加拿大的人类球菌病发病率:使用行政医院和门诊访问数据的回顾性描述性研究,2000-2020年
Ayisha Khalid1,2, Pia K Muchaal1,2, Danielle A Julien1,2
1Public Health Agency of Canada, Ottawa, ON.
概括
2000-2020年间,加拿大的人类球菌病例略有增加,特别是在西北领地. 一种新的欧洲型菌株可能导致了球菌病发病率的上升.
科学领域:
- 动物传染病是动物传播的疾病.
- 寄生虫学的寄生虫学
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 乙球菌是一种动物传播的疾病,由犬类的带状虫卵传播.
- 在加拿大,可能出现一种潜在更具毒性的欧洲 Echinococcus 菌株.
- 目前,有关该菌株对加拿大人类球菌病的影响的数据有限.
研究的目的:
- 建立2000年至2020年期间在加拿大的人类球菌病例的基线.
- 分析与球菌病发病率相关的趋势和风险因素.
- 调查与新出现的 Echinococcus 菌株的潜在联系.
主要方法:
- 利用了来自加拿大卫生信息研究所的行政医院和门诊访问数据.
- 来自出院摘要数据库,医院发病率数据库和国家门诊护理报告系统的综合数据.
- 根据人口因素,地点和时间计算风险比率 (RR) 和累计发病率 (CIN).
主要成果:
- 在2000年至2020年间,鉴定了806例球菌病例,年平均CIN为每百万病例1.3例.
- 观察到全国和特定地区 (如西北领地,阿尔伯塔省和大西洋省) 的年平均CIN增加.
- 来自领土的个人表现出球菌病的最高风险 (RR 17.1).
结论:
- 加拿大球菌CIN的轻微增加可能受到新出现的欧洲型菌株的影响.
- 实际的CIN可能被低估了,这凸显了对动物传染病分析数据有效性的提高的需要.
- 进一步的研究对于了解新菌株的影响和指导公共卫生干预至关重要.
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