TABLE 1.
Common global diseases caused by bacterial infection and their burdens of disease and mortalitya
Disease(s) | Causative bacterial agent(s) | Burden of disease (DALY), millions | Annual deaths, millions | Annual cases, millions | Conventional methods of diagnosis | Diagnosis time critical? | Spread prevention critical? | Reference(s) |
---|---|---|---|---|---|---|---|---|
Lower respiratory tract infections (e.g., pneumonia) | Streptococcus pneumoniae, Haemophilus influenzae | 94.5 | 4.2 | 430 | Physical examination, chest X-ray, sputum and blood cultures, PCR | No | No | 11 |
Diarrheal diseases | Shigellae, Campylobacter, salmonellae, Escherichia coli O157:H7 | 72.8 | 2.1 | 4,620 | Microbiology (culture on Gram-negative-selective media), PCR, ELISA, particle agglutination assay | Can be | Yes | 12, 13 |
TB | Mycobacterium tuberculosis | 34.2 | 1.5 | 7.8 | Chest X-ray, blood test, Mantoux TST, sputum smear and culture, staining and microscopy | No | Yes | 14 |
Meningitis | Neisseria meningitidis, Streptococcus pneumoniae, Escherichia coli | 11.4 | 0.34 | 0.7 | Lumbar puncture, blood cultures, PCR | Yes | No | 15 |
Sexually transmitted infections (excluding HIV) | Treponema pallidum (syphilis), Chlamydia trachomatis (chlamydia), Neisseria gonorrhoeae (gonorrhea) | 10.4 | 0.13 | 222 | Urethral/vaginal swab and culture, Gram staining and microscopy, immunoassay, particle agglutination assay | No | Yes | 16, 17 |
Abbreviations: DALY, disability-adjusted life years (i.e., number of years lost due to disease); ELISA, enzyme-linked immunosorbent assay; TB, tuberculosis; TST, tuberculin skin test; HIV, human immunodeficiency virus.