Invasive pneumococcal disease in Victoria: a better measurement of the true incidence

被引:12
作者
Clothier, H. J. [1 ,2 ]
Vu, T. [1 ]
Sundararajan, V. [3 ]
Andrews, R. M. [4 ,5 ]
Counahan, M. [1 ]
Tallis, G. F. [1 ]
Lambert, S. B. [2 ,6 ,7 ]
机构
[1] Dept Human Serv, Communicable Dis Sect, Rural & Reg Hlth & Aged Care Serv Div, Melbourne, Vic, Australia
[2] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Master Appl Epidemiol Program, Canberra, ACT, Australia
[3] Dept Human Serv, Hlth Surveillance & Evaluat Sect, Rural & Reg Hlth & Aged Care Serv Div, Melbourne, Vic, Australia
[4] Univ Melbourne, Clin Epidemiol & Biostat Unit, Res Inst, Melbourne, Vic 3010, Australia
[5] Univ Melbourne, Dept Paediat, Melbourne, Vic 3010, Australia
[6] Univ Melbourne, Vaccine & Immunisat Res Grp, Res Inst, Melbourne, Vic 3010, Australia
[7] Univ Melbourne, Sch Populat Hlth, Melbourne, Vic 3010, Australia
关键词
D O I
10.1017/S0950268807008187
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Invasive pneumococcal disease (IPD) notifications are used to monitor IPD vaccination programmes. We conducted sequential deterministic data-linkage between IPD notifications and hospitalization data in Victoria, Australia, in order to determine whether all diagnosed cases were being reported. The proportion of each relevant hospital admission ICD-10-AM code that could be linked to notified cases was calculated. Total and age-specific annual rates were calculated and compared for notified and non-notified cases. Total incidence was estimated using data-linkage results and application of a two-source capture-recapture method. The first 2 years of IPD surveillance in Victoria missed at least one-sixth of laboratory-confirmed IPD cases. Estimated annual IPD rate increased from 9.0 to 10.7/100 000 and rose even higher, to 11.5/100 000, with age-specific rates possibly reaching 90.0/100 000 children aged <2 years, when using capture-recapture. Strategies to improve notification and coding of hospitalized cases of IPD are required.
引用
收藏
页码:225 / 231
页数:7
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