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首页> 外文期刊>Emerging Infectious Diseases >Clostridium difficile Surveillance Trends, Saxony, Germany
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Clostridium difficile Surveillance Trends, Saxony, Germany

机译：艰难梭菌监测趋势，德国萨克森

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To the Editor: Vonberg et al. (1) recently commented on the increase of Clostridium diffi cile seen in US hos-pitals by using discharge diagnoses and confi rmed the observation from the United States (2) with hospital discharge data from Germany during 2000 through 2004. C. diffi cile ribo-type 027 has recently been isolated in Germany (3). We further contribute to the assessment of C. diffi cile as an emerging threat by looking at popula-tion surveillance data.C. diffi cile is not a federal notifi -able disease in Germany, which limits our ability to analyze national sur-veillance trends. However, in 2002 the state of Saxony implemented ad-ditional mandatory surveillance of community- and hospital-acquired infectious enteritis caused by labora-tory-confi rmed C. diffi cile.To check for an increase in noti-fi cations due to reporting bias of gas-troenteric diseases, we compared the quarterly incidence data from 2002 through 2006 with data on Salmonella spp. infections (usually reported by lo-cal general practitioners) and rotavirus and norovirusinfections (both usually reported by clinics). The potential problem of reporting bias for gastro-enteric diseases has been addressed re-cently (4). Information about age and sex of C. diffi cile patients was avail-able for 2006 only
机译：致编辑：冯伯格等。 （1）最近评论了通过使用出院诊断在美国医院中发现的艰难梭菌的增加，并确认了美国的观察结果（2）以及2000年至2004年德国的医院出院数据。diff。Cile diffi Cile ribo 027型最近在德国被隔离（3）。通过查看人群监测数据，我们进一步有助于将艰难梭菌评估为一种新兴威胁。难点性不是德国的联邦法定疾病，这限制了我们分析国家监视趋势的能力。但是，在2002年，萨克森州对由实验室确诊的艰难梭状芽胞杆菌引起的社区和医院获得的传染性肠炎进行了额外的强制性监测。检查由于报告偏倚引起的通知增加对于胃肠疾病，我们将2002年至2006年的季度发病率数据与沙门氏菌属的数据进行了比较。感染（通常由当地的全科医生报告）以及轮状病毒和诺如病毒感染（通常由诊所报告）。最近已经解决了报告胃肠疾病偏见的潜在问题（4）。仅在2006年可获得有关艰难梭菌患者的年龄和性别的信息

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