[麻疹、百日咳、风疹和腮腺炎报告的完整性。工业化国家估计数的文献综述]

[Measles, pertussis, rubella and mumps completeness of reporting. Literature review of estimates for industrialized countries].

作者信息

Trottier H, Carabin H, Philippe P

机构信息

Département de médecine sociale et préventive, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada.

出版信息

Rev Epidemiol Sante Publique. 2006 Feb;54(1):27-39. doi: 10.1016/s0398-7620(06)76692-5.

DOI:10.1016/s0398-7620(06)76692-5

PMID:16609635

Abstract

BACKGROUND

Surveillance data for infectious diseases in industrialized countries have been providing useful epidemiological information for several years. However, surveillance is complex and notifications underestimate the true disease incidence. The goal of this paper is to determine the completeness of reporting of measles, pertussis, rubella and mumps through notification in industrialized countries.

METHODS

A thorough literature review of papers published (in French or English) on surveillance data of measles, pertussis, rubella and mumps was undertaken with PUBMED. The review was limited to studies conducted in industrialized countries that quantitatively assessed the completeness of the reporting of these diseases.

RESULTS

Fourteen studies published from the 1920s met the inclusion criteria. For measles, the studies suggest that 64-85% of symptomatic patients sought medical care, 13-57% of those were diagnosed with measles and 22-81% of the diagnosed cases were reported for a completeness of reporting ranging from 7% to 63% between 1920 and 1980 and 3% to 41% in recent years. For pertussis, it was estimated that 49-59% of symptomatic patients sought medical care, 12% of those were diagnosed and 19-47% of the diagnosed cases were reported for a completeness of reporting ranging from 5% to 25% between 1920 and 1980 and from 3% to 12% in recent years. Very few studies on rubella and mumps were found and none allowed the determination of the global completeness of reporting.

CONCLUSION

Reporting has been found to be considerably incomplete. Continued efforts to improve the recognition and reporting of these diseases are needed.

摘要

背景

工业化国家的传染病监测数据多年来一直提供有用的流行病学信息。然而，监测工作复杂，报告数低估了实际疾病发病率。本文的目的是确定工业化国家通过报告对麻疹、百日咳、风疹和腮腺炎的报告完整性。

方法

通过PUBMED对已发表的（法语或英语）关于麻疹、百日咳、风疹和腮腺炎监测数据的论文进行全面的文献综述。该综述仅限于在工业化国家进行的、定量评估这些疾病报告完整性的研究。

结果

从20世纪20年代起发表的14项研究符合纳入标准。对于麻疹，研究表明，64%-85%的有症状患者寻求医疗护理，其中13%-57%被诊断为麻疹，22%-81%的确诊病例得到报告，1920年至1980年期间报告完整性为7%至63%，近年来为3%至41%。对于百日咳，估计49%-59%的有症状患者寻求医疗护理，其中12%被诊断，19%-47%的确诊病例得到报告，1920年至1980年期间报告完整性为5%至25%，近年来为3%至12%。关于风疹和腮腺炎的研究很少，没有一项研究能够确定全球报告完整性。