Surveillance and outbreak report LEGIONNAIRES’ DISEASE IN EUROPE, 2011 TO 2015

July 12, 2017 at 8:20 am

Eurosurveillance July 06, 2017 V.22 N.27

J Beauté 1 2 , on behalf of the European Legionnaires’ Disease Surveillance Network 3

  1. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
  2. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
  3. The members of the network are listed at the end of the article

Under the coordination of the European Centre for Disease Prevention and Control (ECDC), the European Legionnaires’ disease Surveillance Network (ELDSNet) conducts surveillance of Legionnaires’ disease (LD) in Europe. Between 2011 and 2015, 29 countries reported 30,532 LD cases to ECDC (28,188 (92.3%) confirmed and 2,344 (7.7%) probable). Four countries (France, Germany, Italy and Spain) accounted for 70.3% of all reported cases, although their combined populations represented only 49.9% of the study population. The age-standardised rate of all cases increased from 0.97 cases/100,000 population in 2011 to 1.30 cases/100,000 population in 2015, corresponding to an annual average increase of 0.09 cases/100,000 population (95%CI 0.02–0.14; p = 0.02). Demographics and infection setting remained unchanged with ca 70% of cases being community-acquired and 80% occurring in people aged 50 years and older. Clinical outcome was known for 23,164 cases, of whom 2,161 (9.3%) died. The overall case fatality ratio decreased steadily from 10.5% in 2011 to 8.1% in 2015, probably reflecting improved reporting completeness. Five countries (Austria, Czech Republic, Germany, Italy, and Norway) had increasing age-standardised LD notification rates over the 2011−15 period, but there was no increase in notification rates in countries where the 2011 rate was below 0.5/100,000 population….

FULL TEXT

http://eurosurveillance.org/ViewArticle.aspx?ArticleId=22829

PDF

http://eurosurveillance.org/images/dynamic/EE/V22N27/art22829.pdf

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Entry filed under: Antimicrobianos, Bacterias, Desinfection and Sterilization, Epidemiología, F.O.D, Infecciones emergentes, Infecciones respiratorias, Medicina del viajero, Metodos diagnosticos, Sepsis, Update.

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