Stypułkowska-Misiurewicz Hanna, Czerwiński Michał
National Institute of Public Health – National Institute of Hygiene in Warsaw, Department of Bacteriology
National Institute of Public Health – National Institute of Hygiene in Warsaw, Department of Epidemiology and Surveillance
Przegl Epidemiol. 2018;72(2):143-147.
The aim of the study was to assess the epidemiological situation of legionellosis in Poland in 2016 in comparison to the preceding years.
The assessment was based on national surveillance data published in the annual bulletin: “Infectious diseases and poisonings in Poland in 2016” and its prior versions along with data from legionellosis case reports sent from Sanitary-Epidemiological Stations to the Department of Epidemiology of NIPH - NIH.
In Poland, both two main forms of legionellosis - Legionnaires’ disease and Pontiac fever are routinely reported to the surveillance system. In 2016, a total of 27 cases of legionellosis were registered, including 25 cases of Legionnaires’ disease and 2 cases of Pontiac fever; in 2016, a total of 27 cases of legionellosis have been reported, including 25 cases of Legionnaires’ disease and 2 cases of Pontiac fever; the annual incidence rate 0.070 (per 100,000 population) was comparable to previous year (0.060) but almost twice as high as the median (incidence) for 2010-2014. The infections were reported in 11 provinces, including two, which in previous years usually did not register any cases; only two provinces (out of 16 in the country) have reported no cases in recent years. The incidence in men (0.080 per 100,000) was higher compared to women (0.055). All reported cases were sporadic and, except for one mild case of Legionnaires’ disease, required hospitalization. The Sanitary Inspection reported two fatal cases – both women aged 59 and 69. Twenty cases were autochthonous including four cases linked with contaminated water systems in hospitals. Seven cases were associated with travel abroad (to Germany, Russia, Greece, Australia, USA and Thailand).
Despite the increase in the number of cases in recent years as well as number of provinces, which detected cases, the annual incidence of legionellosis in Poland remains one of the lowest in the EU, which suggests that this infection is likely under-recognized and underdiagnosed in all provinces of the country.
本研究旨在评估2016年波兰军团病的流行病学情况，并与前几年进行比较。
评估基于年度公告《2016年波兰的传染病和中毒事件》及其以前版本中公布的国家监测数据，以及从卫生防疫站发送到国家公共卫生研究所-国家卫生研究院流行病学部的军团病病例报告数据。
在波兰，军团病的两种主要形式——退伍军人病和庞蒂亚克热都定期向监测系统报告。2016年，共登记了27例军团病病例，其中包括25例退伍军人病和2例庞蒂亚克热；2016年，共报告了27例军团病病例，其中包括25例退伍军人病和2例庞蒂亚克热；年发病率为0.070（每10万人），与上一年（0.060）相当，但几乎是2010 - 2014年中位数（发病率）的两倍。在11个省份报告了感染病例，其中包括两个在前几年通常未登记任何病例的省份；近年来，全国16个省份中只有两个省份未报告病例。男性发病率（每10万人0.080）高于女性（0.055）。所有报告的病例均为散发性，除了1例轻度退伍军人病病例外，其余均需住院治疗。卫生检查报告了两例死亡病例——均为59岁和69岁的女性。20例为本地病例，其中4例与医院受污染的水系统有关。7例与出国旅行（前往德国、俄罗斯、希腊、澳大利亚、美国和泰国）有关。
尽管近年来病例数以及发现病例的省份数量有所增加，但波兰军团病的年发病率仍然是欧盟中最低的之一，这表明该国所有省份对这种感染可能认识不足且诊断不足。
