis symptoms in bacteraemic patients with Campylobacter may be absent.
Original languageEnglish
Article numberofae131
Number of pages6
JournalOpen Forum Infectious Diseases
Volume11
Issue number3
Early online date2024 Mar 13
DOIs
Publication statusPublished - 2024 Mar 23

Subject classification (UKÄ)

  • Clinical Laboratory Medicine
  • Infectious Medicine

Free keywords

  • bacteremia
  • Campylobacter
  • enteritis
  • outcome

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