Incidence of herpes zoster and associated events including stroke-a population-based cohort study

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Sundstrom, K.Karolinska Institutet (författare)

Incidence of herpes zoster and associated events including stroke-a population-based cohort study

Artikel/kapitelEngelska2015

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2015-10-31
Springer Science and Business Media LLC,2015

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LIBRIS-ID:oai:gup.ub.gu.se/226589
https://gup.ub.gu.se/publication/226589URI
https://doi.org/10.1186/s12879-015-1170-yDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:132328314URI

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Språk:engelska

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Background: More detailed understanding of herpes zoster (HZ) is called for in the context of an increasing observed frequency of disease, and ongoing discussions regarding potential consequences of the disease. Thus, population-based data on incidence and complications of HZ are needed. Methods: We conducted a register-based cohort study in Vastra Gotaland County (population 1.5 million) in Sweden. We collected data on all patients diagnosed with HZ during the years 2008 to 2010 from population-based registers. Incidence rates (IR) of HZ and related complications were calculated and stratified by age and sex. Results: There were 13 269 new HZ cases during the study period. Overall, the IR of herpes zoster in both genders was 3.25 (95 % CI: 3.16-3.34) per 1000 person years in 2010. The incidence was consistently higher in women than in men and in older than in young. A history of immunosuppression was more common than in the general population. The incidence was highest in individuals over 80 years of age (IR 9.2 per 1000 person years, 95 % CI: 8.8-9.6) during 2008-2010. The most common complications to HZ were ocular engagement and postherpetic neuralgia; risks for stroke and sepsis were significantly elevated during the one year following diagnosis, especially in the youngest age group of patients 0-39 years. Conclusions: Herpes zoster is more common in women, the elderly and immunosuppressed individuals. We verify a population-based association between herpes zoster and risk for stroke and sepsis, which may merit concern.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Infektionsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Infectious Medicine hsv//eng
Herpes zoster
Incidence
Cohort
Stroke
Sepsis
postherpetic neuralgia
severe complications
virus-infection
risk-factors
epidemiology
varicella
children
burden
rates
ophthalmicus
Infectious Diseases

Biuppslag (personer, institutioner, konferenser, titlar ...)

Weibull, C. E.Karolinska Institutet (författare)
Soderberg-Lofdal, K.Karolinska Institutet (författare)
Bergström, Tomas,1950Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine(Swepub:gu)xberto (författare)
Sparen, P.Karolinska Institutet (författare)
Arnheim-Dahlstrom, L.Karolinska Institutet (författare)
Karolinska InstitutetInstitutionen för biomedicin, avdelningen för infektionssjukdomar (creator_code:org_t)

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Ingår i:Bmc Infectious Diseases: Springer Science and Business Media LLC151471-2334

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Av författaren/redakt...: Sundstrom, K.; Weibull, C. E.; Soderberg-Lofdal ...; Bergström, Tomas ...; Sparen, P.; Arnheim-Dahlstro ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Infektionsmedici ...

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Av lärosätet: Göteborgs universitet; Karolinska Institutet

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