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[弯曲杆菌和沙门氏菌急性胃肠炎:流行病学与医疗保健利用情况]

[Campylobacter and Salmonella acute gastroenteritis: epidemiology and health care utilization].

作者信息

Sala Farré Maria Rosa, Osorio Sánchez Dimelza, Arias Varela Cesar, Simó Sanahuja Maria, Recasens Recasens Assumpta, Pérez Jové Josefa

机构信息

Unidad de Vigilancia Epidemiológica Vallés Occidental y Vallés Oriental, Agencia de Salud Pública de Cataluña, Sant Cugat del Vallès, Barcelona, España.

Centro Cochrane Iberoamericano-Instituto de Investigación Biomédica Sant Pau, (IIB Sant Pau), Barcelona, España; Universidad Tecnológica Equinoccial, Facultad de Ciencias de la Salud Eugenio Espejo, Quito, Ecuador.

出版信息

Med Clin (Barc). 2015 Oct 5;145(7):294-7. doi: 10.1016/j.medcli.2014.11.016. Epub 2015 Jan 28.

DOI:10.1016/j.medcli.2014.11.016
PMID:25638425
Abstract

BACKGROUND AND OBJECTIVE

In Catalonia the current surveillance systems do not allow to know the true incidence or the health care utilization of acute gastroenteritis (AGE) caused by Campylobacter and Salmonella infections. The aim of this study is to analyze these characteristics.

PATIENTS AND METHODS

Descriptive study of Campylobacter and Salmonella infections reported in 2002 and 2012 in Catalonia, Spain. We included cases isolated and reported by the laboratory to a regional Surveillance Unit.

RESULTS

The estimated incidence of Salmonella and Campylobacter AGE decreased by almost 50% and 20% respectively in 2012. Children between one and 4 years old were the most affected in both years. Significant differences in the clinical characteristics and disease duration were observed between Campylobacter and Salmonella. Visits to the Emergency Department and hospitalization rates were 63.7% and 15%, being more frequent among salmonellosis cases.

CONCLUSION

The estimated incidence of Campylobacter and Salmonella infections has decreased, however rates are still important, as well as it is the health care utilization in both diseases. Current surveillance systems need appropriateness improvements to reach a better control of these infections.

摘要

背景与目的

在加泰罗尼亚,当前的监测系统无法得知由弯曲杆菌和沙门氏菌感染引起的急性肠胃炎(AGE)的真实发病率或医疗保健利用率。本研究的目的是分析这些特征。

患者与方法

对2002年和2012年西班牙加泰罗尼亚报告的弯曲杆菌和沙门氏菌感染进行描述性研究。我们纳入了实验室分离并报告给地区监测单位的病例。

结果

2012年,沙门氏菌和弯曲杆菌引起的急性肠胃炎的估计发病率分别下降了近50%和20%。在这两年中,1至4岁的儿童受影响最大。观察到弯曲杆菌和沙门氏菌在临床特征和疾病持续时间上存在显著差异。急诊就诊率和住院率分别为63.7%和15%,沙门氏菌病病例中更为常见。

结论

弯曲杆菌和沙门氏菌感染的估计发病率有所下降,但发病率仍然很高,这两种疾病的医疗保健利用率也是如此。当前的监测系统需要进行适当改进,以更好地控制这些感染。

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