美国对Q热的重视程度不足：来自两个国家报告系统的致命Q热病例比较。
Q fever is underestimated in the United States: a comparison of fatal Q fever cases from two national reporting systems.
作者信息
Dahlgren F Scott, Haberling Dana L, McQuiston Jennifer H
机构信息
Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Prion and Public Health Office, Centers for Disease Control and Prevention, Atlanta, Georgia
Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Prion and Public Health Office, Centers for Disease Control and Prevention, Atlanta, Georgia.
出版信息
Am J Trop Med Hyg. 2015 Feb;92(2):244-6. doi: 10.4269/ajtmh.14-0502. Epub 2014 Nov 17.
Two national surveillance systems capturing reports of fatal Q fever were compared with obtained estimates of Q fever underreporting in the United States using capture-recapture methods. During 2000-2011, a total of 33 unique fatal Q fever cases were reported through case report forms submitted to the Centers for Disease Control and Prevention and through U.S. death certificate data. A single case matched between both data sets, yielding an estimated 129 fatal cases (95% confidence interval [CI] = 62-1,250) during 2000-2011. Fatal cases of Q fever were underreported through case report forms by an estimated factor of 14 and through death certificates by an estimated factor of 5.2.
利用捕获-再捕获方法，将两个收集致命性Q热报告的国家监测系统与美国Q热漏报估计数进行了比较。在2000年至2011年期间，通过提交给疾病控制和预防中心的病例报告表以及美国死亡证明数据，共报告了33例独特的致命性Q热病例。两个数据集之间匹配到1例病例，得出2000年至2011年期间估计有129例致命病例（95%置信区间[CI]=62-1250）。通过病例报告表估计Q热致命病例漏报系数为14，通过死亡证明估计漏报系数为5.2。
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