{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:11:38Z","timestamp":1709889098969},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>AIM<\/strong>. The purpose of this study evaluation of the epidemiological situation of shigellosis in Poland in years\u00a02013-2017.<br \/><strong>MATERIALS AND METHODS<\/strong>. The evaluation was based on analysis of : data gathered and sent to\u00a0Department of Epidemiology of Infectious Diseases and Surveillance in NIPH-NIH by local and voivodeship\u00a0sanitary stations in the form of epidemiological questionnaires. It was also based on aggregated data from annual\u00a0bulletins \u201cInfectious diseases and poisonings in Poland\u201d as well as data from shigellosis outbreaks acquired\u00a0through ROE system (an electronic system created for uploading, transfer and analysis of data from the outbreak\u00a0investigations). All cases were reported according to the Decision 2008\/426\/WE.<br \/><strong>RESULTS<\/strong>. In the years 2013-2017 in Poland 140 shigellosis cases were reported. Mean incidence per 100 000\u00a0was 0.05. A decrease of incidence median for years 2013-2017 was observed comparing to preceding, 5- year\u00a0period by 0,03. Slightly over half of cases (51%) belonged to the age group 20-44. Majority of cases were\u00a0males (57.1%). In each year from described period percentage of hospitalizations was over 70%. Imported cases\u00a0amounted for 28% of all cases reported in that period- most of them being imported from countries from outside\u00a0UE\/ EFTA. In years 2013-2017 there were 10 outbreaks of shigellosis registered, in which 47 persons got ill.<br \/><strong>CONCLUSIONS<\/strong>. In years 2013-2017 no clear increasing or decreasing trend in shigellosis cases was observed,\u00a0however in years when epidemic outbreaks occurred there was a significant increase in the number of cases\u00a0reported yearly. Because of low number of cases being reported every year, an occurrence of large outbreak may\u00a0result in seasonal peak of cases shifting, which was the situation in 2017 when most cases onset was in October,\u00a0while in other years it was in September. High percentage of hospitalizations in cases could mean that severe\u00a0cases are more readily reported, and in the same time that other cases are underreported. Because the date on\u00a0shigellosis cases are acquired through general, not shigella-specific questionnaire it may result in incomplete or\u00a0missing data on exposure (e.g. information on risk group affiliation), and therefore impairs the epidemiological\u00a0situation assessment. It points the need of introduction Shigella- specific questionnaire.<br \/><br \/><strong>STRESZCZENIE<\/strong><br \/><strong>CEL<\/strong>. Celem pracy jest ocena sytuacji epidemiologicznej czerwonki bakteryjnej w Polsce w latach 2013-2017.<br \/><strong>MATERIA\u0141 I METODY<\/strong>. Materia\u0142em do analizy by\u0142y dane zawarte w wywiadach epidemiologicznych o zachorowaniach\u00a0na czerwonk\u0119 przesy\u0142ane do Zak\u0142adu Epidemiologii Chor\u00f3b Zaka\u017anych i Nadzoru NIZP-PZH\u00a0przez stacje sanitarno-epidemiologiczne, dane zagregowane pochodz\u0105ce z biuletynu \u201eChoroby zaka\u017ane i zatrucia\u00a0w Polsce\u201d oraz dane z dochodze\u0144 w ogniskach szigelozy przekazywane przez system ROE. Zachorowania\u00a0zg\u0142aszano na podstawie definicji przypadku zgodnej z decyzj\u0105 Komisji Europejskiej 2008\/426\/WE.