De Keukeleire Mathilde, Vanwambeke Sophie O, Kabamba Benoît, Belkhir Leila, Pierre Philippe, Luyasu Victor, Robert Annie
Earth and Life Institute (ELI), Georges Lemaitre Center for Earth and Climate Research, Université catholique de Louvain (UCL), Louvain-la-Neuve, Belgium.
Institut de Recherche Expérimentale et Clinique (IREC), Pôle Epidémiologie et Biostatistique, Faculté de Santé Publique (FSP), Université catholique de Louvain (UCL), Bruxelles, Belgium.
BMC Infect Dis. 2017 Dec 5;17(1):748. doi: 10.1186/s12879-017-2841-7.
As several studies indicated an increase in Lyme disease (LD), notably in neighbouring countries, concerns have arisen regarding the evolution of Lyme disease in Belgium. In order to confirm or infirm the increase of LD in Belgium, we focused on hospital admissions of patients diagnosed with LD between 2000 and 2013 based on hospital admission databases from two hospitals in Belgium.
Hospital databases are a stable recording system. We did a retrospective analysis of the medical files of patients hospitalized with Lyme disease in two Belgian hospitals between 2000 and 2013.
The annual number of cases of LD for the two studied Belgian hospitals remained stable between 2000 and 2013, ranging from 1 for the Cliniques universitaires Saint-Luc to 15 for the the Clinique Saint-Pierre. No increasing trend were noted in the estimated annual incidence rate but the average estimated annual incidence rate was higher for the hospital Saint-Pierre (8.1 ± 3.7 per 100,000 inhabitants) than Saint-Luc (2.2 ± 1.5 per 100,000 inhabitants). The number of hospital cases of LD peaked between June and November.
Based on hospital admissions with LD, no increasing trend was observed for the period 2000-2013 in the two studied Belgian hospitals. This is in line with other studies carried out in Belgium.
多项研究表明莱姆病(LD)的发病率有所上升,尤其是在邻国,这引发了对比利时莱姆病发展趋势的关注。为了证实或否定比利时莱姆病发病率的上升情况,我们基于比利时两家医院的住院数据库,重点研究了2000年至2013年间被诊断为莱姆病的患者的住院情况。
医院数据库是一个稳定的记录系统。我们对2000年至2013年间在比利时两家医院住院的莱姆病患者的病历进行了回顾性分析。
在2000年至2013年间,两所比利时研究医院的莱姆病年病例数保持稳定,从圣吕克大学医院的1例到圣皮埃尔诊所的15例不等。估计的年发病率没有上升趋势,但圣皮埃尔医院的平均估计年发病率(每10万居民中8.1±3.7例)高于圣吕克医院(每10万居民中2.2±1.5例)。莱姆病住院病例数在6月至11月达到峰值。
基于莱姆病住院病例数,在2000 - 2013年期间,两所比利时研究医院未观察到上升趋势。这与比利时开展的其他研究结果一致。