Zieliński A, Tomaszunas-Blaszczyk J, Kuklińska D
Department of Epidemiology, National Institute of Hygiene, Warsaw, Poland.
Eur J Epidemiol. 2001;17(8):779-82. doi: 10.1023/a:1015619230247.
Population based surveillance was undertaken to assess the incidence of meningitis caused by Haemophilus influenzae type b in children 0-59 months old in Kielce and Bydgoszcz districts in Poland in 1998 and 1999. The cases were prospectively identified in pediatric and neuroinfection wards of local hospitals where all cases of children with suspected meningitis are referred in both districts. The mean annual incidence of meningitis caused by Haemophilus influenzae type b in children 0-59 months old in Kielce district during the study period was estimated at 3.1 per 100,000 per year (10.3% of cases of bacterial meningitis with confirmed etiology). In Bydgoszcz district, the annual incidence was 9.7 per 100,000 (50% of confirmed cases). These estimations are lower than reported in most Western European countries before the immunization against Hib was introduced. Small numbers of Hib vaccinations reported from both districts do not seem likely to have influenced the data significantly.
1998年和1999年，在波兰的凯尔采和比得哥什地区开展了基于人群的监测，以评估0至59个月大儿童中由b型流感嗜血杆菌引起的脑膜炎发病率。这些病例是在当地医院的儿科和神经感染病房前瞻性确定的，两个地区所有疑似脑膜炎儿童的病例都转诊到这些病房。研究期间，凯尔采地区0至59个月大儿童中由b型流感嗜血杆菌引起的脑膜炎的年平均发病率估计为每年每10万人3.1例（确诊病因的细菌性脑膜炎病例的10.3%）。在比得哥什地区，年发病率为每10万人9.7例（确诊病例的50%）。这些估计值低于在引入Hib免疫接种之前大多数西欧国家报告的数值。两个地区报告的少量Hib疫苗接种似乎不太可能对数据产生显著影响。
