De Wals P, Hertoghe L, De Maeyer S, Gilquin C, Minne A, Thiers G, Verlinden M, Lechat M F
J Infect. 1984 Sep;9(2):185-9. doi: 10.1016/s0163-4453(84)91390-2.
A study was made in Belgium in order to assess the completeness and specificity of the recording of meningococcal disease by routine sources of information. Ninety-three cases identified in a hospital survey were linked with those recorded in mortality statistics, in the notification of communicable diseases, and by the National Reference Laboratory for meningococci. Statistics based on mortality data appeared to be of low validity. The overall completeness of recording was 44% for the notification of communicable disease, and 40% for the reference laboratory. When these two sources were used for surveillance, the completeness of case-finding increased to 56%. When the analysis was restricted to bacteriologically-confirmed cases, the completeness of recording was 62% for the notification system, 70% for the laboratory, and 84% for both sources. The surveillance of communicable diseases should rely on various sources of information. Laboratory data should be systematically used in order to improve both the completeness of recording and the specificity of case-ascertainment.
在比利时进行了一项研究，以评估常规信息来源记录脑膜炎球菌病的完整性和特异性。医院调查中确定的93例病例与死亡率统计、传染病通报以及国家脑膜炎球菌参考实验室记录的病例相关联。基于死亡率数据的统计似乎有效性较低。传染病通报的总体记录完整性为44%，参考实验室为40%。当使用这两个来源进行监测时，病例发现的完整性提高到了56%。当分析仅限于细菌学确诊病例时，通报系统的记录完整性为62%，实验室为70%，两个来源综合为84%。传染病监测应依靠多种信息来源。应系统地使用实验室数据，以提高记录的完整性和病例确定的特异性。
