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[阿根廷病毒性肝炎监测:2007 - 2010年哨点单位信息分析]

[Surveillance of viral hepatitis in Argentina: analysis of information from sentinel units 2007-2010].

作者信息

Vladimirsky Sara, Silvina Munné María, Otegui Lucio, Altabert Nancy, Soto Sonia, Brajterman Leonardo, Echenique Horacio, González Jorge

机构信息

Laboratorio Nacional de Referencia para Hepatitis Virales, Instituto Nacional de Enfermedades Infecciosas (INEI) Dr CG Malbrán ANLIS, Buenos Aires, Argentina.

出版信息

Acta Gastroenterol Latinoam. 2013 Mar;43(1):22-30.

Abstract

In Argentina, the four strategies of epidemiological surveillance from the National System of Health Surveillance (SNVS) are Diseases of Mandatory Report (C2), Sentinel Units (SU), Laboratory Surveillance (SIVILA) and National Programs (National Plan of Blood, information from blood banks). They collect information about viral hepatitis (VH). The objective of this work was to analyze the information recorded by the SUs of VH for hepatitis B and C in the period between January 1th 2007 and December 31h 2010. In this period, out of the 1,769 cases recorded (entered by 21 of 24 SUs), 806 entries were hepatitis B, 848 hepatitis C and 115 belonged to other definitions. The relative proportions between hepatitis B and hepatitis C were heterogeneous between the SUs. The age distribution was homogeneous, being the predominant group in acute hepatitis B the 25- to 34-year-old group. In hepatitis C, the age distribution was broader. The distribution by sex and risk factors was heterogeneous between the different SUs. In hepatitis C, genotype 1 was the predominant one. In conclusion, the information provided by the SUs contributes as an evidence of the public health problem posed by this pathology in our country.

摘要

在阿根廷,国家卫生监测系统(SNVS)的四种流行病学监测策略分别是法定报告疾病(C2)、哨点单位(SU)、实验室监测(SIVILA)和国家项目(国家血液计划,来自血库的信息)。它们收集有关病毒性肝炎(VH)的信息。这项工作的目的是分析2007年1月1日至2010年12月31日期间VH哨点单位记录的乙型和丙型肝炎信息。在此期间,在记录的1769例病例(由24个哨点单位中的21个录入)中,806例为乙型肝炎,848例为丙型肝炎,115例属于其他定义。各哨点单位之间乙型肝炎和丙型肝炎的相对比例存在差异。年龄分布较为均匀,25至34岁年龄组是急性乙型肝炎的主要群体。在丙型肝炎中,年龄分布更为广泛。不同哨点单位之间按性别和风险因素的分布存在差异。在丙型肝炎中,基因型1最为常见。总之,哨点单位提供的信息有助于证明我国这种疾病所带来的公共卫生问题。

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