军团病监测：1995年，英格兰和威尔士

Legionnaires' disease surveillance: England and Wales, 1995.

作者信息

Newton L H, Joseph C A, Hutchinson E J, Harrison T G, Watson J M, Bartlett C L

出版信息

Commun Dis Rep CDR Rev. 1996 Oct 11;6(11):R151-5.

Abstract

One hundred and sixty cases of legionnaires' disease were reported to the PHLS Communicable Disease Surveillance Centre in 1995. Twenty cases (13%) were known to have died. Ninety cases (56%) were associated with travel (in the United Kingdom or abroad), four were associated with a stay in hospital, and the remaining 66 were presumed to have acquired infection in the community. One hundred and twenty-three cases (77%) occurred sporadically. Three community outbreaks and one outbreak at an industrial site were detected in England and Wales. One outbreak and five clusters were detected among visitors to Turkey, Spain, and Italy. Seven cases and one outbreak of nonpneumonic legionellosis were also reported. Cases of travel associated legionnaires' disease continue to account for the largest proportion of the total reported in 1995 and the number of hospital acquired cases continues to decline. A cause for concern in 1995 was a fall in the proportion of cases diagnosed by culture of the organism (from 16% in 1994 to only 9% in 1995). This corresponded with a small increase in the proportion of cases diagnosed solely by detection of antigen to L. pneumophila serogroup 1 in urine.

摘要

1995年，向公共卫生实验室服务处传染病监测中心报告了160例军团病病例。已知有20例（13%）死亡。90例（56%）与旅行有关（在英国国内或国外），4例与住院有关，其余66例推测是在社区感染的。123例（77%）为散发病例。在英格兰和威尔士发现了3起社区暴发和1起工业场所暴发。在前往土耳其、西班牙和意大利的游客中发现了1起暴发和5起聚集性病例。还报告了7例非肺炎型军团病病例和1起暴发。与旅行相关的军团病病例在1995年报告的总数中继续占最大比例，医院获得性病例数继续下降。1995年令人担忧的一个情况是，通过培养该病原体诊断的病例比例有所下降（从1994年的16%降至1995年的仅9%）。这与仅通过检测尿中嗜肺军团菌血清1型抗原诊断的病例比例略有增加相对应。