The disease and economic burden of notified and underestimated Campylobacter enteritis cases and associated sequelae in Germany

Elisabeth Schorling, Sonja Lick, Bettina Rosner, Sebastian Knorr, Hendrik Wilking, Pablo Steinberg and Dagmar Adeline Brüggemann

PLOS ONE, 2025, vol. 20, issue 9, 1-16

Abstract: Background: According to surveillance data, Campylobacter enteritis (CE) has been the most frequently notified bacterial gastrointestinal disease in Germany and Europe for many years. Presumably, the total number of cases is underestimated because an unknown number of cases is not diagnosed and some diagnosed cases are not reported in the surveillance system. The aim of this study was to estimate the disease and economic burden of CE and its related sequelae in Germany. Methods: The disability-adjusted life years (DALY) as well as the direct and indirect costs associated with the five-year (2018–2022) mean number of CE cases and related sequelae were estimated in a Monte Carlo simulation. The age- and gender-specific characteristics were integrated where possible. The underestimated CE cases were quantified by reconstructing the surveillance pyramid using age group-specific health care seeking parameters. Results: The estimated incidence rate was 553 CE cases (95%-CI: 551–555 cases) per 100,000 inhabitants per year. This corresponds to 7.7 underestimated cases per notified case. Underestimation was lowest in the age group

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0331298

DOI: 10.1371/journal.pone.0331298

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