Robertson L J
Scottish Parasite Diagnostic Laboratory, Department of Bacteriology, Stobhill NHS Trust, Glasgow, UK.
Epidemiol Infect. 1996 Dec;117(3):551-61. doi: 10.1017/s0950268800059240.
Hospital discharge data from 1990-4 for 26 hospitals were used to estimate and compare the cost and describe the epidemiology of severe giardiasis and cryptosporidiosis in Scotland, UK. The incidence of severe cryptosporidiosis was almost double that of severe giardiasis and the median duration of hospitalization was longer for cryptosporidiosis than giardiasis. Impaired immunity was frequently listed as co-diagnosis with cryptosporidiosis and associated with extended hospitalization. Although both infections were associated with infants, the median age was lower for cryptosporidiosis (5 years compared with 30 years). Whereas hospitalization was not significantly longer for infants with cryptosporidiosis, hospitalization for this age group with giardiasis was longer (4 days compared with 3 days). Comparison with similar data for giardiasis from USA revealed various differences and similarities. These points are discussed in relation to the epidemiology of these infections and published data were used to estimate costs of hospitalization.
利用英国苏格兰26家医院1990 - 1994年的出院数据来估算和比较重症贾第虫病和隐孢子虫病的成本,并描述其流行病学特征。重症隐孢子虫病的发病率几乎是重症贾第虫病的两倍,隐孢子虫病患者的住院时间中位数比贾第虫病患者长。免疫功能受损经常被列为隐孢子虫病的合并诊断,并与住院时间延长有关。虽然这两种感染都与婴儿有关,但隐孢子虫病患者的年龄中位数较低(5岁,而贾第虫病患者为30岁)。虽然隐孢子虫病婴儿的住院时间没有显著延长,但该年龄组贾第虫病患者的住院时间更长(4天,而隐孢子虫病患者为3天)。与美国类似的贾第虫病数据比较显示出各种差异和相似之处。结合这些感染的流行病学对这些要点进行了讨论,并利用已发表的数据估算住院成本。