کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
9276003 1222372 2005 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Epidemiological considerations following long-term surveillance of invasive group A streptococcal disease in The Netherlands, 1992-2003
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
پیش نمایش صفحه اول مقاله
Epidemiological considerations following long-term surveillance of invasive group A streptococcal disease in The Netherlands, 1992-2003
چکیده انگلیسی
A nationwide laboratory-based surveillance system for invasive group A streptococcal (GAS) infections was conducted in The Netherlands from March 1992 until December 2003. Until 1996, all isolates submitted were evaluated clinically and demographically. During this period there was a transition from passive to active surveillance for some of the participating laboratories, corresponding to a national coverage of 50%. During active surveillance, participating laboratories submitted twice as many isolates from invasive GAS disease, whereas the relative submission of isolates representing very severe manifestations (toxic shock-like syndrome, fatality) did not increase. From 1997 onwards, invasiveness was defined solely on the basis of source of isolation (without clinical evaluation). During the period of microbiological and clinical evaluation, microbiological evaluation alone was found to be specific (> 99%), but had limited sensitivity (66%). Estimation of the true rate of invasive GAS disease should be based on an active surveillance system with inclusion of both microbiological and clinical data.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Microbiology and Infection - Volume 11, Issue 7, July 2005, Pages 564-568
نویسندگان
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