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德国弯曲杆菌病的流行病学- 10 年监测的见解。

Epidemiology of campylobacteriosis in Germany - insights from 10 years of surveillance.

机构信息

Department of Infectious Disease Epidemiology, Gastrointestinal Infections, Zoonoses and Tropical Infections Unit, Robert Koch Institute (RKI), Seestraße 10, 13353 Berlin, Germany.

出版信息

BMC Infect Dis. 2014 Jan 15;14:30. doi: 10.1186/1471-2334-14-30.

DOI:10.1186/1471-2334-14-30
PMID:24422983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3898467/
Abstract

BACKGROUND

Campylobacteriosis caused by Campylobacter spp. is the most common notifiable bacterial gastrointestinal disease in Germany and a major problem in many other European countries as well. In contrast to other infectious diseases, e.g., salmonellosis, the annual number of notified campylobacteriosis cases has increased in Germany and other European countries from 2001-2010.

METHODS

National surveillance data from 2001 through 2010 were the basis of a detailed description of the epidemiological pattern of Campylobacter infections in Germany. Special focus was placed on geographical distribution and time trends of Campylobacter infections as well as the identification of risk groups.

RESULTS

In total, 588,308 cases of campylobacteriosis were recorded during the observed time period. The mean annual incidence increased from 67 cases/100,000 population in 2001 to 80/100,000 population in 2010. Almost 92% of the notified Campylobacter infections were acquired in Germany. A seasonal distribution was observed with a large peak in the summer months and a small peak in January. Incidence was highest in children ≤4 years and young adults 20-29 years of age. Especially young children living in rural regions in Germany seemed to be at high risk of Campylobacter infection.

CONCLUSIONS

Campylobacter is the leading cause of bacterial gastroenteritis in Germany, and has been of rising public health concern. There is a need for enhanced prevention of Campylobacter infections and the data presented here may contribute to better target prevention measures with focus on identified risk groups such as children and young adults.

摘要

背景

弯曲菌病是由弯曲菌引起的,是德国最常见的需报告的细菌性胃肠道疾病,也是许多其他欧洲国家的主要问题。与其他传染病(例如沙门氏菌病)不同,德国和其他欧洲国家 2001-2010 年报告的弯曲菌病病例数量逐年增加。

方法

2001 年至 2010 年的国家监测数据是德国弯曲菌感染流行病学模式详细描述的基础。特别关注的是弯曲菌感染的地理分布和时间趋势以及确定风险群体。

结果

在观察期间共记录了 588,308 例弯曲菌病病例。年平均发病率从 2001 年的每 10 万人 67 例增加到 2010 年的每 10 万人 80 例。几乎 92%的报告弯曲菌感染是在德国获得的。观察到季节性分布,夏季有一个高峰,1 月有一个小高峰。发病率在 4 岁以下儿童和 20-29 岁的年轻成人中最高。居住在德国农村地区的幼儿尤其容易感染弯曲菌。

结论

弯曲菌是德国细菌性肠胃炎的主要原因,已引起越来越多的公共卫生关注。需要加强预防弯曲菌感染,这里提供的数据可能有助于更好地针对特定风险群体(如儿童和年轻成人)制定预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/9a875f513d4c/1471-2334-14-30-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/603e0f13e131/1471-2334-14-30-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/9a875f513d4c/1471-2334-14-30-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/603e0f13e131/1471-2334-14-30-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/f4c7e075d634/1471-2334-14-30-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/df56b1490b5c/1471-2334-14-30-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ee/3898467/934cce16c5d8/1471-2334-14-30-4.jpg
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