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Severely impaired health status of non-notified Q fever patients leads to an underestimation of the true burden of disease.
van Loenhout, J A F; Wielders, C C H; Morroy, G; Cox, M J M; van der Hoek, W; Hautvast, J L A; Paget, W J; van der Velden, J.
Afiliación
  • van Loenhout JA; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
  • Wielders CC; Department of Medical Microbiology and Infection Control,Jeroen Bosch Hospital, 's-Hertogenbosch,The Netherlands.
  • Morroy G; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
  • Cox MJ; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
  • van der Hoek W; Centre for Infectious Disease Control,National Institute for Public Health and the Environment (RIVM),Bilthoven,The Netherlands.
  • Hautvast JL; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
  • Paget WJ; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
  • van der Velden J; Academic Collaborative Centre AMPHI,Department of Primary and Community Care,Radboud university medical center,Nijmegen,The Netherlands.
Epidemiol Infect ; 143(12): 2580-7, 2015 Sep.
Article en En | MEDLINE | ID: mdl-25582890
Q fever patients are often reported to experience a long-term impaired health status, including fatigue, which can persist for many years. During the large Q fever epidemic in The Netherlands, many patients with a laboratory-confirmed Coxiella burnetii infection were not notified as acute Q fever because they did not fulfil the clinical criteria of the acute Q fever case definition (fever, pneumonia and/or hepatitis). Our study assessed and compared the long-term health status of notified and non-notified Q fever patients at 4 years after onset of illness, using the Nijmegen Clinical Screening Instrument (NCSI). The study included 448 notified and 193 non-notified Q fever patients. The most severely affected subdomain in both patient groups was 'Fatigue' (50·5% of the notified and 54·6% of the non-notified patients had severe fatigue). Long-term health status did not differ significantly between the notified and non-notified patient groups, and patients scored worse on all subdomains compared to a healthy reference group. Our findings suggest that the magnitude of the 2007-2009 Q fever outbreak in The Netherlands was underestimated when only notified patients according to the European Union case definition are considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fiebre Q / Estado de Salud / Brotes de Enfermedades / Notificación de Enfermedades / Fatiga Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fiebre Q / Estado de Salud / Brotes de Enfermedades / Notificación de Enfermedades / Fatiga Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido