Creutzfeldt-Jakob disease cluster in an Australian rural city

被引:14
作者
Collins, S
Boyd, A
Fletcher, A
Kaldor, J
Hill, A
Farish, S
McLean, C
Ansari, Z
Smith, M
Masters, CL
机构
[1] Univ Melbourne, Australian Natl Creutzfeldt Jakob Dis Registry, Dept Pathol, Parkville, Vic 3010, Australia
[2] Univ New S Wales, Natl Ctr HIV Epidemiol & Clin Res Unit, Sydney, NSW, Australia
[3] Univ Melbourne, Sch Populat Hlth, Epidemiol & Biostat Unit, Melbourne, Vic, Australia
[4] Dept Human Serv, Publ Hlth Div, Hlth Outcomes Sect, Melbourne, Vic, Australia
[5] Royal Melbourne Hosp, Melbourne Hlth Shared Pathol Serv, Mol Biol Lab, Parkville, Vic 3050, Australia
关键词
D O I
10.1002/ana.10224
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Through the Australian National Creutzfeldt-Jakob Disease Registry, 6 pathologically confirmed sporadic cases were recognized over a 13-year period in persons who had been long-term residents of a moderate-sized rural city, whereas the expected number was 0.923. An extensive investigation could not find any point-source or case-to-case transmission links. This occurrence is highly statistically significant (p = 0.0027) when viewed in isolation and remains significant (p < 0.02) when only the cases that arose after the cluster was recognized were taken into account. However, a more conservative statistical analysis suggests that such a grouping could have arisen by chance in at least one population group of this size when the whole country is taken into consideration.
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收藏
页码:115 / 118
页数:4
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