REPORTING OF COMMUNICABLE DISEASES
REPORTING OF COMMUNICABLE DISEASES
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DOI：
10.1093/oxfordjournals.aje.a112424
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发表时间：
1977-01-01
影响因子：
5
通讯作者：
MARIER, R
中科院分区：
文献类型：
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作者：
MARIER, R
在美国，传染病的监测取决于初级医生对病例的报告。人们普遍承认，大量此类案件没有报告。许多传染病的报告率从未确定。在这项研究中，在华盛顿，DC的11家医院的出院记录进行了搜索选定的传染病的情况下，这些病例的百分比报告确定。在研究期间住院的93，563名患者（0.61%）中，有570名患有这些传染病中的一种。每种疾病的报告率如下：病毒性肝炎，11%;流感嗜血杆菌脑膜炎，32%;沙门氏菌病，42%;脑膜炎球菌性脑膜炎，50%;志贺氏菌病，62%;结核病，63%;总病例数，35%。有间接证据表明，低报告率并不局限于所研究的地区。建议医学实验室、医院感染控制和记录室人员的补充报告作为病例报告的额外来源。
Surveillance of communicable diseases in the USA depends on the reporting of cases by primary physicians. It is widely recognized that significant numbers of such cases are not reported. Reporting rates for many communicable diseases have never been determined. In this study, discharge records of 11 hospitals in Washington, DC were searched for cases of selected communicable diseases, and the percentage of these cases reported was determined. Of 93,563 (0.61%) patients hospitalized over the study period, 570 had 1 of these communicable diseases. Reporting rates for each were as follows: viral hepatitis, 11%; Haemophilus influenzae meningitis, 32%; salmonellosis, 42%; meningococcal meningitis, 50%; shigellosis, 62%; tuberculosis, 63%; total cases, 35%. There is indirect evidence that low reporting rates are not restricted to the area studied. Supplemental reporting by medical laboratories, hospital infection control and record room personnel were suggested as additional sources of case reports.