About: Evaluation of scrub typhus diagnosis in China: analysis of nationwide surveillance data from 2006 to 2016

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Evaluation of scrub typhus diagnosis in China: analysis of nationwide surveillance data from 2006 to 2016
Creator	Wang, Jin-Feng Wang, Li-Ping Hu, Mao-Gui Huang, Ji-Lei Jiang, Fa-Chun Li, Xiao-Jing Li, Zhong-Jie Sun, Jun-Ling Xin, Hua-Lei Yu, Jian-Xing
Source	Medline; PMC
abstract	BACKGROUND: Scrub typhus is a life-threatening disease caused by Orientia tsutsugamushi, and specific antimicrobial medicine is available. Early and accurate diagnosis is essential for reducing the risk of severe complications and death. In this study, we aimed to evaluate the case diagnosis situation among medical care institutions and geographical regions in China, and the results will benefit both clinical practice and the disease surveillance system. METHODS: We extracted individual scrub typhus case data 2006–2016 from a national disease surveillance system in China. The diagnosis category and interval time from illness onset to diagnosis were compared among three levels of medical care institutions and provinces. The descriptive analysis method was performed in our study. RESULTS: During the 11-year study period, 93 481 scrub typhus cases, including 57 deaths, were recorded in the nationwide surveillance system. The overall proportion of laboratory-confirmed cases was only 4.7%, and this proportion varied greatly among primary medical centres (2.8%), county level hospitals (4.2%), and city level hospitals (6.3%). Notably, the proportion of laboratory-confirmed cases has consistently decreased from 16.3% in 2006 to 2.6% in 2016, and the same decreasing trend was found among all three levels of medical care institutions. The interval from illness onset to case diagnosis (T(diag)) for all cases was 5 days (interquartile range [IQR]: 2–9 days) and decreased from 7 days (IQR: 3–11 days) in 2006 to 5 days (IQR: 2–8 days) in 2016. The risk of death for patients with a T(diag) of > 7 days was 2.2 times higher (OR = 2.21, 95% CI: 1.05–5.21) than that of patients with a T(diag) of < 2 days. CONCLUSIONS: The interval time from illness onset to diagnosis for scrub typhus cases decreased greatly in China; however, the diagnosis rate of cases with laboratory-confirmed results must be increased among all levels of medical care institutions to reduce both the risk of death and the misuse of antibiotics associated with scrub typhus. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40249-019-0566-0) contains supplementary material, which is available to authorized users.
has issue date	2019-06-29(xsd:dateTime)
bibo:doi	10.1186/s40249-019-0566-0
bibo:pmid	31253202
has license	cc-by
sha1sum (hex)	84a52dad0aab6d229fa21d15308819c3f792e539
schema:url	https://doi.org/10.1186/s40249-019-0566-0
resource representing a document's title	Evaluation of scrub typhus diagnosis in China: analysis of nationwide surveillance data from 2006 to 2016
has PubMed Central identifier	PMC6599364
has PubMed identifier	31253202
schema:publication	Infect Dis Poverty
resource representing a document's body	covid:84a52dad0aab6d229fa21d15308819c3f792e539#body_text
is schema:about of	named entity '95% CI' named entity 'scrub typhus' named entity 'patients' named entity 'essential' named entity 'antibiotics' named entity '7 days' named entity 'level' named entity '2006' named entity 'disease surveillance' named entity '2006' named entity 'evaluate' named entity 'diag' named entity 'varied' named entity 'DISEASE' named entity 'TO REDUCE' named entity 'MEDICAL CARE' named entity 'COUNTY' named entity 'SCRUB TYPHUS' named entity 'MEDICINE' named entity 'YEAR' named entity 'GEOGRAPHICAL REGIONS' named entity 'DISEASE SURVEILLANCE SYSTEM' named entity 'TIME' named entity 'BENEFIT' named entity 'ESSENTIAL' named entity '2.2' named entity 'FOUND' named entity '2 TIMES' named entity 'DIAGNOSIS' named entity 'MISUSE' named entity 'DATA' named entity 'RECORDED' named entity '2.6' named entity 'PROPORTION' named entity 'LEVELS' named entity 'RESULTS' named entity 'STUDY' named entity 'ORIENTIA TSUTSUGAMUSHI' named entity 'SEVERE' named entity 'CITY' named entity 'CONCLUSIONS' named entity 'EVALUATE' named entity 'CASES' named entity 'SPECIFIC' named entity 'CENTRES' named entity 'INCLUDING' named entity 'ANTIMICROBIAL' named entity 'DECREASING' named entity '1.05' named entity 'REDUCING' named entity 'OVERALL' named entity 'EXTRACTED' named entity 'COMPARED' named entity 'INTERVAL' named entity 'PERFORMED' named entity 'GREATLY' named entity 'HIGHER' named entity 'DAYS' named entity 'METHODS' named entity 'LEVEL' named entity 'CASE' named entity 'ANALYSIS METHOD' named entity 'MEDICAL' named entity 'DIAGNOSIS RATE' named entity 'SURVEILLANCE SYSTEM' named entity 'HOSPITALS' named entity 'PATIENTS' covid:arg/84a52dad0aab6d229fa21d15308819c3f792e539 named entity 'DECREASED' named entity 'ONSET' named entity 'CHINA' named entity 'LIFE'

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