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Disease Profile

Bacterial

Gastroenteritis

胃肠炎

Gastroenteritis is an acute infectious disease syndrome characterized by nausea, vomiting, diarrhea, and abdominal pain [1]. The provided sources emphasize a foodborne bacterial burden for much of acute bacterial gastroenteritis, with sporadic cases and large multistate outbreaks described [2]. Source-backed detail on the broader etiologic spectrum beyond the bacterial framing in this record is not yet available from the snippets provided [1][2].

Definition

In this record, gastroenteritis is described as a common infectious disease syndrome and, in the bacterial context, as acute bacterial gastroenteritis [1][2]. The syndrome is defined as a rapid-onset diarrheal illness that may occur with nausea, vomiting, fever, or abdominal pain [3]. The disease metadata supplied for this page classifies the condition as bacterial and links it to foodborne intoxication, but the supporting snippets do not further characterize the full etiologic scope [disease metadata].

Clinical features

The core clinical syndrome consists of diarrhea with nausea, vomiting, and abdominal pain; fever may also be present in acute presentations [1][3]. In children, the illness is described as having rapid onset, and assessment of severity centers on hydration status and the degree of dehydration [3]. Most bacterial infections are self-limited, although more severe forms may warrant selective antibiotic use [2]. In the pediatric source, significant dehydration is a major clinical concern, and hospitalized cases are part of the observed burden [3]. Source-backed detail on longer-term complications is not yet available beyond dehydration and severe obstructive presentations in a separate eosinophilic gastroenteritis metadata record [3][4].

Epidemiology

Acute gastroenteritis is described as a common infectious disease syndrome, with more than 350 million cases annually in the United States and 48 million of those attributed to foodborne bacteria [1]. A separate review states that acute bacterial gastroenteritis is among the most common infections worldwide and that much of the illness is foodborne, occurring as both sporadic cases and large multistate outbreaks [2]. In children in the United States, acute gastroenteritis is associated with 1.5 million office visits, 200,000 hospitalizations, and 300 deaths each year [3]. Traveler's diarrhea affects more than half of people traveling from developed countries to developing countries, indicating an important travel-associated burden in the source material [1].

Transmission

The provided sources indicate that much of the illness is foodborne, including foodborne bacterial disease and common-source exposure [1][2]. Large multistate outbreaks are specifically noted for acute bacterial gastroenteritis, supporting an outbreak ecology linked to shared exposures [2]. The snippets do not provide more specific organism-level or environmental transmission details, so further source-backed characterization is not yet available [1][2].

Risk groups

The provided sources identify children as an important affected group, with substantial outpatient, inpatient, and mortality burden described in the United States [3]. Travelers from developed countries to developing countries are also highlighted as a group with high exposure-associated risk through traveler’s diarrhea [1]. The bacterial review notes increasing prevalence of Clostridium difficile in both adult and pediatric patients, but does not further specify additional high-risk groups in the available snippets [1].

Prevention

Public-health education, contact precautions, and prudent use of antibiotics are identified as important measures for reducing the prevalence of Clostridium difficile-associated disease within the gastroenteritis spectrum discussed in the source [1]. The bacterial review also notes that antibiotic selection should be judicious, given that most infections are self-limited and that pathogen evolution with antibiotic resistance complicates empiric therapy [2]. For children with mild illness, oral rehydration is emphasized as mainstay supportive care, but the provided material does not supply a broader prevention schedule or vaccine-specific guidance [3].

Surveillance note

For surveillance purposes, this condition should be read as a high-burden acute gastrointestinal syndrome with substantial foodborne contribution and outbreak potential [1][2]. The source material also highlights that culture-independent diagnostic tests can speed identification, while cultures remain important for sensitivity data and strain archiving during outbreak investigations [2]. In children, monitoring should pay particular attention to dehydration and utilization indicators such as office visits, hospitalization, and death counts [3]. Source-backed detail on standardized case definitions or routine reporting thresholds is not yet available in the provided snippets [1][2][3].

References
  1. 1 Graves NS et al. Acute gastroenteritis. Prim Care. 2013 Sep. PMID: 23958366. doi: 10.1016/j.pop.2013.05.006. PubMed: https://pubmed.ncbi.nlm.nih.gov/23958366/
  2. 2 Fleckenstein JM et al. Acute Bacterial Gastroenteritis. Gastroenterol Clin North Am. 2021 Jun. PMID: 34024442. doi: 10.1016/j.gtc.2021.02.002. PubMed: https://pubmed.ncbi.nlm.nih.gov/34024442/
  3. 3 Hartman S et al. Gastroenteritis in Children. Am Fam Physician. 2019 Feb 1. PMID: 30702253. PubMed: https://pubmed.ncbi.nlm.nih.gov/30702253/
  4. 4 Gastroenteritis eosinofílica. Revista Alergia México. 2014. doi: 10.29262/ram.v61i3.44. DOI: https://doi.org/10.29262/ram.v61i3.44
  5. 5 Gastroenteritis. Ready Reckoner for Treatment in Pediatrics. 2012. doi: 10.5005/jp/books/11599_8. DOI: https://doi.org/10.5005/jp/books/11599_8
  6. 6 Gastroenteritis. Clinical Infectious Disease. 2015. doi: 10.1017/cbo9781139855952.057. DOI: https://doi.org/10.1017/cbo9781139855952.057
Coding Register
ICD-10
A09
ICD-11
1A40
Key Statistics
Total cases
4K
Peak month
2020-11
Coverage
1 reporting countries · 2016-01-01 → 2026-05-01

Figure 1 | Full historical trajectories across all reporting countries.

Figure 2 | Year-over-year monthly comparison for seasonality and structural shifts.

Dataset Archive

Supplementary Data | Multi-country disease dataset

Machine-readable multi-country disease dataset (JSON/CSV) with source metadata.

Rows
125
Data Version
2026-06-20
Coverage
Included metadata
Source links, scope, cadence

Source Register

Official sources and update cadences used to construct the downloadable dataset.

NZ
phf_monthlymonthlyweb

New Zealand

PHF Science (formerly ESR) monthly notifiable disease surveillance data via internal globalID2 crawler

Official source
Suggested presentation pattern: cite the data version and coverage window when exporting charts or tables for publication.