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    Acute diarrhea

    • Surveillance since 1990
      State : active
    • Case definition :
      Recent acute diarrhea (at least 3 daily watery or nearly so stools, dating less than 14 days) motivating consultation.

    • Description for each case: age; sex; hospitalization requested by the GP and if so why.
    in metropolitan France, last week (2019w19), the incidence rate of acute diarrhea seen in general practice was estimated at 108 cases per 100,000 inhabitants (95% CI [93 ; 123]), below the epidemic threshold (111 cases per 100,000).
    At the regional level, the highest incidence rates were noted in: Pays de la Loire (226 cases per 100,000 inhabitants, 95% CI [0 ; 505]), Hauts-de-France (148, 95% CI [90 ; 206]) and Grand Est (125, 95% CI [71 ; 179]).
    Information about the statistical methods (in french)
    in metropolitan France, last week (2019w18), the incidence rate of acute diarrhea seen in general practice was estimated at 100 cases per 100,000 inhabitants (95% CI [85 ; 115]), below the epidemic threshold (116 cases per 100,000).
    At the regional level, the highest incidence rates were noted in: Grand Est (145 cases per 100,000 inhabitants, 95% CI [94 ; 196]), Nouvelle-Aquitaine (129, 95% CI [67 ; 191]) and Provence-Alpes-Côte d’Azur (121, 95% CI [45 ; 197]).
    Information about the statistical methods (in french)
    in metropolitan France, last week (2019w17), the incidence rate of acute diarrhea seen in general practice was estimated at 83 cases per 100,000 inhabitants (95% CI [70 ; 96]), below the epidemic threshold (121 cases per 100,000).
    At the regional level, the highest incidence rates were noted in: Pays de la Loire (137 cases per 100,000 inhabitants, 95% CI [0 ; 279]), Provence-Alpes-Côte d’Azur (136, 95% CI [45 ; 227]) and Grand Est (127, 95% CI [78 ; 176]).
    Information about the statistical methods (in french)

    These news have been published using available data until their publication. Due to data consolidation, small variation of incidence values can be observed in the next 3 weeks

    Data of this page are updated each week and available at the same time as the weekly report

    Incidence rate of {{name}} in France (mainland) from start of surveillance

    For more information or dowload our data please visit the pages Database > Data tables

    Historical analysis for this indicator are provided on the page List of past epidemics

    Data of this page are updated each week and available at the same time as the weekly report

