RESUMEN
Psittacosis is a zoonotic disease transmitted by birds. In Sweden, where psittacosis is notifiable, an average of eight cases per year were reported between 2002 and 2012. In 2013, an unusual increase in cases in southern Sweden was associated with exposure to wild birds. To further explore specific risk factors connected to wild birds and identify other risk factors for sporadic psittacosis, we conducted a case-control study including all domestically acquired psittacosis cases reported between December 2014 and April 2016 in Sweden. Cases were age-, sex- and geo-matched to controls randomly selected from a population register. Cases and controls completed a questionnaire investigating detailed exposures to wild and domestic birds. We compared cases to controls, calculating adjusted matched odds ratios (amOR) using conditional logistic regression. Thirty-one cases were notified: all cases lived in southern Sweden and 26 were ill during winter season. Two risk factors were independently associated with psittacosis infection: cleaning a wild bird feeder (amOR = 18.95; 95% CI: 2.11-170.03) and owning domestic birds (amOR = 5.55, 95% CI: 1.16-26.61). Our results suggest that exposure to bird faeces, for example when cleaning a wild bird feeder, was the main route of transmission. Following this study, the Public Health Agency of Sweden published recommendations on good practices when cleaning surfaces contaminated with bird faeces and recommended use of bird feeders with a design limiting faeces accumulation.
Asunto(s)
Animales Salvajes , Aves/microbiología , Heces/microbiología , Psitacosis/epidemiología , Psitacosis/transmisión , Adulto , Anciano , Anciano de 80 o más Años , Animales , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Persona de Mediana Edad , Suecia/epidemiología , ZoonosisAsunto(s)
Antibacterianos/administración & dosificación , Infecciones Bacterianas/tratamiento farmacológico , Proteína C-Reactiva/análisis , Prescripciones de Medicamentos , Medicina Familiar y Comunitaria , Adulto , Antibacterianos/efectos adversos , Infecciones Bacterianas/sangre , Infecciones Bacterianas/epidemiología , Niño , Prescripciones de Medicamentos/estadística & datos numéricos , Revisión de la Utilización de Medicamentos , Medicina Familiar y Comunitaria/estadística & datos numéricos , Femenino , Adhesión a Directriz , Humanos , Masculino , Pautas de la Práctica en Medicina , Atención Primaria de Salud/estadística & datos numéricos , Infecciones del Sistema Respiratorio/sangre , Infecciones del Sistema Respiratorio/tratamiento farmacológico , Infecciones del Sistema Respiratorio/epidemiología , Suecia/epidemiología , Infecciones Urinarias/sangre , Infecciones Urinarias/tratamiento farmacológico , Infecciones Urinarias/epidemiologíaAsunto(s)
Encuestas de Atención de la Salud , Vacunas contra la Influenza/administración & dosificación , Gripe Humana/prevención & control , Educación del Paciente como Asunto , Anciano , Humanos , Vacunas contra la Influenza/economía , Vacunas contra la Influenza/provisión & distribución , Educación del Paciente como Asunto/normas , Guías de Práctica Clínica como Asunto , Pautas de la Práctica en Medicina , Factores de Riesgo , Encuestas y Cuestionarios , SueciaAsunto(s)
Infecciones por Caliciviridae/epidemiología , Infección Hospitalaria/epidemiología , Brotes de Enfermedades , Gastroenteritis/epidemiología , Vómitos/epidemiología , Anciano , Infecciones por Caliciviridae/prevención & control , Infecciones por Caliciviridae/transmisión , Infección Hospitalaria/prevención & control , Infección Hospitalaria/virología , Gastroenteritis/prevención & control , Gastroenteritis/virología , Humanos , Control de Infecciones , Estaciones del Año , Suecia/epidemiología , Vómitos/prevención & control , Vómitos/virologíaRESUMEN
The aim of this study is to present diagnostic patterns, diagnostics used and antibiotic treatment in relation to guidelines in 3 repeated diagnosis-prescription studies conducted simultaneously in general practice in 5 Swedish counties, during 1 week in November 2000, 2002 and 2005. General practitioners (GPs) at the participating health centres were asked to complete a form for all patients with symptoms of an infectious disease. During the studied periods a total of 15,371 consultations was registered. Consultations with GPs diagnosed as respiratory tract infection (RTI), especially consultations for sore throat, decreased considerably between y 2000 and 2005. The percentage of patients allocated an RTI diagnosis and prescribed an antibiotic declined significantly from 54% to 49% and the decline was most pronounced among children. Penicillin V remained the dominant antibiotic prescribed throughout the study periods. For lower urinary tract infections there was a significant change in choice of prescribed antibiotics with an increase for pivmecillinam and nitrofurantoin and a decrease for trimethoprim, in accordance with recommendations. The results indicate a quite close adherence to current guidelines, with changes in the pattern of consultations as well as in the management of infectious diseases in general practice in Sweden.
