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Acute diarrhea

General information

    • Surveillance since 1990
    • State : active
    • Weekly surveillance : Data are published on a weekly time scale and updated when our weekly report is published
  • 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.

Lastest data

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

Find more data and visualization on pages Data access Historical analysis

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

Last summaries published in our weekly report

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

The purpose of acute diarrhea surveillance is to monitor gastroenteritis outbreaks.
In mainland France, last week (2023w11), the incidence rate of acute diarrhea cases seen in general practice was estimated at 100 cases per 100,000 inhabitants (95% CI [86 ; 114]). This rate is stable compared to week 2023w10 (consolidated data: 105 [93 ; 117]) and at a low level of activity compared to those usually observed in this period.

At the regional level, the highest incidence rates were noted in: Pays de la Loire (163 [0 ; 368]), Bretagne (154 [90 ; 218]) and Hauts-de-France (126 [80 ; 172]).
The purpose of acute diarrhea surveillance is to monitor gastroenteritis outbreaks.
In mainland France, last week (2023w10), the incidence rate of acute diarrhea cases seen in general practice was estimated at 110 cases per 100,000 inhabitants (95% CI [95 ; 125]). This rate is stable compared to week 2023w09 (consolidated data: 107 [95 ; 119]) and at a low level of activity compared to those usually observed in this period.

At the regional level, the highest incidence rates were noted in: Grand Est (183 [116 ; 250]), Nouvelle-Aquitaine (173 [96 ; 250]) and Pays de la Loire (148 [73 ; 223]).
The purpose of acute diarrhea surveillance is to monitor gastroenteritis outbreaks.

In mainland France, last week (2023w09), the incidence rate of acute diarrhea cases seen in general practice was estimated at 118 cases per 100,000 inhabitants (95% CI [103 ; 133]). This rate is increasing compared to week 2023w08 (consolidated data: 92 [81 ; 103]) and at a moderate level of activity compared to those usually observed in this period.

At the regional level, the highest incidence rates were noted in: Provence-Alpes-Côte d’Azur (195 [85 ; 305]), Grand Est (176 [122 ; 230]), Nouvelle-Aquitaine (176 [113 ; 239]) and Hauts-de-France (149 [92 ; 206]).
All publications associated with this disease
  • Nisavanh A, Horrigue I, Debin M, Turbelin C, Kengne-Kuetche C, Nassany O, Ambert-Balay K, Jourdan-Da Silva N, Pontais I, de Valk H, Jones G. Epidemiology of acute gastroenteritis in France from November 2019-August 2021, in light of reported adherence to COVID-19 barrier measures. Sci Rep. 2022. 12(1):17504 PubMed HAL doi:10.1038/s41598-022-22317-7
  • Launay T, Souty C, Vilcu AM, Turbelin C, Blanchon T, Guerrisi C, Hanslik T, Colizza V, Bardoulat I, Lemaître M, Boëlle PY. Common communicable diseases in the general population in France during the COVID-19 pandemic. PLoS One. 2021. 16(10):e0258391 PubMed
  • Ecollan M, Guerrisi C, Souty C, Rossignol L, Turbelin C, Hanslik T, Colizza V, Blanchon T. Determinants and risk factors of gastroenteritis in the general population, a web-based cohort between 2014 and 2017 in France. BMC Public Health. 2020. 20(1):1146 PubMed HAL PMC doi:10.1186/s12889-020-09212-4
  • 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 HAL PMC doi:10.2807/1560-7917.ES.2019.24.3.1700703
  • Vilcu AM, Blanchon T, Sabatte L, Souty C, Maravic M, Hanslik T, Steichen O. Cross-validation of an algorithm detecting acute gastroenteritis episodes from prescribed drug dispensing data in France: comparison with clinical data reported in a primary care surveillance system, winter seasons 2014/15 to 2016/17. BMC Med Res Methodol. 2019. 19(1):110 PubMed HAL PMC doi:10.1186/s12874-019-0745-5
  • Vilcu AM, Sabatte L, Blanchon T, Souty C, Maravic M, Lemaitre M, Steichen O, Hanslik T. Association Between Acute Gastroenteritis and Continuous Use of Proton Pump Inhibitors During Winter Periods of Highest Circulation of Enteric Viruses. JAMA Netw Open. 2019. 2(11):e1916205 PubMed PMC doi:10.1001/jamanetworkopen.2019.16205
  • 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 HAL 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 HAL PMC doi:10.1186/s12879-014-0574-4 Link
  • Souty C, Turbelin C, Blanchon T, Hanslik T, Le Strat Y, Boelle PY. Improving disease incidence estimates in primary care surveillance systems. Popul Health Metrics. 2014. 12(1):19 PubMed HAL PMC doi:10.1186/s12963-014-0019-8 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 HAL 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 doi:10.1046/j.1365-2036.2003.01531.x
  • 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 doi:10.1136/gut.52.2.260
  • 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 doi:10.1128/jcm.40.11.4266-4272.2002
  • 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 doi:10.1017/s0950268899003982
  • 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 doi:10.1111/j.1651-2227.1999.tb14325.x
  • 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 doi:10.1128/JCM.37.7.2373-2375.1999
  • 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 doi:10.1136/bmj.315.7123.1645a
  • 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 doi:10.1016/s0140-6736(95)91214-2
  • 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