    All publications associated with this disease
    • Ung A, Baidjoe AY, Van Cauteren D, Fawal N, Fabre L, Guerrisi C, Danis K, Morand A, Donguy MP, Lucas E, Rossignol L, Lefèvre S, Vignaud ML, Cadel-Six S, Lailler R, Jourdan-Da Silva N, Le Hello S. Disentangling a complex nationwide Salmonella Dublin outbreak associated with raw-milk cheese consumption, France, 2015 to 2016. Euro Surveill. 2019. 24(3) PubMed PMC doi:10.2807/1560-7917.ES.2019.24.3.1700703
    • Minodier L, Masse S, Capai L, Blanchon T, Ceccaldi PE, van der Werf S, Hanslik T, Charrel R, Falchi A. Clinical and virological factors associated with gastrointestinal symptoms in patients with acute respiratory infection: a two-year prospective study in general practice medicine. BMC Infect Dis. 2017. 17(1):729 PubMed PMC doi:10.1186/s12879-017-2823-9
    • Rivière M, Baroux N, Bousquet V, Ambert-Balay K, Beaudeau P, Jourdan-Da Silva N, Van Cauteren D, Bounoure F, Cahuzac F, Blanchon T, Prazuck T, Turbelin C, Hanslik T. Secular trends in incidence of acute gastroenteritis in general practice, France, 1991 to 2015. Euro Surveill. 2017. 22(50) PubMed PMC doi:10.2807/1560-7917.ES.2017.22.50.17-00121
    • Minodier L, Charrel RN, Ceccaldi PE, van der Werf S, Blanchon T, Hanslik T, Falchi A. Prevalence of gastrointestinal symptoms in patients with influenza, clinical significance, and pathophysiology of human influenza viruses in faecal samples: what do we know? Virol J. 2015. 12(1):215 PubMed PMC doi:10.1186/s12985-015-0448-4
    • Van Cauteren D, Turbelin C, Fonteneau L, Hanslik T, De Valk H, Blanchon T. Physician practices in requesting stool samples for patients with acute gastroenteritis, France, August 2013-July 2014. Epidemiol Infect. 2015. 143(12):2532-8 PubMed doi:10.1017/S0950268814003884
    • Arena C, Amoros JP, Vaillant V, Ambert-Balay K, Chikhi-Brachet R, Jourdan-Da Silva N, Varesi L, Arrighi J, Souty C, Blanchon T, Falchi A, Hanslik T. Acute diarrhea in adults consulting a general practitioner in France during winter: incidence, clinical characteristics, management and risk factors. BMC Infect Dis. 2014. 14(1):574 PubMed PMC doi:10.1186/s12879-014-0574-4 Link
    • Roussel V, Tritz T, Souty C, Turbelin C, Arena C, Lambert B, Lillo-Lelouët A, Kernéis S, Blanchon T, Hanslik T. Estimating the excess of inappropriate prescriptions of anti-dopaminergic anti-emetics during acute gastroenteritis epidemics in France. Pharmacoepidemiol Drug Saf. 2013. 22(10):1080-5 PubMed doi:10.1002/pds.3486
    • Arena C, Amoros JP, Vaillant V, Balay K, Chikhi-Brachet R, Varesi L, Arrighi J, Blanchon T, Carrat F, Hanslik T, Falchi A. Simultaneous investigation of influenza and enteric viruses in the stools of adult patients consulting in general practice for acute diarrhea. Virol J. 2012. 9(1):116 PubMed PMC doi:10.1186/1743-422X-9-116
    • Flahault A, Hanslik T. [Epidemiology of viral gastroenteritis in France and Europe]. Bull Acad Natl Med. 2010. 194(8):1415-24; discussion PubMed HAL
    • Pelat C,Boëlle PY,Turbelin C,Lambert B,Valleron AJ. A method for selecting and monitoring medication sales for surveillance of gastroenteritis. Pharmacoepidemiol Drug Saf. 2010. 19(10):1009-18 PubMed HAL doi:10.1002/pds.1965
    • Prazuck T, Compte-Nguyen G, Pelat C, Sunder S, Blanchon T. Reducing gastroenteritis occurrences and their consequences in elementary schools with alcohol-based hand sanitizers. Pediatr Infect Dis J. 2010. 29(11):994-8 PubMed
    • Pelat C,Turbelin C,Bar-Hen A,Flahault A,Valleron AJ. More diseases tracked by using Google Trends. Emerg Infect Dis. 2009. 15(8):1327-8 PubMed PMC doi:10.3201/eid1508.090299
    • Melliez H, Boelle PY, Baron S, Mouton Y, Yazdanpanah Y. Effectiveness of childhood vaccination against rotavirus in sub-Saharan Africa: the case of Nigeria. Vaccine. 2007. 25(2):298-305 PubMed doi:10.1016/j.vaccine.2006.07.038
    • Melliez H, Boëlle PY, Baron S, Mouton Y, Yazdanpanah Y. [Morbidity and cost of rotavirus infections in France]. Med Mal Infect. 2005. 35(10):492-9 PubMed doi:10.1016/j.medmal.2005.08.007
    • Beaugerie L, Flahault A, Barbut F, Atlan P, Lalande V, Cousin P, Cadilhac M, Petit JC, Study Group. Antibiotic-associated diarrhoea and Clostridium difficile in the community. Aliment Pharmacol Ther. 2003. 17(7):905-12 PubMed
    • Etienney I, Beaugerie L, Viboud C, Flahault A. Non-steroidal anti-inflammatory drugs as a risk factor for acute diarrhoea: a case crossover study. Gut. 2003. 52(2):260-3 PubMed PMC
    • Chikhi-Brachet R, Bon F, Toubiana L, Pothier P, Nicolas JC, Flahault A, Kohli E. Virus diversity in a winter epidemic of acute diarrhea in France. J Clin Microbiol. 2002. 40(11):4266-72 PubMed PMC
    • Yazdanpanah Y, Beaugerie L, Boëlle PY, Letrilliart L, Desenclos JC, Flahault A. Risk factors of acute diarrhoea in summer--a nation-wide French case-control study. Epidemiol Infect. 2000. 124(3):409-16 PubMed PMC
    • Desenclos JC, Rebière I, Letrillard L, Flahault A, Hubert B. Diarrhoea-related morbidity and rotavirus infection in France. Acta Paediatr Suppl. 1999. 88(426):42-7 PubMed
    • Gault E, Chikhi-Brachet R, Delon S, Schnepf N, Albiges L, Grimprel E, Girardet JP, Begue P, Garbarg-Chenon A. Distribution of human rotavirus G types circulating in Paris, France, during the 1997-1998 epidemic: high prevalence of type G4. J Clin Microbiol. 1999. 37(7):2373-5 PubMed PMC
    • Letrilliart L, Desenclos JC, Flahault A. Risk factors for winter outbreak of acute diarrhoea in France: case-control study. BMJ. 1997. 315(7123):1645-9 PubMed PMC
    • Flahault A, Garnerin P, Chauvin P, Farran N, Saidi Y, Diaz C, Toubiana L, Drucker J, Valleron AJ. Sentinelle traces of an epidemic of acute gastroenteritis in France. Lancet. 1995. 346(8968):162-3 PubMed
    • Guiguet M, Hubert B, Lepoutre A. Une année de surveillance des diarrhées aiguës par les médecins sentinelles. Bull Epidémiol Hebd. 1992. 37:177-178 Link