Stypułkowska-Misiurewicz Hanna, Napiórkowska Agnieszka
Narodowy Instytut Zdrowia Publicznego-Państwowy Zakład Higieny w Warszawie.
Przegl Epidemiol. 2010;64(2):195-7.
In 2008 the 15 cases of legionellosis were reported in Poland, the incidence rate was 0.039/100 000, while 28 (incidence rate 0.073/100 0000 in 2007 and 86 cases (incidence rate 0.23/100 000) in 2006. The decrease in number and in incidence rate was due to lower number of examined specimens from patients as the financial support from Polish Committee of Research Activity has expired. All the cases were laboratory diagnosed in National Institute of Hygiene, the only place where laboratory tests are performed. Most of them were diagnosed with serological tests -determination with ELISA test the anti-legionella antibodies in IgM fraction of serum gamma globulins, as the most recent reaction for Legionella infection. Only few cases were diagnosed by detection of legionella antigen in urine. All BAL specimens from several patients were negative when examined with culture method, but some were positive with PCR only. No outbreaks were registered: In 2005-2008 the 22 cases were connected with travel: 19 - foreign travel cases, 3 in Poland. Since 1987 to 2007 the 17 foreign tourists were registered in EU countries as probably infected in Poland.
2008年波兰报告了15例军团病病例,发病率为0.039/10万,而2007年有28例(发病率0.073/10万),2006年有86例(发病率0.23/10万)。病例数和发病率下降的原因是,由于波兰研究活动委员会的财政支持到期,患者的检测样本数量减少。所有病例均在国家卫生研究所进行实验室诊断,该研究所是唯一进行实验室检测的地方。大多数病例通过血清学检测确诊——用ELISA试验测定血清γ球蛋白IgM部分中的抗军团菌抗体,这是军团菌感染的最新反应。只有少数病例通过检测尿液中的军团菌抗原确诊。几名患者的所有支气管肺泡灌洗标本经培养法检测均为阴性,但有些仅通过PCR检测呈阳性。未记录到疫情爆发:2005 - 2008年,22例病例与旅行有关:19例为出国旅行病例,3例在波兰国内。1987年至2007年,有17名外国游客在欧盟国家登记,可能是在波兰感染的。