{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T23:10:28Z","timestamp":1722467428285},"reference-count":19,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,7]]},"abstract":"<jats:p>Spotted fever group (SFG) rickettsioses are endemic in Tennessee, with \u223c2,500 cases reported during 2000\u20132012. Because of this substantial burden of disease, we performed a three-part evaluation of Tennessee's routine surveillance for SFG rickettsioses cases and deaths to assess the system's effectiveness. Tennessee Department of Health (TDH) SFG rickettsioses surveillance records were matched to three patient series: 1) patients with positive serologic specimens from a commercial reference laboratory during 2010\u20132011, 2) tertiary medical center patients with positive serologic tests during 2007\u20132013, and 3) patients identified from death certificates issued during 1995\u20132014 with SFG rickettsiosis\u2013related causes of death. Chart reviews were performed and patients were classified according to the Council of State and Territorial Epidemiologists' case definition. Of 254 SFG <jats:italic>Rickettsia<\/jats:italic>\u2013positive serologic specimens from the reference laboratory, 129 (51%) met the case definition for confirmed or probable cases of rickettsial disease after chart review. The sensitivity of the TDH surveillance system to detect cases was 45%. Of the 98 confirmed or probable cases identified from the medical center, the sensitivity of the TDH surveillance system to detect cases was 34%. Of 27 patients identified by death certificates, 12 (44%) were classified as confirmed or probable cases; four (33%) were reported to TDH, but none were correctly identified as deceased. Cases of SFG rickettsioses were underreported and fatalities not correctly identified. Efforts are needed to improve SFG rickettsiosis surveillance in Tennessee.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0765","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T07:00:46Z","timestamp":1499151646000},"page":"789-794","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of a Spotted Fever Group Rickettsia Public Health Surveillance System in Tennessee"],"prefix":"10.4269","volume":"97","author":[{"given":"Mary-Margaret A.","family":"Fill","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia"},{"name":"Division of Communicable and Environmental Diseases and Emergency Preparedness, Tennessee Department of Health, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abelardo C.","family":"Moncayo","sequence":"additional","affiliation":[{"name":"Division of Communicable and Environmental Diseases and Emergency Preparedness, Tennessee Department of Health, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen C.","family":"Bloch","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee"},{"name":"Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John R.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Division of Communicable and Environmental Diseases and Emergency Preparedness, Tennessee Department of Health, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Schaffner","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy F.","family":"Jones","sequence":"additional","affiliation":[{"name":"Division of Communicable and Environmental Diseases and Emergency Preparedness, Tennessee Department of Health, Nashville, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Lancet Infect Dis","first-page":"480","article-title":"Rocky Mountain spotted fever","volume":"150","author":"Dantas-Torres","year":"2007"},{"article-title":"Reportable Diseases and Events Matrix","year":"2016","author":"Tennessee Department of Health","key":"ref2"},{"key":"ref3","series-title":"Am J Trop Med Hyg","first-page":"26","article-title":"National surveillance of spotted fever group rickettsioses in the United States, 2008\u20132012","volume":"94","author":"Drexler","year":"2016"},{"key":"ref4","series-title":"Am J Trop Med Hyg","first-page":"174","article-title":"Rocky Mountain 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approaches to diagnosis of old and new rickettsial diseases","volume":"35","author":"La Scola","year":"1997"},{"key":"ref9","series-title":"Am J Trop Med Hyg","first-page":"1212","article-title":"Human infections by multiple spotted fever group rickettsiae in Tennessee","volume":"94","author":"Delisle","year":"2016"},{"article-title":"Position Statement: Public Health Reporting and National Notification for Spotted Fever Rickettsiosis (including Rocky Mountain spotted fever)","year":"2009","author":"Council of State and Territorial Epidemiologists","key":"ref10"},{"article-title":"Spotted Fever Rickettsiosis (Rickettsia spp.): 2010 Case Definition","year":"2010","author":"Centers for Disease Control and Prevention","key":"ref11"},{"article-title":"Reportable Diseases","year":"2015","author":"Tennessee Department of Health","key":"ref12"},{"article-title":"PH-1600","year":"2012","author":"Tennessee Department of Health Reportable Diseases and Events","key":"ref13"},{"article-title":"National Notifiable Diseases Surveillance System (NNDSS)","year":"2015","author":"Centers for Disease Control and Prevention","key":"ref14"},{"key":"ref15","series-title":"Open Forum Infect Dis","first-page":"S241","article-title":"Neurologic manifestations of Rocky Mountain spotted fever in children and adults","volume":"1","author":"Ivey","year":"2014"},{"key":"ref16","series-title":"Arch Pediatr Adolesc Med","first-page":"443","article-title":"Antibodies reactive to Rickettsia rickettsii among children living in the southeast and south central regions of the United States","volume":"157","author":"Marshall","year":"2003"},{"article-title":"Rocky Mountain Spotted Fever: Symptoms, Diagnosis, and Treatment","year":"2010","author":"Centers for Disease Control and Prevention","key":"ref17"},{"key":"ref18","series-title":"Lancet Infect Dis","first-page":"587","article-title":"Rocky Mountain spotted fever in the USA: a benign disease or a common diagnostic error?","volume":"8","author":"Raoult","year":"2008"},{"key":"ref19","series-title":"Am J Trop Med Hyg","first-page":"35","article-title":"Expanding range of Amblyomma americanum and simultaneous changes in the epidemiology of spotted fever group rickettsiosis in the United States","volume":"94","author":"Dahlgren","year":"2016"}],"container-title":["The American Journal of Tropical Medicine and 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