Invasive Meningokokkenerkrankungen in Österreich 2002: Überprüfung der Datenqualität durch Vergleich zweier Datenquellen

Berghold, C; Berghold, Andrea; Fülöp, Gerhard; Heuberger, Sigrid; Strauß, Reinhild; Zenz, Werner

doi:10.1007/s00508-005-0502-0

Cited by 8 publications

(21 citation statements)

References 8 publications

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“…We performed an evaluation of the completeness of N. meningitidis reporting using the capture–recapture method. Unadjusted and adjusted (for ICD-9 coding mistakes discovered in the post-hoc analysis) estimates of completeness were lower than European studies that only evaluated confirmed cases over a similar time period [13, 14]. De Greef et al .…”

Section: Discussionmentioning

confidence: 90%

“…The assumptions of equal chance of capture and independence of data sources are often the greatest concerns when using the capture–recapture method to analyse epidemiological data [ 9 ]. In our study, however, the sources of data arise from separate and distinct healthcare functions [ 13 ]. Surveillance reports arise from the clinical evaluation of patients from hospital personnel who are required to report suspected, probable, and confirmed cases of IMD.…”

Section: Discussionmentioning

confidence: 99%

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Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010

2016

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SUMMARYInvasive meningococcal disease (IMD) completeness of reporting has never been assessed in New York City (NYC). We conducted a capture–recapture study to assess completeness of reporting, comparing IMD reports made to the NYC Department of Health and Mental Hygiene (DOHMH) and records identified in the New York State hospital discharge database [Statewide Planning and Research Cooperative System (SPARCS)] by ICD-9 codes from 1989 to 2010. Reporting completeness estimates were calculated for the entire study period, and stratified by year, age group, clinical syndrome, and reporting system. A chart review of hospital medical records from 2008 to 2010 was conducted to validate hospital coding and to adjust completeness estimates. Overall, 2194 unique patients were identified from DOHMH (n = 1300) and SPARCS (n = 1525); 631 (29%) were present in both. Completeness of IMD reporting was 41% [95% confidence interval (CI) 40–43]. Differences in completeness were found by age, clinical syndrome, and reporting system. The chart review found 33% of hospital records from 2008 to 2010 had no documentation of IMD. Removal of those records improved completeness of reporting to 51% (95% CI 49–53). Our data showed a low concordance between what is reported to DOHMH and what is coded by hospitals as IMD. Additional guidance to clinicians on IMD reporting criteria may improve completeness of IMD reporting.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010

2016

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“…Asplenic patients have an increased risk of overwhelming infections with encapsulated bacteria such as Haemophilus influenzae, Neisseria meningitidis and Streptococcus pneumoniae [1,2]. The predominant organism is S. pneumoniae, which is still associated with high mortality despite appropriate antimicrobial therapy and intensive care support [3,4].…”

Section: Introductionmentioning

confidence: 99%

Antibody responses to pneumococcal and hemophilus vaccinations in splenectomized patients with hematological malignancies or trauma

Eigenberger

Sillaber

Greitbauer

et al. 2007

Wien Klin Wochenschr

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In this study we addressed the question of whether an underlying hematological malignancy may affect the immune response to vaccination against bacterial polysaccharide antigens (e.g. Haemophilus influenzae type b, Streptococcus pneumoniae) in splenectomized patients. Between 1993 and 2003, 44 splenectomized adults from the outpatient clinic for infectious diseases were prospectively included in the study: 23 patients suffered from hematological malignancies (HM) and had undergone splenectomy; 21 were splenectomized following trauma (T) and served as the control group. Each patient received an intradeltoid injection with 0.5 ml of a single lot of a 23-valent pneumococcal polysaccharide vaccine, and 0.5 ml of a polyribosyl ribitol phosphate capsular polysaccharide vaccine of H. influenzae type b (Hib) into the opposite arm. Blood samples for determination of pneumococcal and Hib antibodies were taken prior to vaccination and again 6-8 weeks later. In assessing responses to the 23-valent pneumococcal polysaccharide vaccine, we found significant differences in antibody titer increase between the HM and T groups (median IgG increase 1.27 [0.7; 2.39] vs. 3.9 [2.1; 15.3], P < 0.001; and median IgM increase 1.33 [1.0;2.67] vs. 5.25 [2.3; 7.78], P < 0.001). In the HM group, only 8/23 and 6/23 showed a titer increase of twice or more the base value for IgG and IgM respectively, whereas in the trauma group an adequate response was shown by 16/21 and 16/20 respectively. Patients with splenectomy and hematological malignancies responded poorly to the 23-valent polysaccharide vaccine. Response to the conjugated Hib vaccine was slightly better, but still significantly lower than in individuals with posttraumatic splenectomy. Data suggest that vaccination response to the polysaccharide vaccines should be evaluated at least in the high-risk group.

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“…For instance, population surveillance for and monitoring of infectious disease outbreaks requires real time clinical information. [5-11] Similarly, coordination during natural disasters also benefits from timely exchange of clinical data, as seen during Hurricane Katrina in 2005. [12,13]…”

Section: Introductionmentioning

confidence: 99%

Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: A natural experiment in an integrated delivery system

Bardach

Huang

Brand

et al. 2009

BMC Med Inform Decis Mak

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Background: Health information technology (HIT) may improve health care quality and outcomes, in part by making information available in a timelier manner. However, there are few studies documenting the changes in timely availability of data with the use of a sophisticated electronic medical record (EMR), nor a description of how the timely availability of data might differ with different types of EMRs. We hypothesized that timely availability of data would improve with use of increasingly sophisticated forms of HIT.

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Invasive Meningokokkenerkrankungen in Österreich 2002: Überprüfung der Datenqualität durch Vergleich zweier Datenquellen

Abstract: All probable cases of meningococcal disease, even those (still) lacking microbiological confirmation, should be reported to the public health authorities as soon as possible, in order to ensure the necessary prompt prophylactic action (e.g., chemoprophylaxis).

Cited by 8 publications

References 8 publications

Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010

Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010

Antibody responses to pneumococcal and hemophilus vaccinations in splenectomized patients with hematological malignancies or trauma

Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: A natural experiment in an integrated delivery system

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