{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:11:49Z","timestamp":1709889109006},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>INTRODUCTION.<\/strong> Infectious diseases of the nervous system are most often manifested in the form of\u00a0meningitis. We distinguish meningitis and\/or encephalitis according to their etiology, i.e. bacterial and viral.<br \/>The study discusses meningitis and encephalitis caused by: <em>N. meningitidis, S. pneumoniae, H. influenzae<\/em> and\u00a0tick-borne encephalitis virus. This is due to the epidemiological surveillance of these diseases and the available\u00a0prevention in the form of vaccinations against these diseases.<br \/><strong>AIM OF THE STUDY.<\/strong> The aim of the study is to assess the epidemiological situation of meningitis and\u00a0encephalitis in Poland in 2018.<br \/><strong>MATERIAL AND METHODS.<\/strong> The epidemiological situation of meningitis and encephalitis in Poland was\u00a0assessed on data from the annual bulletin \u201cInfectious diseases and poisoning in Poland in 2018\u201d and \u201cVaccinations\u00a0in Poland in 2018\u201d.<br \/><strong>RESULTS.<\/strong> In 2018, a total of 2406 cases of meningitis and\/or encephalitis were registered in Poland. It is\u00a0a 14.7% increase in incidence compared to 2017. An increase was recorded in the viral infections from 1212\u00a0to 1533 cases. In contrast, the number of infections with bacterial etiology decreased from 886 to 873 cases.<br \/>Meningitis and\/or encephalitis caused by pathogens specified in epidemiological surveillance have noticed a\u00a0decreased incidence. The only exception is the increase in cases caused by <em>S. pneumoniae<\/em>, compared to 2017,\u00a0from 177 to 212. This is an increase of 19.8% compared to the previous year. However, the number of cases of\u00a0<em>N. meningitidis<\/em> showed a decrease of 16.4% during this period. Viral infections constituted 63.7% of all cases.<br \/>Compared to 2017, it means an increase in the percentage of viral infections by 5.9 percentage points.\u00a0Among laboratory confirmed cases of meningitis and\/or encephalitis of known etiology, cases caused by\u00a0<em>Neisseria meningitidis<\/em> (102 cases), <em>Streptococcus pneumoniae<\/em> (212 cases) and tick-borne encephalitis (197\u00a0cases) were predominant.<br \/>SUMMARY AND CONCLUSION. There is a general increasing trend in the number of cases of viral\u00a0meningitis and\/or encephalitis. On the other hand, thanks to vaccinations, no significant increase was noted\u00a0in <em>H. influenzae<\/em>, meningococcal and TBE infections. There is a chance to minimize the incidence of bacterial\u00a0meningitis and\/or encephalitis as in the <em>H. influenzae<\/em> infections. On the other hand, it should be seen that the\u00a0problem of diagnosing cases of viral etiology should be considered. This is more related to the determination\u00a0of the etiological factor than the diagnosis of viral meningitis and\/or encephalitis. Difficulties in determining\u00a0the etiological factor indicate that, meningitis and\/or encephalitis remain a challenge for healthcare and\u00a0epidemiological surveillance institutions.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>WST\u0118P.<\/strong> Choroby zaka\u017ane uk\u0142adu nerwowego najcz\u0119\u015bciej wyst\u0119puj\u0105 pod postaci\u0105 zapalenia opon m\u00f3zgowordzeniowych.\u00a0Wyr\u00f3\u017cniamy zapalenia opon i \/lub m\u00f3zgu zgodnie z ich etiologi\u0105 tj. bakteryjne i wirusowe. W\u00a0opracowaniu om\u00f3wiono zapalenia opon i\/lub m\u00f3zgu wywo\u0142ane przez: <em>N. meningitidis, S. pneumoniae, H.\u00a0influenzae<\/em> oraz wirus kleszczowego zapalenia m\u00f3zgu. Wynika to z prowadzenia nadzoru epidemiologicznego\u00a0nad tymi chorobami oraz dost\u0119pnej profilaktyki w postaci szczepie\u0144 przeciw tym gro\u017anym chorobom.\u00a0<br \/><strong>CEL PRACY.<\/strong> Celem pracy by\u0142a ocena epidemiologiczna wyst\u0119powania zachorowa\u0144 na zapalenie opon\u00a0m\u00f3zgowo-rdzeniowych i zapalenia m\u00f3zgu w Polsce w 2018 r.