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PubMedDate not supplied

[State of infectious disease notification (I.D.N.'s) in Navarra. 1996].

The System of Infectious Disease Notification (I.D.N.) encompasses the notification of 41 infectious transmissible diseases to which are added epidemic outbreaks of any etiology or cause. In Navarra, the I.D.N.'s are reported to the Section of Vigilance and Epidemiological Control of the Public Health Institute. A sharp increase of alimentary toxic-infections is observed due to two community outbreaks produced by Salmonella enteritidis that affected 410 persons. The incidence of pulmonary tuberculosis, 15.37 cases per 100,000 inhabitants has remained at the same levels as previous years and with lower rates than those published in neighbouring Autonomous Communities such as La Rioja and the Autonomous Community of the Basque Country. In the group of Exanthematic Diseases, an outbreak of German measles is noteworthy that affected males between the ages of 16 and 20. During the year 1996 there were 17 cases of Meningococcal Disease that meant a rate of 3.27 per 100,000 inhabitants, the second lowest rate in the last 25 years after the rate of 2.29 of 1994. With respect to the causative serogroup, serogroup C was isolated on 7 occasions, serogroup B on four occasions and on 6 it could not be grouped. Hydatidosis through reports of I.D.N.'s and active search in the hospitals remained steady, with 26 cases, remaining within the regular values of recent years. An important decline with respect to recent years was observed in cases of hepatitis A, hepatitis B and brucellosis.

English Abstract↗

PubMed1997

Recurrent infectious diseases in human CD53 deficiency.

We report a familiar syndrome of recurrent heterogeneous infectious diseases, caused by bacteria, fungi, and viruses, which has as its only detectable defect the lack of CD53 antigen expression in neutrophils. All other assays ruled out known causes of recurrent infectious diseases due to either leukocyte adhesion or phagocytosis defects. CD53 belongs to the transmembrane-4 superfamily of proteins, which are a novel group of membrane proteins implicated in growth regulation and cell motility and possibly cell adhesion. We postulate that defects in these membrane proteins can be clinically manifested as complex recurrent infections.

Adolescent↗

PubMed1999

[Fight against acute infectious diseases in Poland in the first year of independence (1918-1919)].

In the first year of its independence (1918-1919), the main priority of the young state was the fight against ramp epidemics of acute infectious diseases. The most important task of the newly organized Ministry of Health was the organization of the control of infectious diseases, and especially typhus. Up to the mid-1919, the authorities organized 44 mobile epidemic hospitals with 2,200 beds, 103 communal hospitals with 4,400 beds, and 35-mobile disinfection and disinfection units. Twenty three specially trained epidemic doctors collaborated with district physicians. The difficult conditions associated with continuing war, starting migration and repatriation which caused huge movements of population, weak hospital infrastructure, a serious shortage of medical personnel, sanitary materials, drugs, solap and hospital infrastructure did not facilitate the control of epidemic infectious diseases in the first year of independence.

Acute Disease↗

PubMed1998

Gene therapy for infectious diseases.

Gene therapy is being investigated as an alternative treatment for a wide range of infectious diseases that are not amenable to standard clinical management. Approaches to gene therapy for infectious diseases can be divided into three broad categories: (i) gene therapies based on nucleic acid moieties, including antisense DNA or RNA, RNA decoys, and catalytic RNA moieties (ribozymes); (ii) protein approaches such as transdominant negative proteins and single-chain antibodies; and (iii) immunotherapeutic approaches involving genetic vaccines or pathogen-specific lymphocytes. It is further possible that combinations of the aforementioned approaches will be used simultaneously to inhibit multiple stages of the life cycle of the infectious agent.

Clinical Trials as Topic↗

PubMed1989

Mandatory reporting of infectious diseases by clinicians.

Reporting of cases of communicable disease is important in the planning and evaluation of disease prevention and control programs, in the assurance of appropriate medical therapy, and in the detection of common-source outbreaks. In the United States, the authority to require notification of cases of disease resides in the respective state legislatures. We examined the laws and regulations of health departments of all US jurisdictions to ascertain diseases and conditions currently required to be reported in each state or territory. We present herein the state reporting requirements for infectious diseases and infectious disease-related conditions. To obtain additional information regarding time frames for reporting, agencies to which reports are required, persons required to report, and specific conditions under which reports are required, the reader is referred to the statutes and health department regulations of the respective states.

