侵袭性脑膜炎球菌病及其后果的流行病学:意大利初级保健中的基于人口的研究,2000-2019年
Francesco Lapi1, Ettore Marconi1, Davide L Vetrano2
1Health Search, Italian College of General Practitioners and Primary Care, 50142 Florence, Italy.
Family practice
|June 1, 2023
概括
侵袭性脑膜炎球菌病 (IMD) 对25岁以上的成年人产生重大影响,造成大量的医疗负担. 提高意识和成人脑膜炎球菌疫苗接种对于预防和减少后果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 侵入性脑膜炎球菌病 (IMD) 呈现出高死亡率和幸存者的显著后果.
- 一般医生在识别,预防和管理IMD并发症方面发挥着至关重要的作用.
研究的目的:
- 评估初级保健机构内侵袭性脑膜炎球菌病 (IMD) 和其后果的负担.
- 为了评估IMD的发病率,以及在一个定义的人群中,IMD的流行率和后续的类型.
主要方法:
- 利用意大利的初级保健数据库,涵盖2000-2019年的IMD发病率计算.
- 在诊断后3,12和36个月确定和临床评估与脑膜炎球菌相关的后果.
主要成果:
- 记录了508例IMD病例,发病率为每10,000人年 (2000-2019) 的0.24.
- 确定了104个连续 (20.4%),主要在25岁以上的个人中.
- 报告的身体,神经和心理后果率分别为4.7%,12.2%和5.7%.
结论:
- 在25岁以上的成年人中,IMD和其后果的很大一部分发生在25岁以上的成年人中,造成了相当大的医疗负担.
- 强调需要加强关于成年人脑膜炎球菌疫苗接种相关性的沟通.
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