Pertussis surveillance and control: exploring variations and delays in testing, laboratory diagnostics and public health service notifications, the Netherlands, 2010 to 2013
Pertussis is most severe among unvaccinated infants (< 1 year of age), and still leads to several reported deaths in the Netherlands every year. In order to avoid pertussis-related infant morbidity and mortality, pertussis surveillance data are used to guide pertussis control measures. However, m...
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Veröffentlicht in: | Euro surveillance : bulletin européen sur les maladies transmissibles 2017-07, Vol.22 (28), p.14 |
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creator | Heil, Jeanne Ter Waarbeek, Henriëtte L G Hoebe, Christian J P A Jacobs, Peter H A van Dam, Dirk W Trienekens, Thera A M Cals, Jochen W L van Loo, Inge H M Dukers-Muijrers, Nicole H T M |
description | Pertussis is most severe among unvaccinated infants (< 1 year of age), and still leads to several reported deaths in the Netherlands every year. In order to avoid pertussis-related infant morbidity and mortality, pertussis surveillance data are used to guide pertussis control measures. However, more insight into the accuracy of pertussis surveillance and control, and into the range of healthcare and public health-related factors that impede this are needed. We analysed a unique combination of data sources from one Dutch region of 1.1 million residents, including data from laboratory databases and local public health notifications between 2010 and 2013. This large study (n = 12,090 pertussis tests) reveals possible misdiagnoses, substantial under-notification (18%, 412/2,301 laboratory positive episodes) and a delay between patient symptoms and notification to the local public health services (median 34 days, interquartile range (IQR): 27-54). It is likely that the misdiagnoses, under-notification and overall delay in surveillance data are not unique to this area of the Netherlands, and are generalisable to other countries in Europe. In addition to preventive measures such as maternal immunisation, based on current findings, we further recommend greater adherence to testing guidelines, standardisation of test interpretation guidelines, use of automatic notification systems and earlier preventive measures. |
doi_str_mv | 10.2807/1560-7917.ES.2017.22.28.30571 |
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In order to avoid pertussis-related infant morbidity and mortality, pertussis surveillance data are used to guide pertussis control measures. However, more insight into the accuracy of pertussis surveillance and control, and into the range of healthcare and public health-related factors that impede this are needed. We analysed a unique combination of data sources from one Dutch region of 1.1 million residents, including data from laboratory databases and local public health notifications between 2010 and 2013. This large study (n = 12,090 pertussis tests) reveals possible misdiagnoses, substantial under-notification (18%, 412/2,301 laboratory positive episodes) and a delay between patient symptoms and notification to the local public health services (median 34 days, interquartile range (IQR): 27-54). It is likely that the misdiagnoses, under-notification and overall delay in surveillance data are not unique to this area of the Netherlands, and are generalisable to other countries in Europe. In addition to preventive measures such as maternal immunisation, based on current findings, we further recommend greater adherence to testing guidelines, standardisation of test interpretation guidelines, use of automatic notification systems and earlier preventive measures.</description><identifier>ISSN: 1560-7917</identifier><identifier>ISSN: 1025-496X</identifier><identifier>EISSN: 1560-7917</identifier><identifier>DOI: 10.2807/1560-7917.ES.2017.22.28.30571</identifier><identifier>PMID: 28749331</identifier><language>eng</language><publisher>Sweden: Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</publisher><subject>Bordetella pertussis - isolation & purification ; Clinical Laboratory Techniques - methods ; Clinical Laboratory Techniques - standards ; Disease control ; Disease Notification - methods ; Disease Notification - standards ; Female ; Health surveillance ; Humans ; Immunization ; Incidence ; Infant ; Male ; Mandatory Reporting ; Netherlands - epidemiology ; Population Surveillance ; Primary Prevention - methods ; Public health ; Quality Assurance, Health Care ; Sentinel Surveillance ; Surveys and Questionnaires ; United States ; United States Public Health Service ; Whooping cough ; Whooping Cough - diagnosis ; Whooping Cough - epidemiology ; Whooping Cough - prevention & control ; Whooping Cough - transmission</subject><ispartof>Euro surveillance : bulletin européen sur les maladies transmissibles, 2017-07, Vol.22 (28), p.14</ispartof><rights>This article is copyright of The Authors, 2017.</rights><rights>Copyright Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) Jul 13, 2017</rights><rights>This article is copyright of The Authors, 2017. 