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德国一所中小学猩红热爆发:病例确定和风险沟通的重要性。

Scarlet fever outbreak in a primary and middle school in Germany: importance of case ascertainment and risk communication.

机构信息

Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.

European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.

出版信息

Epidemiol Infect. 2020 Nov 4;148:e278. doi: 10.1017/S0950268820002642.

DOI:10.1017/S0950268820002642
PMID:33143786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7770371/
Abstract

A cluster of 18 scarlet fever cases and large illness absenteeism (32%, 58/184) in a school prompted concern and further investigation. We conducted telephone interviews with parents to ascertain cases and better comprehend parents' views. We identified 19 cases, of which 13 reported scarlet fever diagnosis by a physician and only seven fulfilled the probable case definition. We concluded that the outbreak was far smaller than suspected and found that communication and reporting could be improved. Accurate information and communication is essential in an outbreak; the school's concern could have been alleviated sooner and response measures better targeted.

摘要

18 例猩红热病例和大量因病缺勤(32%,58/184)在一所学校引起了关注和进一步调查。我们对家长进行了电话访谈,以确定病例,并更好地了解家长的看法。我们确定了 19 例病例,其中 13 例报告了医生诊断的猩红热,只有 7 例符合疑似病例的定义。我们的结论是,疫情远比怀疑的要小,发现沟通和报告可以改进。在疫情爆发期间,准确的信息和沟通至关重要;学校的担忧本可以更早得到缓解,应对措施也可以更有针对性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/7770371/654e46862975/S0950268820002642_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/7770371/51f6195fd194/S0950268820002642_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/7770371/654e46862975/S0950268820002642_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/7770371/51f6195fd194/S0950268820002642_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/7770371/654e46862975/S0950268820002642_fig2.jpg

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