Cat scratch disease in the United States: an analysis of three national databases.
Cat scratch disease in the United States: an analysis of three national databases.
复制标题
美国的猫抓病：对三个国家数据库的分析。
DOI：
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发表时间：
1993
影响因子：
12.7
通讯作者：
J. Wenger
中科院分区：
文献类型：
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作者：
L. Jackson;B. Perkins;J. Wenger
目标
目前对猫抓病流行病学的认识主要基于病例系列的信息。我们使用了三个国家数据库来获得更具代表性的数据，以确定猫抓病的发病率和人口统计学。
方法
对两个出院数据库和一个门诊护理数据库中的猫抓病诊断编码记录进行分析。诊断测试和住院治疗的费用从提供者的样本和公布的数据中获得。
结果
每年每10万人中有0.77至0.86人被诊断为猫抓病而出院。55%的病例患者年龄在18岁或以下。男性占60%。发病率因季节而异;大约60%的病例患者在9月至1月出院。门诊患者的估计发病率为每年每10万人9.3例。根据这些比率，我们估计每年用于这种疾病的保健费用超过1 200万美元。
结论
本研究中发现的猫抓病的发病率和季节性与以前的报告一致。成年人占总数的百分比高于以前的病例系列报告，表明该疾病可能影响比以前认识到的更多的成年人。
OBJECTIVES
Current knowledge of the epidemiology of cat scratch disease is based primarily on information from case series. We used three national databases to obtain more representative data to determine the incidence and demographics of cat scratch disease.
METHODS
Records coded with the diagnosis of cat scratch disease from two hospital discharge databases and an ambulatory care database were analyzed. Costs of diagnostic tests and hospitalization were obtained from a sample of providers and published data.
RESULTS
The incidence of patients discharged from hospitals with a diagnosis of cat scratch disease was between 0.77 and 0.86 per 100,000 population per year. Fifty-five percent of the case patients were 18 years of age or younger. Males accounted for 60% of cases. Incidence varied by season; approximately 60% of case patients were discharged in the months September through January. The estimated incidence of disease in ambulatory patients was 9.3 per 100,000 population per year. On the basis of these rates, we estimated the annual health care cost of the disease to be more than $12 million.
CONCLUSIONS
The rates and seasonality of cat scratch disease found in this study were consistent with previous reports. Adults represented a higher percentage of the total than reported in previous case series, suggesting that the disease may affect more adults than previously recognized.