Banatvala N, Hlady W G, Ray B J, McFarland L M, Thompson S, Tauxe R V
Foodboorne and Diarrheal Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Epidemiol Infect. 1997 Jun;118(3):221-5. doi: 10.1017/s0950268897007425.
This study assessed accuracy of (a) recording Vibrio vulnificus infection on death certificates and (b) International Classification of Disease (ICD)-9 codes for V. vulnificus. Patients with microbiologically confirmed V. vulnificus infection were identified as part of co-ordinated surveillance in four USA Gulf Coast states between 1989 and 1993. Of 60 deaths, 51 death certificates were reviewed and V. vulnificus was recorded as the immediate cause of death on 11 (22%). There was no ICD-9 code for V. vulnificus infection, thus no patients had an ICD-9 code indicating V. vulnificus infection. Of 23 certificates where V. vulnificus was recorded on the death certificate, only 5 (22%) were coded for Gram-negative, septicaemia. This study highlights the importance of teaching physicians how to provide epidemiologically meaningful data on death certificates and the need for accurate ICD mortality codes.
(a) 在死亡证明上记录创伤弧菌感染，以及 (b) 用于创伤弧菌的国际疾病分类 (ICD)-9 编码。1989年至1993年间，作为美国四个墨西哥湾沿岸州协调监测的一部分，确定了微生物学确诊的创伤弧菌感染患者。在60例死亡病例中，审查了51份死亡证明，其中11份 (22%) 将创伤弧菌记录为直接死因。没有用于创伤弧菌感染的ICD-9编码，因此没有患者的ICD-9编码表明有创伤弧菌感染。在死亡证明上记录了创伤弧菌的23份证明中，只有5份 (22%) 被编码为革兰氏阴性败血症。本研究强调了教导医生如何在死亡证明上提供具有流行病学意义的数据的重要性，以及准确的ICD死亡率编码的必要性。
