Measles incidence estimations based on the notification by general practitioners were suboptimal

Journal of Clinical Epidemiology
Chantal E D van IsterdaelNiek J de Wit

Abstract

The aim of this study was to determine the notification by general practitioners (GPs) to the Municipal Health Service (MHS) and the presentation of measles complaints by patients to the GP during a measles epidemic in a 78% vaccinated population. Measles cases in children under 13 years were identified via questionnaires, GPs' records, and MHS's records. Consultation rate, notification rate, and completeness of notification were determined. Determinants of consultation were identified by multivariable logistic regression analysis. Among 1654 responders, 164 measles cases were identified. Consultation rate: 30%; notification rate: 30% (range among GPs: 0-62%); completeness of notification: 9%. Determinants of GP consultation: perceived seriousness of illness (adjusted OR 45; 95% CI: 6-347), self-reported complications (adjusted OR 9; 95% CI: 1-70), and need to consult for respiratory tract infections (adjusted OR 8; 95% CI: 1-51). Incidence estimations based on the notification by GPs to the MHS are suboptimal for measles in The Netherlands. Perceived seriousness of illness seemed to be the most important factor to consult.

References

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Citations

May 29, 2007·The Pediatric Infectious Disease Journal·Xuelian YuReena Ghildyal
Oct 13, 2005·PLoS Medicine·Jacco WallingaMirjam Kretzschmar
Oct 22, 2015·Emerging Infectious Diseases·Anita W M SuijkerbuijkAnna K Lugnér
Jan 28, 2017·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Tom WoudenbergSusan J M Hahné
Apr 10, 2018·Epidemiology·Don KlinkenbergJacco Wallinga
May 29, 2010·American Journal of Respiratory and Critical Care Medicine·Kevin L WinthropKatrina Hedberg
May 3, 2018·European Journal of Public Health·Anne C de MunterWilhelmina L M Ruijs
Nov 11, 2019·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·N KhetsurianiN Tatishvili

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