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首页> 外文期刊>Journal of public health management and practice: JPHMP >Completeness of reporting of rabies postexposure prophylaxis in King County, Washington.
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Completeness of reporting of rabies postexposure prophylaxis in King County, Washington.

机译：华盛顿州金县的狂犬病暴露后预防报告的完整性。

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摘要

The completeness of rabies postexposure prophylaxis (PEP) reporting was evaluated in King County, Washington State. Information on rabies immune globulin prescriptions was obtained from hospital pharmacies associated with emergency departments in King County from 2003 to June 2006. Rabies immune globulin is given at the initiation of rabies PEP which is usually started at emergency departments. Because pharmacies are not regular sources of rabies PEP reporting, we compared pharmacy cases with cases reported via routine passive surveillance methods. A capture-recapture method was used to calculate the estimated number of unreported cases from all sources. Reporting completeness was calculated by dividing the number of cases reported via routine surveillance with the sum of reported and estimated unreported cases. Seventy-one unreported rabies PEP cases were identified by comparing previously reported cases with pharmacy cases. A total of 128 cases were estimated to have been missed by the surveillance system. Overall reporting completeness was 62 percent increasing to almost 80 percent in 2005 and 2006. Our findings illustrate the importance of evaluating surveillance systems and suggest that it may be useful to institute active rabies PEP surveillance with emergency departments in addition to continuing educating healthcare providers and facilities about reporting.
机译：在华盛顿州金县评估了狂犬病暴露后预防（PEP）报告的完整性。有关狂犬病免疫球蛋白处方的信息是从2003年至2006年6月从金县急诊科相关的医院药房获得的。狂犬病免疫球蛋白是在狂犬病PEP启动时给予的，通常在急诊科就开始。由于药房不是狂犬病PEP报告的常规来源，因此我们将药房病例与通过常规被动监测方法报告的病例进行了比较。捕获-捕获方法用于计算所有来源未报告病例的估计数量。报告完整性是通过常规监控报告的病例数除以报告的和估计的未报告病例之和得出的。通过将先前报告的病例与药房病例进行比较，确定了71例未报告的狂犬病PEP病例。估计总共有128个案件被监视系统遗漏。报告的整体完整性从2005年的62％提高到2005年和2006年的80％。我们的研究结果说明了评估监视系统的重要性，并建议，除了继续教育医疗服务提供者和设施之外，与急诊科一起开展主动狂犬病PEP监视可能会有用关于报告。

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