Communicable Disease Control↗

PubMed2003

Examining unmet needs in infectious disease.

In the past 30 years, more than 30 new aetiological agents of infectious disease have been identified. Some of these are responsible for entirely novel and life-threatening disorders, such as AIDS, Ebola fever, hantavirus pulmonary syndrome and Nipah virus encephalitis. During the same period, some longstanding infectious diseases (such as tuberculosis) have became resurgent, as a result of a combination of complacency, increased travel and social dislocation, and also increasing drug resistance. This review looks at some of the key unmet needs in this therapeutic area and discusses strategies to address them.

Anti-Infective Agents↗

PubMed2004

[Impact of genetic modifications on infectious diseases].

Genetic engineering offers the theoretical possibility to transfer any natural or modified gene into any living organism. This generates new and diverse situations which may contribute to the spreading of infectious diseases or on the contrary to control them. Problems may theoretically come from uncontrolled genes providing resistance to antibiotics, from the activation of genomic retroviral sequences, from enhanced sensitivity of the organism to pathogens, as well as from the generation of mutated microorganisms with a higher pathogenecity. On the contrary, various genetic modifications may create organisms resistant to infectious diseases, generate safe and efficient recombinant vaccines, or provide patients with proteins which stimulate their defense mechanisms. The major impacts of genetic modifications in the development of infectious diseases or on the contrary in their eradication are analyzed in this article.

Animals↗

PubMed1985

Development of a computerized infectious disease monitor (CIDM).

At the LDS Hospital in Salt Lake City, an interface was developed between the microbiology laboratory computer system and the HELP integrated central hospital computer system. The HELP system includes medical information from most clinical care support areas. The microbiology data are translated from the laboratory computer file structure to a hierarchical data structure on the HELP system. A knowledge base was created with the help of infectious disease experts, and became part of a Computerized Infectious Disease Monitoring system (CIDM). The knowledge base is automatically activated when specific microbiology data are entered into a patient's computer file (data driven), thus decisions are made automatically with no additional effort required of medical personnel. The CIDM was designed to inform infectious disease personnel when a patient has one of the following conditions: a hospital-acquired infection, an infection at a normally sterile body site, an infection due to a bacteria with an unusual antibiotic sensitivity pattern, an infection for which the patient is not receiving an antibiotic to which the offending bacteria is sensitive, an infection that could be treated with a less expensive antibiotic, an infection which is required by law to be reported to state and national health authorities, and those patients receiving prophylactic antibiotics longer than is medically indicated. All of the microbiology data are now extensively reviewed by nurses and physicians from terminals at nursing stations or intensive care units. The CIDM is currently being used for hospital-acquired infection surveillance at LDS Hospital.

Anti-Bacterial Agents↗

PubMed1998

Occupationally acquired infectious disease in the United Kingdom: 1996 to 1997.

The incidence of occupationally acquired infectious diseases, has, up to now, been unknown. A reporting scheme for consultants in communicable disease control (CCDCs) (and their equivalents) throughout the United Kingdom was set up in October 1996 to estimate its extent. Monthly reporting cards were sent to CCDCs asking for brief details of all new cases of occupationally acquired infectious disease seen by them. Between October 1996 and September 1997, 1037 new cases were notified by CCDCs. The highest rates were among employees in food production and catering, farming, and among care workers, particularly in residential homes. During the same period an estimated 257 cases were reported in comparable surveillance schemes by chest physicians, occupational physicians and dermatologists. These figures probably underestimate the number of infections acquired in association with work substantially, and highlight diarrhoeal disease as the commonest problem.

Adolescent↗

PubMed1998

Infectious diseases presentations of Munchausen syndrome by proxy: case report and review of the literature.

Munchausen syndrome by proxy is a form of abuse, usually of a child by a parent, in which a factitious illness is reported or produced in the child, resulting in unnecessary medical evaluations and treatments. A dramatic case of a 17-month-old infant with recurrent polymicrobial bacteremia prompted a review of cases diagnosed by the Pediatric Infectious Diseases consultation service at our referral children's hospital and a review of the infectious diseases presentations in the medical literature. The infectious diseases presentations of the syndrome as well as criteria for the diagnosis are reviewed and discussed.

