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Evaluation of tickborne encephalitis case classification in Poland.
- Source :
-
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [Euro Surveill] 2005 Jan; Vol. 10 (1), pp. 23-5. - Publication Year :
- 2005
-
Abstract
- Central European tickborne encephalitis (TBE) is a viral disease of the central nervous system. Despite a surveillance system for TBE existing in Poland since 1970, there are no standardised case definitions and different diagnostic tests are used in various regions. The purpose of this study was to summarise four years of surveillance data using standardised case definitions. From 1999 to 2002, 607 cases of TBE were reported to Poland's national surveillance system: 386 (63.6%) were males, 331 (54.5%) lived in rural areas, and 186 (30.6%) were between 30 and 50 years old. Of 606 diagnosed cases, 453 (74.7%) had aseptic meningitis, 109 (18.0%) had meningoencephalitis, and 44 (7.3%) had meningoencephalomyelitis. Of the 607 reported cases, 602 (99.2%) could be classified: 153 (25.4%) as confirmed, 343 (57.0%) as probable, and 106 (17.6%) as possible cases. There was a significant difference in classified cases by gender: 28.6% of male cases were classified as confirmed, compared with 19.7% of female cases (chi2= 10.48, p=0.0053). There was a significant difference in case classification by clinical diagnosis: 32.4% of cases with meningoencephalitis were classified as confirmed cases, compared with 24.7% of cases with aseptic meningitis (chi2=11.79, p=0.019). There were also significant differences in the distribution by case definition group across geographical regions. For appropriate monitoring of TBE, a uniform and valid case definition should be used in European countries. With only 25% of reported cases meeting the definition for confirmed cases, there is a need for more complete follow-up and standardised testing of suspect cases.
- Subjects :
- Adolescent
Age Distribution
Aged
Disease Notification standards
Encephalitis, Tick-Borne classification
Female
Humans
Mass Screening standards
Middle Aged
Poland epidemiology
Quality Assurance, Health Care methods
Quality Assurance, Health Care standards
Reproducibility of Results
Risk Assessment methods
Risk Assessment standards
Risk Factors
Sensitivity and Specificity
Sex Distribution
Terminology as Topic
Disease Notification methods
Encephalitis, Tick-Borne diagnosis
Encephalitis, Tick-Borne epidemiology
Mass Screening methods
Population Surveillance methods
Subjects
Details
- Language :
- English
- ISSN :
- 1560-7917
- Volume :
- 10
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
- Publication Type :
- Academic Journal
- Accession number :
- 15701936