Campylobacter Enteritis and Post-Infective Bowel Dysfunction (PI-BD): Role of Antibiotics and Microbiota
Last updated on April 2022Recruitment
- Recruitment Status
- Unknown status
Inclusion Criteria
- Age ≥ 18
- Submission of stool sample to Nottingham University Hospitals Microbiology Laboratory for investigation of these symptoms
- Clinical syndrome suggestive of intestinal infection, including symptoms such as new onset of abdominal pain, vomiting, diarrhoea, blood in stools, fever
- ...
- Age ≥ 18
- Submission of stool sample to Nottingham University Hospitals Microbiology Laboratory for investigation of these symptoms
- Clinical syndrome suggestive of intestinal infection, including symptoms such as new onset of abdominal pain, vomiting, diarrhoea, blood in stools, fever
- Campylobacter sp. cultured by selective media (standard clinical practice) from this stool sample
Exclusion Criteria
- Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g. cognitive dysfunction, chaotic lifestyle related to substance abuse
- Pancreatitis
- Declared participation in any medical trials in the past 3 months
- ...
- Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g. cognitive dysfunction, chaotic lifestyle related to substance abuse
- Pancreatitis
- Declared participation in any medical trials in the past 3 months
- Habitual use of opiate analgesics likely to alter bowel function e.g. morphine
- Inability to complete the symptom questionnaires e.g. cognitive dysfunction limiting memory and understanding
- Cancer of the gastrointestinal tract
- Coeliac Disease
- Any condition where the candidate is likely to require a course of antibiotics in the next 3 months e.g. severe chronic respiratory disease, recurrent urinary tract infection, lower limb ulceration
- Use of purgative products/ high dose laxatives for bowel preparation in the four weeks prior to index infection.
- Intestinal stoma
- Use of antibiotics in the preceding four weeks other than for treatment of index infection.
- Irritable Bowel Syndrome
- Gallstone disease (biliary colic, cholecystitis)
- Reported history of previous resection of any part of the gastrointestinal tract other than appendix or gallbladder
- Diverticulitis
- Pregnancy declared by the candidate
- Inflammatory Bowel Disease
Summary
- Conditions
- Campylobacter Infections
- Irritable Bowel Syndrome
- Type
- Observational
- Design
- Observational Model: Cohort
- Time Perspective: Prospective
Participation Requirements
- Age
- Between 18 years and 125 years
- Gender
- Both males and females
Description
The secondary research objectives are: To investigate how the particular strain of the Campylobacter germ that causes the infection, and the strength of the immune response that it stimulates in the bowel, affect the risk of long term bowel symptoms. To explore what changes occur after Campylobacter...
The secondary research objectives are: To investigate how the particular strain of the Campylobacter germ that causes the infection, and the strength of the immune response that it stimulates in the bowel, affect the risk of long term bowel symptoms. To explore what changes occur after Campylobacter infection in the bacteria that usually live in the large bowel (microbiota) and the chemicals that they produce (short-chain fatty acids) when they digest nutrients. We will look for differences between people who recover fully and people who have long term bowel symptoms.
Inclusion Criteria
- Age ≥ 18
- Submission of stool sample to Nottingham University Hospitals Microbiology Laboratory for investigation of these symptoms
- Clinical syndrome suggestive of intestinal infection, including symptoms such as new onset of abdominal pain, vomiting, diarrhoea, blood in stools, fever
- ...
- Age ≥ 18
- Submission of stool sample to Nottingham University Hospitals Microbiology Laboratory for investigation of these symptoms
- Clinical syndrome suggestive of intestinal infection, including symptoms such as new onset of abdominal pain, vomiting, diarrhoea, blood in stools, fever
- Campylobacter sp. cultured by selective media (standard clinical practice) from this stool sample
Exclusion Criteria
- Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g. cognitive dysfunction, chaotic lifestyle related to substance abuse
- Pancreatitis
- Declared participation in any medical trials in the past 3 months
- ...
- Anyone who in the opinion of the investigator is unlikely to be able to comply with the protocol e.g. cognitive dysfunction, chaotic lifestyle related to substance abuse
- Pancreatitis
- Declared participation in any medical trials in the past 3 months
- Habitual use of opiate analgesics likely to alter bowel function e.g. morphine
- Inability to complete the symptom questionnaires e.g. cognitive dysfunction limiting memory and understanding
- Cancer of the gastrointestinal tract
- Coeliac Disease
- Any condition where the candidate is likely to require a course of antibiotics in the next 3 months e.g. severe chronic respiratory disease, recurrent urinary tract infection, lower limb ulceration
- Use of purgative products/ high dose laxatives for bowel preparation in the four weeks prior to index infection.
- Intestinal stoma
- Use of antibiotics in the preceding four weeks other than for treatment of index infection.
- Irritable Bowel Syndrome
- Gallstone disease (biliary colic, cholecystitis)
- Reported history of previous resection of any part of the gastrointestinal tract other than appendix or gallbladder
- Diverticulitis
- Pregnancy declared by the candidate
- Inflammatory Bowel Disease
Tracking Information
- NCT #
- NCT02040922
- Collaborators
- Nottingham University Hospitals NHS Trust
- Department of Health, United Kingdom
- King's College London
- University of Helsinki
- Investigators
- Study Chair: Robin C Spiller, MSc MD FRCP University of Nottingham Principal Investigator: Giles AD Major, BM BCh MRCP University of Nottingham Study Director: Mathew Diggle, MSc PhD Nottingham University Hospitals NHS Trust Study Director: Richard Puleston, MBBS PhD University of Nottingham Study Director: Miranda Lomer, PhD RD King's College London
- Study Chair: Robin C Spiller, MSc MD FRCP University of Nottingham Giles AD Major, BM BCh MRCP University of Nottingham Study Director: Mathew Diggle, MSc PhD Nottingham University Hospitals NHS Trust Study Director: Richard Puleston, MBBS PhD University of Nottingham Study Director: Miranda Lomer, PhD RD King's College London