2017 The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-5871c2b0a295b49f8d7ffb2a8af3d93561bb875ee03523ac69059bc0a27d39143</citedby><cites>FETCH-LOGICAL-c463t-5871c2b0a295b49f8d7ffb2a8af3d93561bb875ee03523ac69059bc0a27d39143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545763/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545763/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28749331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heil, Jeanne</creatorcontrib><creatorcontrib>Ter Waarbeek, Henriëtte L G</creatorcontrib><creatorcontrib>Hoebe, Christian J P A</creatorcontrib><creatorcontrib>Jacobs, Peter H A</creatorcontrib><creatorcontrib>van Dam, Dirk W</creatorcontrib><creatorcontrib>Trienekens, Thera A M</creatorcontrib><creatorcontrib>Cals, Jochen W L</creatorcontrib><creatorcontrib>van Loo, Inge H M</creatorcontrib><creatorcontrib>Dukers-Muijrers, Nicole H T M</creatorcontrib><title>Pertussis surveillance and control: exploring variations and delays in testing, laboratory diagnostics and public health service notifications, the Netherlands, 2010 to 2013</title><title>Euro surveillance : bulletin européen sur les maladies transmissibles</title><addtitle>Euro Surveill</addtitle><description>Pertussis is most severe among unvaccinated infants (< 1 year of age), and still leads to several reported deaths in the Netherlands every year. In order to avoid pertussis-related infant morbidity and mortality, pertussis surveillance data are used to guide pertussis control measures. However, more insight into the accuracy of pertussis surveillance and control, and into the range of healthcare and public health-related factors that impede this are needed. We analysed a unique combination of data sources from one Dutch region of 1.1 million residents, including data from laboratory databases and local public health notifications between 2010 and 2013. This large study (n = 12,090 pertussis tests) reveals possible misdiagnoses, substantial under-notification (18%, 412/2,301 laboratory positive episodes) and a delay between patient symptoms and notification to the local public health services (median 34 days, interquartile range (IQR): 27-54). It is likely that the misdiagnoses, under-notification and overall delay in surveillance data are not unique to this area of the Netherlands, and are generalisable to other countries in Europe. In addition to preventive measures such as maternal immunisation, based on current findings, we further recommend greater adherence to testing guidelines, standardisation of test interpretation guidelines, use of automatic notification systems and earlier preventive measures.</description><subject>Bordetella pertussis - isolation & purification</subject><subject>Clinical Laboratory Techniques - methods</subject><subject>Clinical Laboratory Techniques - standards</subject><subject>Disease control</subject><subject>Disease Notification - methods</subject><subject>Disease Notification - standards</subject><subject>Female</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>Immunization</subject><subject>Incidence</subject><subject>Infant</subject><subject>Male</subject><subject>Mandatory Reporting</subject><subject>Netherlands - epidemiology</subject><subject>Population Surveillance</subject><subject>Primary Prevention - methods</subject><subject>Public health</subject><subject>Quality Assurance, Health Care</subject><subject>Sentinel Surveillance</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>United States Public Health Service</subject><subject>Whooping cough</subject><subject>Whooping Cough - diagnosis</subject><subject>Whooping Cough - epidemiology</subject><subject>Whooping Cough - prevention & control</subject><subject>Whooping Cough - transmission</subject><issn>1560-7917</issn><issn>1025-496X</issn><issn>1560-7917</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkt1qFDEUxwdRbK2-ggRE6EV3zcdkMhEsSNlWoahQvQ6ZTGY3JZusSWZxH8p37Jluu1RvcsI5v_xzvqrqPcFz2mLxgfAGz4QkYr64mVMMllKIzBnmgjyrjg_x50_uR9WrnG8xrhmW9GV1RFtRS8bIcfX3h01lzNlllMe0tc57HYxFOvTIxFBS9B-R_bPxMbmwRFudnC4uhnxP9NbrXUYuoGJzAeAMed3FpEtMO9Q7vQwR_GZPb8bOO4NWVvuyQtmmrYOfQixucGaveobKyqJvFs4EifTggBoxKnGy7HX1YtA-2zcP9qT6dbn4efFldv396uvF5-uZqRtWZrwVxNAOayp5V8uh7cUwdFS3emC9ZLwhXdcKbi1mnDJtGom57AzwomeS1OykOt_rQspr2xsLjdBebZJb67RTUTv1byS4lVrGreK85qJhIHD6IJDi7xF6o9YuGzs118YxKyJpzaUguAX03X_obRxTgPKAajCnhGIB1Kc9ZVLMOdnhkAzBaloMNQ1bTcNWixs1LYaiFCLqfjHg_dunFR1eP24CuwNZb7h2</recordid><startdate>20170713</startdate><enddate>20170713</enddate><creator>Heil, Jeanne</creator><creator>Ter Waarbeek, Henriëtte L G</creator><creator>Hoebe, Christian J P A</creator><creator>Jacobs, Peter H A</creator><creator>van Dam, Dirk W</creator><creator>Trienekens, Thera A M</creator><creator>Cals, Jochen W L</creator><creator>van Loo, Inge H M</creator><creator>Dukers-Muijrers, Nicole H T M</creator><general>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</general><general>European Centre for Disease Prevention and Control (ECDC)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170713</creationdate><title>Pertussis surveillance and control: exploring variations and delays in testing, laboratory diagnostics and public health service notifications, the Netherlands, 2010 to 2013</title><author>Heil, Jeanne ; Ter Waarbeek, Henriëtte L G ; Hoebe, Christian J P A ; Jacobs, Peter