1994年至2009年间蜱虫叮咬及莱姆病持续增多。

Continuing increase of tick bites and Lyme disease between 1994 and 2009.

作者信息

Hofhuis Agnetha, Harms Margriet, van den Wijngaard Cees, Sprong Hein, van Pelt Wilfrid

机构信息

Epidemiology and Surveillance Unit, Centre for Infectious Disease Control Netherlands, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.

出版信息

Ticks Tick Borne Dis. 2015 Feb;6(1):69-74. doi: 10.1016/j.ttbdis.2014.09.006. Epub 2014 Oct 16.

DOI:10.1016/j.ttbdis.2014.09.006

PMID:25448421

Abstract

BACKGROUND

Nationwide cross-sectional retrospective studies have shown a continuous increase in general practitioner (GP) consultations for tick bites and diagnoses of erythema migrans between 1994 and 2005 in the Netherlands. In this paper, we report incidence estimates for GP consultations for tick bites and erythema migrans diagnoses in 2009, and we compare the observed increase in GP consultations to reports of tick bites in two retrospective cross-sectional surveys of the general population.

METHODS

All GPs in the Netherlands were asked to complete a postal questionnaire on the number of consultations for tick bites and erythema migrans diagnoses in 2009, and the size of their practice populations. To investigate how the incidence of GP consultation rates for tick bites and erythema migrans relate to the incidence of tick bites in the general population, questionnaire data on tick bites were analyzed from two large population surveys conducted to evaluate the national immunization program in 1995/1996 and 2006/2007.

RESULTS

The 2009 GP survey revealed a further increase, to 564 tick bite consultations per 100,000 inhabitants, and 134 erythema migrans diagnoses per 100,000 inhabitants of the Netherlands. The two population surveys from 1995/1996 and 2006/2007 exhibited an almost twofold increase of the incidence of tick bites in the general population from 4099 per 100,000 population in 1996, to 7198 per 100,000 population in 2007. People nationwide noticed approximately 1.1 million tick bites in 2007.

CONCLUSIONS

Our observation of increases in GP consultations for tick bites and erythema migrans diagnoses between 1994 and 2009 are confirmed by the parallel increase of tick bites reported by the general population, although consultation rates slightly increased. For every sixty tick bites in the general population in 2007, we observed one GP consult for erythema migrans. The increase in tick bites poses a progressive threat to public health.

摘要

背景

全国性横断面回顾性研究表明，1994年至2005年期间，荷兰全科医生（GP）诊治蜱虫叮咬及游走性红斑诊断的数量持续增加。在本文中，我们报告了2009年全科医生诊治蜱虫叮咬及游走性红斑诊断的发病率估计值，并将观察到的全科医生诊治数量的增加与一般人群两项回顾性横断面调查中蜱虫叮咬报告进行比较。

方法

荷兰所有全科医生均收到一份邮政调查问卷，内容涉及2009年蜱虫叮咬及游走性红斑诊断的诊治数量以及其执业人群规模。为研究全科医生诊治蜱虫叮咬及游走性红斑的发病率与一般人群中蜱虫叮咬发病率的关系，对1995/1996年和2006/2007年为评估国家免疫规划而进行的两项大型人群调查中关于蜱虫叮咬的问卷数据进行了分析。

结果

2009年全科医生调查显示，每10万居民中蜱虫叮咬诊治数量进一步增加至564例，每10万荷兰居民中游走性红斑诊断数量为134例。1995/1996年和2006/2007年的两项人群调查显示，一般人群中蜱虫叮咬发病率几乎增加了一倍，从1996年的每10万人4099例增至2007年的每10万人7198例。2007年全国民众注意到约110万次蜱虫叮咬。