Legionnaires' disease in France: sensitivity of the mandatory notification has improved over the last decade

被引：7
作者：
Campese, C. [1 ]
Jarraud, S. [2 ]
Sommen, C. [1 ]
Maine, C. [1 ]
Che, D. [1 ]
机构：
[1] Inst Veille Sanit, F-94410 Maurice, France
[2] Ctr Natl Reference Legionelles, Ctr Biol Est, Bron, France
来源：
EPIDEMIOLOGY AND INFECTION | 2013年 / 141卷 / 12期
关键词：
Epidemiology; Legionnaires' disease; public health surveillance; surveillance system; CAPTURE-RECAPTURE; LEGIONELLOSIS; RISK;
D O I：
10.1017/S0950268813000502
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
The notification rate of Legionnaires' disease (LD) in France was 2.4/100 000 population in 2010, varying across regions with an increasing rate from west to east. Two sources [mandatory notifications (MN) and a survey of hospital laboratories] were used in a capture-recapture study to estimate the number of LD cases and the sensitivity of the MN system at national and regional levels in 2010. The number of missed cases was estimated using Chapman's method. The estimated sensitivity of MN was 88.5% (95% CI 88.0-89.0) and ranged from 70% to 100% by region. The estimated incidence was 2.7/100 000 population. Sensitivity of the MN system improved since the previous capture-recapture estimates (10% in 1995, 33% in 1998). This study confirmed that the observed west-east gradient is not related to regional notification disparities. Ecological studies should be conducted to better understand the observed spatial variations in LD incidence.
引用
收藏
页码：2644 / 2649
页数：6
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