Mamos Aneta Renata, Kuszewski Krzysztof
Katedra Polityki Ochrony Zdrowia Uniwersytetu Medycznego w Łodzi, Zakład Ubezpieczeń Zdrowotnych.
Przegl Epidemiol. 2009;63(4):525-30.
The aim of this study was to determine the trend of the general incidence of fungi infections in separate voivodeships basing on data gathered by Chief Sanitary Inspectorate during 2005-2008 and to estimation of the reports of fungi infections in łódzkie voivodeship in 2007. In 2005, the incidence rate for Poland amounted to 14.4 and in 2008 it amounted to 19.4 on 100,000. During 2005-2008, a significant increase was observed in the number of reported cases in the following voivodeships: opolskie, mazowieckie and wielkopolskie. The decrease in the number of reports was noticed in the following voivodeships: kujawsko-pomorskie, lubuskie, podlaskie, świetokrzyskie, warmńsko-mazurskie. In dolnoślaskie voivodship, lubuskie voivodeship, łódzkie voivodship, podkarpackie voivodeship and zachodniopomorskie voivodeship the number of reported cases was low and did not exceed 100 people a year. The highest infection rates in 2008 were registered in opolskie voivodeship -122.3; high above 30 on 100,000 in voivodeships: świetokrzyskie (60.3), pomorskie (34.8) and mazowieckie (34.4). The lowest infection rates below 5/100,000 were observed in lubuskie voivodeship (3.4), łódzkie voivodeship (3.4), zachodniopomorskie voivodeship (2.5), dolnoślaskie voivodeship (1.6), and podkarpackie voivodeship (1.3). In 8 voivodeships dermatophytoses amounted to over 70% of all reported infections, in three voivodeships (łódzkie, warmińsko-mazurskie, and zachodniopomorskie) only 30%. In łódzkie voivodeship in 2007, 79 fungi infections were reported; 54 out of them were registered in łódzki poviat. Over a half of these reports came from one voivodeship specialist hospital and these were patients hospitalized because of mycosis. Great differences exist between individual voivodeships, which justifies the statement that the obligation of reporting was not correctly fulfilled in each place. That is why, in the light of these facts, it is difficult to perform a reliable analysis of incidence of fungi-related diseases in Poland.
本研究的目的是根据首席卫生检查局在2005 - 2008年期间收集的数据，确定各省份真菌感染的总体发病率趋势，并估算2007年罗兹省的真菌感染报告数量。2005年，波兰的发病率为每10万人14.4例，2008年为每10万人19.4例。在2005 - 2008年期间，下列省份报告的病例数显著增加：奥波莱省、马佐夫舍省和大波兰省。下列省份报告的病例数有所减少：库亚维-滨海省、卢布斯卡省、波德拉谢省、什切青省、瓦尔米亚-马祖里省。在下西里西亚省、卢布斯卡省、罗兹省、喀尔巴阡省和西滨海省，报告的病例数较少，每年不超过100人。2008年感染率最高的是奥波莱省——122.3；每10万人超过30的有：什切青省（60.3）、滨海省（34.8）和马佐夫舍省（34.4）。感染率最低（低于5/10万）的是卢布斯卡省（3.4）、罗兹省（3.4）、西滨海省（2.5）、下西里西亚省（1.6）和喀尔巴阡省（1.3）。在8个省份，皮肤癣菌病占所有报告感染病例的70%以上，在3个省份（罗兹省、瓦尔米亚-马祖里省和西滨海省）仅占30%。2007年，罗兹省报告了79例真菌感染病例；其中54例登记在罗兹县。这些报告中一半以上来自一个省份专科医院，这些患者因真菌病住院。各省份之间存在很大差异，这证明了在每个地方报告义务未得到正确履行这一说法。因此，鉴于这些事实，很难对波兰真菌相关疾病的发病率进行可靠分析。
