Population-based incidence of human granulocytic ehrlichiosis in northwestern Wisconsin, 1997-1999

Population-based incidence of human granulocytic ehrlichiosis in northwestern Wisconsin, 1997-1999
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DOI:
10.1086/324517
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发表时间:
2001-12-01
影响因子:
6.4
通讯作者:
Davis, JP
Davis, JP
中科院分区:
医学2区
文献类型:
--
作者:
Belongia, EA;Gale, CM;Davis, JP

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人粒细胞埃立克体病(HGE)在上中西部的发病率是不确定的。从1997年到1999年,在威斯康星州西北部的13个县进行了对疑似HGE的积极监测。根据国家病例定义,疑似HGE病例被分类为确诊、可能或非HGE。总共确定了112例HGE确诊病例和30例可能病例。142例患者的中位年龄为56岁,92例(65%)为男性; 111例(78%)为监测区域的居民。确诊和可能的HGE年平均发病率为每10万居民9.3例; 1997年至1999年没有增加。发病率最高的是大于或等于50岁的人和沃什伯恩县的居民。HGE在该地区的发病率超过了先前的估计,但低于康涅狄格州地方病地区报告的发病率。
The incidence of human granulocytic ehrlichiosis (HGE) in the upper Midwest is uncertain. Active surveillance for suspected HGE was conducted from 1997 through 1999 in a 13-county region of northwestern Wisconsin. Suspected HGE cases were classified, according to the national case definition, as confirmed, probable, or not HGE. In total, 112 confirmed cases and 30 probable cases of HGE were identified. The median age of the 142 case patients was 56 years, and 92 (65%) were male; 111 (78%) were residents of the surveillance region. The mean annual incidence of confirmed and probable HGE was 9.3 cases per 100,000 residents; there was no increase from 1997 to 1999. The incidence was highest among persons greater than or equal to 50 years old and residents of Washburn County. The incidence of HGE in this region exceeded prior estimates, but it was lower than the reported incidence in areas of endemicity in Connecticut.