Asunto(s)
Antibacterianos/uso terapéutico , Prescripciones de Medicamentos/estadística & datos numéricos , Infecciones/diagnóstico , Infecciones/tratamiento farmacológico , Pautas de la Práctica en Medicina/estadística & datos numéricos , Adolescente , Adulto , Anciano , Niño , Preescolar , Estudios Transversales , Medicina Familiar y Comunitaria , Femenino , Humanos , Lactante , Infecciones/epidemiología , Masculino , Persona de Mediana Edad , Penicilina V/uso terapéutico , Derivación y Consulta/estadística & datos numéricos , Infecciones del Sistema Respiratorio/diagnóstico , Infecciones del Sistema Respiratorio/tratamiento farmacológico , Infecciones del Sistema Respiratorio/epidemiología , Estadísticas no Paramétricas , Suecia , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/tratamiento farmacológico , Infecciones Urinarias/epidemiología , Adulto JovenRESUMEN
Necrotizing pneumonia caused by Staphylococcus aureus carrying the gene for Panton-Valentine leukocidin is a newly described disease entity. We report 2 cases with intrafamilial spread.
Asunto(s)
Genes Bacterianos/genética , Leucocidinas/genética , Neumonía Estafilocócica/patología , Staphylococcus aureus/aislamiento & purificación , Adulto , Antibacterianos , Toxinas Bacterianas , Terapia Combinada , Dermatoglifia del ADN , Quimioterapia Combinada/administración & dosificación , Exotoxinas , Resultado Fatal , Femenino , Heterocigoto , Humanos , Unidades de Cuidados Intensivos , Masculino , Persona de Mediana Edad , Necrosis , Linaje , Neumonía Estafilocócica/terapia , Respiración Artificial/métodos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Staphylococcus aureus/genética , Suecia , Toracotomía/métodos , Resultado del TratamientoRESUMEN
A diagnosis/antibiotic prescribing study was performed in 5 counties in Sweden for 1 week in November 2000. As part of this study, the characteristics and clinical management of patients with upper respiratory tract infections (n = 2899) in primary care were analyzed. Almost half of the patients were aged < 15 y and one-fifth of the patients consulted out of hours. Of all patients seeking primary care for upper respiratory tract infections, 56.0% were prescribed an antibiotic. Almost all patients who were given the diagnoses streptococcal tonsillitis, acute otitis media or acute sinusitis were prescribed antibiotics, compared to 10% of patients with common cold or acute pharyngitis. The most frequently prescribed antibiotic was penicillin V (79.2%) and this was even more pronounced out of hours, when the diagnoses otitis media and streptococcal tonsillitis were more frequently used. In patients with common cold and acute pharyngitis, the percentage who received antibiotics increased with increasing length of symptoms and increasing CRP levels. In patients with acute pharyngitis or streptococcal tonsillitis, antibiotics were prescribed less frequently provided streptococcal tests were performed. The management of patients with upper respiratory tract infections in general practice seems to be in good agreement with current Swedish guidelines. However, the study indicates some areas for improvement. The diagnosis of acute sinusitis seems to have been overestimated and used only to justify antibiotic treatment.