H A ; van Dam, Dirk W ; Trienekens, Thera A M ; Cals, Jochen W L ; van Loo, Inge H M ; Dukers-Muijrers, Nicole H T M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-5871c2b0a295b49f8d7ffb2a8af3d93561bb875ee03523ac69059bc0a27d39143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bordetella pertussis - isolation & purification</topic><topic>Clinical Laboratory Techniques - methods</topic><topic>Clinical Laboratory Techniques - standards</topic><topic>Disease control</topic><topic>Disease Notification - methods</topic><topic>Disease Notification - standards</topic><topic>Female</topic><topic>Health surveillance</topic><topic>Humans</topic><topic>Immunization</topic><topic>Incidence</topic><topic>Infant</topic><topic>Male</topic><topic>Mandatory Reporting</topic><topic>Netherlands - epidemiology</topic><topic>Population Surveillance</topic><topic>Primary Prevention - methods</topic><topic>Public health</topic><topic>Quality Assurance, Health Care</topic><topic>Sentinel Surveillance</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>United States Public Health Service</topic><topic>Whooping cough</topic><topic>Whooping Cough - diagnosis</topic><topic>Whooping Cough - epidemiology</topic><topic>Whooping Cough - prevention & control</topic><topic>Whooping Cough - transmission</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heil, Jeanne</creatorcontrib><creatorcontrib>Ter Waarbeek, Henriëtte L G</creatorcontrib><creatorcontrib>Hoebe, Christian J P A</creatorcontrib><creatorcontrib>Jacobs, Peter H A</creatorcontrib><creatorcontrib>van Dam, Dirk W</creatorcontrib><creatorcontrib>Trienekens, Thera A M</creatorcontrib><creatorcontrib>Cals, Jochen W L</creatorcontrib><creatorcontrib>van Loo, Inge H M</creatorcontrib><creatorcontrib>Dukers-Muijrers, Nicole H T M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heil, Jeanne</au><au>Ter Waarbeek, Henriëtte L G</au><au>Hoebe, Christian J P A</au><au>Jacobs, Peter H A</au><au>van Dam, Dirk W</au><au>Trienekens, Thera A M</au><au>Cals, Jochen W L</au><au>van Loo, Inge H M</au><au>Dukers-Muijrers, Nicole H T M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pertussis surveillance and control: exploring variations and delays in testing, laboratory diagnostics and public health service notifications, the Netherlands, 2010 to 2013</atitle><jtitle>Euro surveillance : bulletin européen sur les maladies transmissibles</jtitle><addtitle>Euro Surveill</addtitle><date>2017-07-13</date><risdate>2017</risdate><volume>22</volume><issue>28</issue><spage>14</spage><pages>14-</pages><issn>1560-7917</issn><issn>1025-496X</issn><eissn>1560-7917</eissn><abstract>Pertussis is most severe among unvaccinated infants (< 1 year of age), and still leads to several reported deaths in the Netherlands every year. In order to avoid pertussis-related infant morbidity and mortality, pertussis surveillance data are used to guide pertussis control measures. However, more insight into the accuracy of pertussis surveillance and control, and into the range of healthcare and public health-related factors that impede this are needed. We analysed a unique combination of data sources from one Dutch region of 1.1 million residents, including data from laboratory databases and local public health notifications between 2010 and 2013. This large study (n = 12,090 pertussis tests) reveals possible misdiagnoses, substantial under-notification (18%, 412/2,301 laboratory positive episodes) and a delay between patient symptoms and notification to the local public health services (median 34 days, interquartile range (IQR): 27-54). It is likely that the misdiagnoses, under-notification and overall delay in surveillance data are not unique to this area of the Netherlands, and are generalisable to other countries in Europe. In addition to preventive measures such as maternal immunisation, based on current findings, we further recommend greater adherence to testing guidelines, standardisation of test interpretation guidelines, use of automatic notification systems and earlier preventive measures.</abstract><cop>Sweden</cop><pub>Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)</pub><pmid>28749331</pmid><doi>10.2807/1560-7917.ES.2017.22.28.30571</doi><oa>free_for_read</oa></addata></record> |
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subjects | Bordetella pertussis - isolation & purification Clinical Laboratory Techniques - methods Clinical Laboratory Techniques - standards Disease control Disease Notification - methods Disease Notification - standards Female Health surveillance Humans Immunization Incidence Infant Male Mandatory Reporting Netherlands - epidemiology Population Surveillance Primary Prevention - methods Public health Quality Assurance, Health Care Sentinel Surveillance Surveys and Questionnaires United States United States Public Health Service Whooping cough Whooping Cough - diagnosis Whooping Cough - epidemiology Whooping Cough - prevention & control Whooping Cough - transmission |
title | Pertussis surveillance and control: exploring variations and delays in testing, laboratory diagnostics and public health service notifications, the Netherlands, 2010 to 2013 |
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