D'Alessandro D, Biasio L R, Fara G M
Ist. di Igiene G Sanarelli, Università degli Studi di Roma La Sapienza.
Ann Ig. 1995 Sep-Oct;7(5):319-27.
The Authors describe the survey's results aimed at quantifying the Haemophilus influenzae type b meningitis incidence rate in Italy. The survey collected all the cases of 1994 notified per region to the Ministry of Health; furthermore, regional incidence rates are compared and integrated with other data obteined from local ad hoc studies. The results obtained show a high incidence in the age group 0-2 years and a large discrepancy in the incidence rate between regions (from 0.0 to 16.8 cases per 100,000); furthermore, in the same age group, for a large amount of meningitis cases (18% of the total) the aetiological diagnosis was not successful; this phaenomenon is certainly one of the causes for the underestimation of the disease. The integration with data collected in longitudinal studies, increases largely the regional incidence rate, showing the highest rate in the Lazio Region (18.5 cases per 100,000). The Authors conclude by stressing the need to increase the cooperation between the Regional Health Authorities and the Ministry of Health, in order to obtain more reliable figures of the national incidence rates.
作者描述了一项旨在量化意大利b型流感嗜血杆菌脑膜炎发病率的调查结果。该调查收集了1994年各地区向卫生部通报的所有病例；此外，还对各地区的发病率进行了比较，并与从当地专门研究中获得的其他数据进行了整合。所得结果显示，0至2岁年龄组的发病率较高，各地区之间的发病率存在很大差异（每10万人中从0.0例至16.8例）；此外，在同一年龄组中，大量脑膜炎病例（占总数的18%）的病因诊断未成功；这种现象肯定是该疾病被低估的原因之一。与纵向研究收集的数据相结合，大大提高了各地区的发病率，拉齐奥地区的发病率最高（每10万人中18.5例）。作者强调，区域卫生当局和卫生部之间需要加强合作，以获得更可靠的全国发病率数据，从而得出结论。