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> Do przeprowadzenia analizy epidemiologicznej wyst\u0119powania zapalenia opon\u00a0m\u00f3zgowo-rdzeniowych i zapale\u0144 m\u00f3zgu wykorzystano dane nadsy\u0142ane do NIZP-PZH przez Wojew\u00f3dzkie\u00a0Stacje Sanitarno-Epidemiologiczne i publikowane w biuletynach rocznych: \u201eChoroby zaka\u017ane i zatrucia w\u00a0Polsce\u201d oraz \u201eSzczepienia ochronne w Polsce\u201d.<br \/><strong>WYNIKI.<\/strong> W roku 2018 w Polsce zarejestrowano og\u00f3\u0142em 2406 zachorowa\u0144 na zapalenie opon m\u00f3zgowordzeniowych\u00a0i\/lub zapalenie m\u00f3zgu. Jest to wzrost zachorowa\u0144 o ok. 14,7% w por\u00f3wnaniu do roku 2017. Wzrost\u00a0zanotowano g\u0142\u00f3wnie w przypadku infekcji o etiologii wirusowej: z 1212 do 1533 przypadk\u00f3w. Natomiast\u00a0spad\u0142a liczba infekcji o etiologii bakteryjnej z 886 do 873 przypadk\u00f3w. Jedynym wyj\u0105tkiem jest wzrost liczby\u00a0przypadk\u00f3w ze 177 do 212 zachorowa\u0144 wywo\u0142anych przez <em>S. pneumoniae<\/em> w por\u00f3wnaniu do roku 2017. Jest to\u00a0wzrost o 19,8% w stosunku do roku poprzedniego. Natomiast liczba zachorowa\u0144 o etiologii <em>N. meningitidis<\/em> spad\u0142a\u00a0o 16,4%. Spo\u015br\u00f3d wszystkich zarejestrowanych zachorowa\u0144 63,7% stanowi\u0142y infekcje o etiologii wirusowej. W\u00a0por\u00f3wnaniu do roku 2017 jest to wzrost procentowego udzia\u0142u infekcji wirusowych o 5,9 punktu procentowego.<br \/>W\u015br\u00f3d laboratoryjnie potwierdzonych przypadk\u00f3w zapale\u0144 opon m\u00f3zgowo-rdzeniowych i\/lub zapale\u0144 m\u00f3zgu\u00a0o ustalonej etiologii, dominuj\u0105 zachorowania wywo\u0142ane przez <em>Neisseria meningitidis<\/em> (102 zachorowania),\u00a0<em>Streptococcus pneumoniae<\/em> (212 zachorowa\u0144) oraz kleszczowe zapalenie m\u00f3zgu (197 zachorowa\u0144).<br \/><strong>PODSUMOWANIE I WNIOSKI.<\/strong> Zaobserwowano og\u00f3ln\u0105 tendencj\u0119 wzrostow\u0105 zachorowa\u0144 na wirusowe\u00a0zapalenia opon i\/lub m\u00f3zgu. Natomiast dzi\u0119ki szczepieniom, nie zanotowano wzrostu zaka\u017ce\u0144 <em>H. influenzae<\/em>,\u00a0meningokokowych oraz KZM. Zaznaczy\u0142a si\u0119 tendencja zmniejszenia zachorowa\u0144 na zapalenia opon i \/lub\u00a0m\u00f3zgu o etiologii bakteryjnej, r\u00f3wnie\u017c w przypadku <em>H. influenzae<\/em>. Jednak z drugiej strony zaobserwowano,\u00a0\u017ce nadal utrzymuje si\u0119 problemem wykonawstwa szczeg\u00f3\u0142owej diagnostyki zachorowa\u0144 o etiologii wirusowej\u00a0tzn. diagnostyki z okre\u015bleniem czynnika etiologicznego. Niedostateczne wykonawstwo bada\u0144 z okre\u015bleniem\u00a0czynnika etiologicznego \u015bwiadczy, \u017ce nadal zapalenia opon i\/lub m\u00f3zgu stanowi\u0105 wyzwanie dla opieki\u00a0zdrowotnej oraz instytucji nadzoru epidemiologicznego.<\/p><\/jats:p>","DOI":"10.32394\/pe.75.07","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T12:23:44Z","timestamp":1627907024000},"page":"63-75","source":"Crossref","is-referenced-by-count":2,"title":["Meningitis and encephalitis in Poland in 2018"],"prefix":"10.32394","volume":"75","author":[{"given":"J","family":"Zbrze\u017aniak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Paradowska-Stankiewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2021,7,14]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Zapalenia opon m\u00f3zgowo-rdzeniowych i zapalenia m\u00f3zgu w Polsce w 2018 roku"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180984-101546","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180984-101546","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:45:09Z","timestamp":1709887509000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Meningitis-and-encephalitis-in-Poland-in-2018,180984,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,14]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"alternative-id":["180984"],"URL":"https:\/\/doi.org\/10.32394\/pe.75.07","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,14]]}}}