Mosleh Ibrahim M, Geith Eid, Natsheh Lina, Abdul-Dayem Muna, Abotteen Nabil
Department of Biological Sciences, Faculty of Science, University of Jordan, Amman, Jordan.
Trop Med Int Health. 2008 Jun;13(6):855-60. doi: 10.1111/j.1365-3156.2008.02063.x. Epub 2008 Mar 24.
OBJECTIVE: To test if cutaneous leishmaniasis (CL) is under-reported in the Jordanian Mid Jordan Valley, with resultant serious consequences for drug supply. METHODS: For 2001-2003, prescribed amounts of drug and laboratory log-books were investigated to estimate CL cases reported in Jordanian Mid Jordan Valley. From April 2004 to May 2005, passive detection and focused active 'index case cluster'-directed detection were used. RESULTS: An average of 75/100,000 cases per year was estimated to have occurred 2001-2003, resulting in under-reporting by a factor of 47. In 2004/2005, 313/100,000 cases per year were passively detected. Active case-finding detected additional cases. CONCLUSION: Cutaneous leishmaniasis is severely under-reported in Jordanian Mid Jordan Valley, which impacts its eradication.
目的：检测约旦中约旦河谷地区皮肤利什曼病（CL）是否存在报告不足的情况，以及这对药物供应是否会产生严重后果。 方法：对2001年至2003年期间的药物处方量和实验室日志进行调查，以估算约旦中约旦河谷地区报告的CL病例数。2004年4月至2005年5月，采用被动监测和针对“索引病例群”的重点主动监测。 结果：据估计，2001年至2003年期间每年平均发生75/10万例病例，导致报告不足达47倍。2004/2005年，每年被动监测到313/10万例病例。主动病例发现又检测到了其他病例。 结论：约旦中约旦河谷地区皮肤利什曼病的报告严重不足，这对其根除工作产生了影响。
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