通过新型综合征监测定义识别的莱姆心炎,纽约州,2017-2021年
Amy M Beeson1,2, Jennifer L White3, Abigail L Gates4
1Bacterial Diseases Branch, Division of Vector-borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, USA.
Public health reports (Washington, D.C. : 1974)
|January 27, 2026
概括
一个新的定义有助于识别纽约州的莱姆心炎病例. 这个工具可以跟踪莱姆病表现的变化,帮助公共卫生监测.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 综合征监测 综合征监测 综合征监测
背景情况:
- 莱姆心炎是莱姆病的一个严重表现.
- 美国缺乏对莱姆心炎临床特征的系统数据收集.
- 需要一个综合征监测定义来监测莱姆心炎.
研究的目的:
- 开发和验证一种综合征监测定义,用于识别莱姆心炎病例.
- 从2017年到2021年,对纽约州 (NYS) 的莱姆心炎病例进行鉴定.
主要方法:
- 利用国家综合征监测计划的BioSense平台,使用诊断代码和关键字.
- 从NYS的区域健康信息交换中审查了病例抽象的医疗记录.
- 医生审查员独立证实了病例状态,并绘制了地理分布图.
主要成果:
- 在173个初始记录中确定了82例确诊或可能的莱姆心炎病例 (47%的积极预测值).
- 病例发生在纽约州49%的县,在7月和8月达到顶峰.
- 受影响的个体具有双模年龄分布 (高峰在~32岁和~70岁),主要是男性 (71%),具有高的阳性血清学率 (84%) 和AV阻塞率 (67%).
结论:
- 开发的定义是检测莱姆心炎模式转变的宝贵工具.
- 在莱姆病发病率高的地区对监测有效.
- 强调综合征监测对于监测特定疾病表现的有用性.
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