Ołdak Elzbieta, Sulik Artur, Rozkiewicz Dorota, Pogorzelska Elzbieta, Pogorzelska Małgorzata
Klinika Obserwacyjno-Zakaźna Dzieci Akademii Medycznej w Białymstoku.
Przegl Epidemiol. 2006;60 Suppl 1:86-91.
This study examined the burden of hospitalization of children with viral meningitis in Department of Pediatric Infectious Diseases, Medical University of Bialystok from 2003 to 2005.
Data were extracted from Children Teaching Hospital database. A hospitalization with viral meningitis was defined as any discharge with diagnoses of mumps meningitis (B26.1), enteroviral meningitis (A85.0), tick-born encephalitis (A84.1) and viral undifferentiated meningitis (A87.9) due to ICD-10. Outcome measures included number of hospitalizations in total and due to different etiology as well as their impact in the budget of the unit.
316 hospitalizations with viral meningitis were identified. Of these 246 (77.6%) were diagnosed with mumps etiology, 10 (3.2%) with enteroviral, 1 (0.3%) with tick-born virus and 59 (18.7%) with unknown viral etiology. Most cases of viral meningitis were hospitalized in 2003--132 (41.8%). Of these 93.9% were diagnosed with mumps meningitis. In 2005, of 78 hospitalizations associated with viral meningitis 10 (12.8%) were confirmed and further 38 (48.7%) were suspected enteroviral meningitis. The percentages of costs associated with viral meningitis in 2004 and 2005 (26% and 18.8%) were high in comparison to percentage of hospitalizations with viral meningitis (10.7% and 7.3%, respectively).
本研究调查了2003年至2005年比亚韦斯托克医科大学儿科传染病科病毒性脑膜炎患儿的住院负担。
数据从儿童教学医院数据库中提取。根据国际疾病分类第十版（ICD - 10），病毒性脑膜炎住院定义为任何诊断为腮腺炎脑膜炎（B26.1）、肠道病毒脑膜炎（A85.0）、蜱传脑炎（A84.1）和病毒性未分化脑膜炎（A87.9）的出院病例。结果指标包括总的住院次数、不同病因导致的住院次数及其对科室预算的影响。
共确定316例病毒性脑膜炎住院病例。其中，246例（77.6%）诊断为腮腺炎病因，10例（3.2%）为肠道病毒病因，1例（0.3%）为蜱传病毒病因，59例（18.7%）为病毒病因不明。大多数病毒性脑膜炎病例于2003年住院——132例（41.8%）。其中93.9%诊断为腮腺炎脑膜炎。2005年，在78例与病毒性脑膜炎相关的住院病例中，10例（12.8%）得到确诊，另有38例（48.7%）疑似为肠道病毒脑膜炎。与2004年和2005年病毒性脑膜炎相关的费用百分比（分别为26%和18.8%）相比，病毒性脑膜炎住院病例的百分比（分别为10.7%和7.3%）较高。
