Allergic gastroenteritis hospital admission time trends in Australia and New Zealand
Author(s)
Mullins, RJ
Turner, PJ
Barnes, EH
Campbell, DE
Type
Journal Article
Abstract
AIM: Recent epidemiological studies indicate increases in hospital food allergy-related anaphylaxis admission rates in Australian and New Zealand. The aim of the study was to examine whether non-IgE-mediated food allergy might have increased in parallel. METHODS: We analysed childhood hospital admissions rates by ICD 10 codes for allergic gastroenteritis (AG) and infective gastroenteritis in Australia and New Zealand between June 1998 and July 2014. RESULTS: In Australia, most AG-related admissions (73%) occurred in those aged <1 year and increased by 7.3%/year (95% confidence interval (CI) 5.5-9.3, P < 0.0001) from 6.8 to 26.5/10(5) population. Similar trends were observed for New Zealand; 81% of admissions occurred in those aged <1 year and increased by 9.4%/year (95% CI 5.5-9.3, P < 0.0001) from 7.2 to 30.7/10(5) population. By contrast there were no significant changes in AG-related admission rates in the older patients and infective gastroenteritis admissions fell in both countries in those aged <1 year; Australia by 4.4%/year (95% CI 4.3-4.6, P < 0.0001) and in New Zealand by 5.8%/year (95% CI 5.4-6.2, P < 0.0001). CONCLUSION: We observed a fourfold increase in AG-related admission rates in two countries with known high rates of IgE-mediated food allergy/anaphylaxis. If confirmed by other studies, it will be of interest to determine if factors thought to contribute to the increase in IgE-mediated food allergy might also play a role in non-IgE-mediated gastroenterological food allergy syndromes.
Date Issued
2017-10-31
Date Acceptance
2017-09-18
Citation
Journal of Paediatrics and Child Health, 2017, 54 (4), pp.398-400
ISSN
1034-4810
Publisher
Wiley
Start Page
398
End Page
400
Journal / Book Title
Journal of Paediatrics and Child Health
Volume
54
Issue
4
Copyright Statement
© 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians). This is the peer reviewed version of the following article: Mullins, R. J., Turner, P. J., Barnes, E. H. and Campbell, D. E. (2017), Allergic gastroenteritis hospital admission time trends in Australia and New Zealand. J Paediatr Child Health. , which has been published in final form at https://dx.doi.org/10.1111/jpc.13767. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Sponsor
Medical Research Council (MRC)
Grant Number
MR/K010468/1
Subjects
allergic gastroenteritis
anaphylaxis
epidemiology
food allergy
Publication Status
Published