利用日本哨点监测数据估计 2015 年全国性传播疾病发病数。
Estimating nationwide cases of sexually transmitted diseases in 2015 from sentinel surveillance data in Japan.
机构信息
Department of Hygiene, Fujita Health University School of Medicine, 1-98, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
Division of Public Health, Department of Social Medicine, Saitama Medical University Faculty of Medicine, Moroyama, Saitama, Japan.
出版信息
BMC Infect Dis. 2020 Jan 28;20(1):77. doi: 10.1186/s12879-020-4801-x.
BACKGROUND
The rates of newly diagnosed cases of sexually transmitted diseases, including genital chlamydial infection and gonorrhea, are important for prevention and control of these diseases. However, nationwide rates are not reported in Japan.
METHODS
We used the number of cases of sexually transmitted diseases reported by nationwide sentinel surveillance in 2015, together with the number of all disease outpatients in September 2014 at all medical institutions, drawn from the Survey of Medical Institutions of Japan. The number of cases of sexually transmitted diseases in the total population was estimated using the ratio estimation method with the number of all disease outpatients as auxiliary information. This method is currently used for estimating influenza cases from sentinel surveillance data in Japan.
RESULTS
The estimated number of newly diagnosed cases per 100,000 population in 2015 in Japan was 244 (95% confidence interval 211-277) for genital chlamydial infection, 87 (95% confidence interval 74-100) for genital herpes, 61 (95% confidence interval 29-93) for condyloma acuminatum, and 89 (95% confidence interval 64-113) for gonorrhea.
CONCLUSION
We estimated the nationwide number of newly diagnosed cases of sexually transmitted diseases in Japan from sentinel surveillance data. This provides useful information for public health policy-making.
背景
性传播疾病（包括生殖器衣原体感染和淋病）的新发病例率对于这些疾病的预防和控制非常重要。然而，日本并没有报告全国范围内的发病率。
方法
我们使用了 2015 年全国哨点监测报告的性传播疾病病例数，以及来自日本医疗机构调查的 2014 年 9 月所有医疗机构的所有疾病门诊人数。使用比率估计法，以所有疾病门诊人数作为辅助信息，估计总人口中的性传播疾病病例数。这种方法目前用于从日本的哨点监测数据中估计流感病例数。
结果
2015 年日本每 10 万人中新诊断出的生殖器衣原体感染病例估计数为 244 例（95%置信区间为 211-277），生殖器疱疹为 87 例（95%置信区间为 74-100），尖锐湿疣为 61 例（95%置信区间为 29-93），淋病为 89 例（95%置信区间为 64-113）。
结论
我们根据哨点监测数据估计了日本全国范围内的性传播疾病新发病例数。这为公共卫生政策制定提供了有用的信息。
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