The association between bowel resection and the risk of nontyphoidal salmonella infection: a nationwide propensity score-matched cohort study

doi:10.1038/s41598-021-81224-5

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23364

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23364

Title:	The association between bowel resection and the risk of nontyphoidal salmonella infection: a nationwide propensity score-matched cohort study
Authors:	Yang, KT;Juang, SE;Hung, YM;Wei, JCC;Yip, HT;Chang, R
Date:	2021
Issue Date:	2022-08-05T09:36:05Z (UTC)
Publisher:	NATURE RESEARCH
ISSN:	2045-2322
Abstract:	Nontyphoidal salmonella (NTS) infection has a high mortality rate. Bowel resections affect gut microbiota and immune function, and the association between bowel resection and NTS infection in human beings has not been addressed. We conducted a nationwide propensity score (PS)-matched cohort study to clarify this association. Data from the Longitudinal Health Insurance Database of Taiwan were used to establish a case-cohort with bowel resections from 2000 to 2013. Informed consent was waived by the Institutional Review Board of China Medical University Hospital (CMUH104-REC2-115) because all personal identifying information used had been de-identified. Each case was matched with one control without any bowel resection according to age, gender, index date, and propensity score (PS). Cumulative incidences of and hazard ratios (HRs) for NTS infection development were analyzed. The incidence of NTS infection was greater in patients with a bowel resection than in the control group (2.97 vs. 1.92 per 10,000 person-years), with an adjusted hazard ratio (aHR) of 1.64 (95% CI=1.08-2.48). The incidence of NTS infection increased significantly for cases with small bowel resections and right hemicolectomies. Age (31-40 and>50 years), hypertension, chronic kidney disease, chronic obstructive pulmonary disease, and autoimmune diseases were significant risk factors of NTS infection. Stratification analysis revealed that patients without comorbidities were prone to NTS infection after bowel resections. The increased risk of developing NTS infection could be related to the bowel resection. Specific age groups and comorbidities also contribute to increased risk of NTS infection.
URI:	http://dx.doi.org/10.1038/s41598-021-81224-5 https://www.webofscience.com/wos/woscc/full-record/WOS:000626775600014 https://ir.csmu.edu.tw:8080/handle/310902500/23364
Relation:	SCIENTIFIC REPORTS ,2021,v11,issue 1
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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