PDF(Pubmed)
Abstract：
Legionellosis is a respiratory disease of bacterial and environmental origin that usually presents two distinct clinical entities, \"Legionnaires\' disease\" (LD) and \"Pontiac fever\". LD is an important cause of hospital-acquired pneumonia (HAP). The objective of this study is to describe the epidemiology of legionellosis-associated hospitalization (L-AH) in Spain from 2002 to 2021 and the burden of hospitalization due to legionellosis. Discharge reports from the Minimum Basic Data Set (MBDS) were used to retrospectively analyze hospital discharge data with a diagnosis of legionellosis, based on the ICD-9-CM and ICD-10-CM diagnosis codes, from 2002 to 2021. 21,300 L-AH occurred throughout the year during 2002-2021. The incidence of hospitalization associated per 100,000 inhabitants by month showed a similar trend for the 2002-2011, 2012-2021, and 2002-2021 periods. In Spain, during 2002-2021, the hospitalization rate (HR) in the autonomous communities ranged from 4.57 (2002-2011) to 0.24 (2012-2021) cases per 100,000 inhabitants. The HR of legionellosis in Spain has substantially increased across the 2002-2021 period, and the estimate is consistent with available European data. It is considered that in-depth epidemiological surveillance studies of legionellosis and improvements in the prevention and control of the disease are required in Spain.
摘要：
军团菌病是细菌和环境起源的呼吸道疾病，通常表现为两种不同的临床实体，“军团病”（LD）和“庞蒂亚克热”。LD是医院获得性肺炎(HAP)的重要病因。这项研究的目的是描述2002年至2021年西班牙军团菌病相关住院（L-AH）的流行病学以及军团菌病导致的住院负担。来自最低基本数据集（MBDS）的出院报告用于回顾性分析诊断为军团菌病的出院数据，基于ICD-9-CM和ICD-10-CM诊断代码，从2002年到2021年。在2002-2021年全年发生了21,300L-AH。在2002-2011年，2012-2021年和2002-2021年期间，按月计算的每100,000居民的住院发生率显示出类似的趋势。在西班牙,在2002-2021年期间,自治区的住院率(HR)范围为每100,000居民4.57例(2002-2011年)至0.24例(2012-2021年).在2002-2021年期间，西班牙军团菌病的HR大幅增加，估计与现有的欧洲数据一致。据认为，西班牙需要对军团菌病进行深入的流行病学监测研究，并改善该疾病的预防和控制。
