2012年波兰的沙门氏菌病

Sadkowska-Todys Małgorzata, Czarkowski Mirosław P

Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene (NIZP-PZH) in Warsaw.

Przegl Epidemiol. 2014;68(2):243-8, 353-5.

AIM

The purpose of the study was evaluation of epidemiological situation of salmonellosis in Poland in 2012 compared to the previous years.

MATERIALS AND METHODS

The main source of data for this study are statistical overviews contained in the annual bulletins "Infectious Diseases in Poland in 2012" (NIZP-PZH, GIS, Warsaw 2013), reports from investigations obtained from the sanitary epidemiological stations. Information on deaths due to infectious and parasitic diseases registered in Poland in 2012 and earlier years is based on the data from the Department for Demographic Research of Central Statistical Office. For the purpose of surveillance cases were classified according to the case definition.

RESULTS

In Poland in 2012, it was reported a total of 8 444 cases of zoonotic salmonellosis including 8 267 cases of intestinal salmonellosis and 177 of extraintestinal one. The incidence was 21.9/100 000. The criteria for a confirmed case met more than 94% of cases. The number of reported cases was lower than in 2011, reflecting the continued downward trend in the number of cases of salmonellosis in Poland. A very high percentage (69.4%) hospitalizations of people infected with zoonotic Salmonella remains. In outbreaks proportion of hospitalizations accounted for one third of the cases. Predominated children under the age of 5 years. Seven people died of salmonellosis. In 2012, it was reported 181 outbreaks caused by Salmonella in which 1 511 people still. They were mostly small family outbreaks. The most common etiological agent of salmonellosis in Poland is S. enteritidis, but slightly increases the percentage cases, for which no serologic type was determined. In 2012 it stood at 14%. This proportion was highest in the Pomorskie province and amounted to 58%.

CONCLUSIONS

Keeping up for more than 10 years in the percentage of salmonellosis hospitalization rate at 70%, indicates underreporting of the disease in the country and mostly detection of the cases requiring hospital treatment. Growing proportion of Salmonella that are not serotyped, reaching in some regions more than 30% indicates problems with laboratory diagnostics salmonellosis.

目的

本研究的目的是评估2012年波兰沙门氏菌病的流行病学情况，并与前几年进行比较。

材料与方法

本研究的数据主要来源是年度公报《2012年波兰传染病》（NIZP-PZH，GIS，华沙，2013年）中的统计概述，以及从卫生流行病学站获得的调查报道。2012年及更早年份波兰登记的因传染病和寄生虫病死亡的信息基于中央统计局人口研究部的数据。为了进行监测，病例根据病例定义进行分类。

结果

2012年波兰共报告8444例人畜共患沙门氏菌病病例，其中8267例为肠道沙门氏菌病，177例为肠外沙门氏菌病。发病率为21.9/10万。确诊病例标准适用于超过94%的病例。报告的病例数低于2011年，反映出波兰沙门氏菌病病例数持续下降的趋势。感染人畜共患沙门氏菌的人住院率非常高（69.4%）。在疫情中，住院病例占病例总数的三分之一。主要是5岁以下儿童。7人死于沙门氏菌病。2012年，报告了181起因沙门氏菌引起的疫情，其中1511人感染。这些大多是小型家庭疫情。波兰沙门氏菌病最常见的病原体是肠炎沙门氏菌，但未确定血清型的病例百分比略有增加。2012年这一比例为14%。这一比例在滨海省最高，达58%。