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首页> 外文期刊>感染症学雑誌 >Present status of Tsutsugamushi disease detection at regional public health laboratories--a comparison between the results from a questionnaire survey and the National Notifiable Diseases Surveillance System
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Present status of Tsutsugamushi disease detection at regional public health laboratories--a comparison between the results from a questionnaire survey and the National Notifiable Diseases Surveillance System

机译：地区公共卫生实验室of虫病检测的现状-问卷调查结果与国家法定疾病监测系统的比较

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摘要

Tsutsugamushi disease has been a notifiable disease in Japan since the implementation of the Infectious Diseases Control Law in April 1999. In order to assess the role of public health laboratories in detecting Tsutsugamushi disease, a questionnaire regarding routine testing of suspected cases of Tsutsugamushi disease was sent to 73 regional public health laboratories (47 prefectural laboratories and 26 municipal laboratories) in July 2001. The response rate was 92% (67/73 laboratories). It was found that most prefectural laboratories are well prepared to routinely receive and test specimens of suspected Tsutsugamushi disease cases. Additionally, we found that some regional public health laboratories are using two or more detection methods to improve the accuracy of their routine tests. In southern Japan. Kawasaki and Kuroki strains, strains endemic to the region, are widely used in addition to Kato, Karp, and Gilliam strains, the standard strains used for serum antibody tests in Japan. For the years 2000 and 2001, we found that for some prefectures, the annual number of cases confirmed by regional public health laboratories was nearly equal to the annual number of cases the prefecture reported to the National Notifiable Diseases Surveillance System. In these prefectures, it appears that an effective communication network has been established between physicians, public health laboratories, and local health centers, ensuring laboratory confirmation and proper notification.
机译：自1999年4月实施《传染病控制法》以来，虫病一直是日本应通报的疾病。为了评估公共卫生实验室在检测Tsu虫病中的作用，已发送了一份有关常规检测Tsu虫病病例的调查表2001年7月，对73个区域公共卫生实验室（47个县级实验室和26个市政实验室）进行了回复。答复率为92％（67/73个实验室）。结果发现，大多数县级实验室都做好了常规准备，可以常规接收和测试疑似Tsu虫病病例的标本。此外，我们发现一些区域公共卫生实验室正在使用两种或更多种检测方法来提高其常规检测的准确性。在日本南部。除日本地区用于血清抗体测试的标准菌株加藤，卡普和吉列姆菌株外，川崎和黑木菌株是该地区特有的菌株。对于2000年和2001年，我们发现在某些州，地区公共卫生实验室确认的年病例数几乎等于该州向国家法定疾病监测系统报告的年病例数。在这些县，看来医生，公共卫生实验室和地方卫生中心之间已经建立了有效的通信网络，以确保实验室确认和正确的通知。

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