Centre for Epidemiology and Surveillance of Infectious Diseases,National Institute for Public Health and the Environment (RIVM),P.O. Box 1,3720 BA Bilthoven,The Netherlands.
Epidemiol Infect. 2018 Feb;146(3):303-305. doi: 10.1017/S0950268817003065. Epub 2018 Jan 24.
Psittacosis (infection with Chlamydia psittaci) can have diverse presentations in humans, ranging from asymptomatic infection to severe systemic disease. Awareness of psittacosis and its presentations are low among clinicians and the general public. Therefore, underdiagnosis and thereby underestimation of the incidence and public health importance of psittacosis is very likely. We used the methodology developed for the Burden of communicable diseases in Europe toolkit of the European Centre for Disease Prevention and Control, to construct a model to estimate disease burden in disability-adjusted life years (DALYs) attributable to psittacosis. Using this model, we estimated the disease burden caused by psittacosis in the Netherlands to have been 222 DALY per year (95% CI 172-280) over the period 2012-2014. This is comparable with the amount of DALYs estimated to be due to rubella or shigellosis in the same period in the Netherlands. Our results highlight the public health importance of psittacosis and identify evidence gaps pertaining to the clinical presentations and prognosis of this disease.
鹦鹉热（鹦鹉热衣原体感染）在人类中的表现多种多样，从无症状感染到严重的全身疾病都有。临床医生和公众对鹦鹉热及其表现的认识很低。因此，鹦鹉热的漏诊和低估其发病率和公共卫生重要性很可能非常严重。我们使用欧洲疾病预防控制中心的传染性疾病负担工具包中为 Burden of communicable diseases in Europe 开发的方法，构建了一个模型来估计因鹦鹉热而导致的疾病负担（以残疾调整生命年衡量）。使用该模型，我们估计 2012-2014 年期间，荷兰每年因鹦鹉热导致的疾病负担为 222 个残疾调整生命年（95%CI 172-280）。这与同期荷兰因风疹或志贺菌病导致的残疾调整生命年数量相当。我们的研究结果突出了鹦鹉热的公共卫生重要性，并确定了与该疾病的临床表现和预后相关的证据空白。