<br \/><strong>WYNIKI<\/strong>. W latach 2013-2017 w Polsce zarejestrowano og\u00f3\u0142em 140 przypadk\u00f3w czerwonki bakteryjnej. \u015arednia\u00a0zapadalno\u015b\u0107 wynosi\u0142a 0,05 na 100 000 ludno\u015bci. Odnotowano spadek mediany zapadalno\u015bci za lata 2013-2017 o 0,03 w por\u00f3wnaniu do poprzedniego 5 letniego okresu (lata 2008-2012). Po\u0142ow\u0119 zachorowa\u0144 (51%)\u00a0odnotowano w grupie wiekowej 20-44 lata. Wi\u0119kszy udzia\u0142 we wszystkich zachorowaniach stanowi\u0142y zachorowania\u00a0m\u0119\u017cczyzn (\u015brednia za lata 2013-2017 \u2013 57,1%). W ka\u017cdym roku odsetek os\u00f3b hospitalizowanych z powodu czerwonki wynosi\u0142 ponad 70%. W okresie 2013-2017 przypadki zawlekane stanowi\u0142y 28% og\u00f3lnej liczby\u00a0zachorowa\u0144. Do zaka\u017ce\u0144 g\u0142\u00f3wnie dochodzi\u0142o w krajach spoza UE\/EFTA. W latach 2013-2017 zarejestrowano\u00a010 ognisk epidemicznych, w kt\u00f3rych zachorowa\u0142o 47 os\u00f3b.<br \/><strong>WNIOSKI<\/strong>. W latach 2013-2017 nie by\u0142o wyra\u017anego trendu dotycz\u0105cego liczby zachorowa\u0144 na czerwonk\u0119 bakteryjn\u0105,\u00a0jednak w latach, w kt\u00f3rych wyst\u0119powa\u0142y ogniska epidemiczne, widoczny by\u0142 wyra\u017any wzrost liczby przypadk\u00f3w\u00a0rejestrowanych w danym roku. W zwi\u0105zku z tym, \u017ce roczna liczba rejestrowanych przypadk\u00f3w czerwonki bakteryjnej\u00a0jest ma\u0142a, to wyst\u0105pienie wi\u0119kszych ognisk mo\u017ce tak\u017ce wp\u0142ywa\u0107 na przesuni\u0119cie sezonowo\u015bci zachorowa\u0144, jak to mia\u0142o\u00a0miejsce w roku 2017, w kt\u00f3rym szczyt zachorowa\u0144 przypad\u0142 na pa\u017adziernik, podczas gdy w innych latach przypada\u0142 na\u00a0wrzesie\u0144. Wysoki odsetek hospitalizacji mo\u017ce \u015bwiadczy\u0107 o diagnozowaniu przede wszystkim przypadk\u00f3w o ci\u0119\u017ckim\u00a0przebiegu, a tym samym o niedorejestrowaniu zachorowa\u0144. Dane dotycz\u0105ce czerwonki zbierane s\u0105 na formularzu og\u00f3lnym,\u00a0co stwarza ryzyko uzyskania niepe\u0142nych b\u0105d\u017a te\u017c nieprecyzyjnych informacji dotycz\u0105cych nara\u017cenia na zaka\u017cenie,\u00a0w zwi\u0105zku z tym mo\u017ce by\u0107 utrudniona ocena sytuacji epidemiologicznej m. in. z powodu nieuzyskania informacji o\u00a0przynale\u017cno\u015bci chorego do grup ryzyka. Wskazuje to na potrzeb\u0119 wprowadzenia dedykowanego formularza.<\/p><\/jats:p>","DOI":"10.32394\/pe.73.45","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T14:29:49Z","timestamp":1582727389000},"page":"479-486","source":"Crossref","is-referenced-by-count":0,"title":["Shigellosis in Poland in 2013-2017"],"prefix":"10.32394","volume":"73","author":[{"given":"E","family":"Ksi\u0119\u017cak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Pola\u0144ski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Sadkowska-Todys","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2020,1,15]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Czerwonka bakteryjna w Polsce w latach 2013-2017"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180904-101461","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180904-101461","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:46:08Z","timestamp":1709887568000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Shigellosis-in-Poland-in-2013-2017,180904,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,15]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019]]}},"alternative-id":["180904"],"URL":"https:\/\/doi.org\/10.32394\/pe.73.45","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,15]]}}}