Child↗

PubMed2005

[Reported infectious diseases within the area of the activity of PSSE Zwoleń between 2000-2004].

The aim of the work was to review and evaluate activity of Primary Health Care Institutions in terms of binding regulations concerning reported infectious diseases and infections. In order to carry out the evaluation, the number of cases diagnosed in Primary Healthcare Institutions PHI (number of cases of infectious diseases registered in daily records according to IC D10 was compared to the number of cases reported to County Sanitary Inspector between 2000-2004. Analyzed figures of morbidity and notification to PSSE reveal that not all the subjected cases, were registered and reported by Health care Institutions. Diseases that have been subjected to legal notification for many years were reported more frequently than those subjected to notification since 2002 (ew Parliamentary Act in force). In order to examine the problem of non-reported infectious diseases further activities of other Sanitary and Epidemiology Stations need to be inspected.

Adolescent↗

PubMed1991

Stress and infectious disease in humans.

This article reviews research on the role of stress in infectious disease as measured either by illness behaviors (symptoms and use of health services) or by verified pathology. Substantial evidence was found for an association between stress and increased illness behavior, and less convincing but provocative evidence was found for a similar association between stress and infectious pathology. Introverts, isolates, and persons lacking social skills may also be at increased risk for both illness behaviors and pathology. Psychobiological models of how stress could influence the onset and progression of infectious disease and a psychological model of how stress could influence illness behaviors are proposed.

Communicable Diseases↗

PubMed1993

[Serologic diagnosis of several infectious diseases].

Serological tests are, in some situations, the only method of diagnosis of some infectious diseases. The authors make a review of the literature about the most important tests used in the most common infectious diseases and also their interpretation. It is important to point out that serology should not be considered alone but compared to clinical manifestations presented by the patient. It is also necessary, in some cases, to obtain two samples of serum, to confirm if there is an increase in the antibodies' titles. The results sent from the laboratory should be interpreted based on references given by it.

Boutonneuse Fever↗

PubMed1978

The City Hospital for Infectious Diseases--conception and first years.

Cape Town had no proper facilities for dealing with infectious disease when, in 1894, Dr Barney Fuller, city MOH, began a 6-year flight to establish the City Hospital for Infectious Diseases. The project was delayed, first by disputes between the city and the Colonial Government about paying for it, and then by the outbreak of the South African War. As a result, the hospital when built in 1900 was taken over by the military, and was only developed for its proper purpose by Dr Jasper Anderson in 1902.

Communicable Diseases↗

PubMed1985

Infectious diseases in Greenlanders of Upernavik.

During one year, 1979-80, all the contacts between the 836 inhabitants of Upernavik town and the local medical officers were recorded. In the 737 native Greenlanders 1006 contacts (41%) were caused by infectious diseases, representing 705 episodes of disease. The number of contacts per episode of disease was similar in all age groups. Of these contacts 26% were caused by acute upper respiratory tract infections, 8% by other acute respiratory infections, 10% by chronic respiratory infections, 24% by non-traumatic skin infections, 7% by post-traumatic skin infections, 8% by sexually transmitted diseases, and 17% by other infections. Skin infections were most common in males, whereas all other infections were most common in females. The patterns of age specific contact rates were similar in males and females, except regarding "other infections". A peak of respiratory infections in July and of skin infections during winter was noted. The contact rate for all infectious diseases together was slightly higher than in Danish general practice, and infectious diseases also accounted for a larger proportion of all registered contacts. Contacts due to chronic respiratory infections, skin infections and sexually transmitted diseases were notably more frequent in Upernavik.

Adolescent↗

PubMed2005

Electronic reporting improves timeliness and completeness of infectious disease notification, The Netherlands, 2003.

In 2002, the internet based reporting system OSIRIS was introduced in the Netherlands and by the end of that year had fully replaced the paper-based reporting system. The objectives of OSIRIS were to improve timeliness and completeness of surveillance data on infectious diseases reported from regional to national level. We compared the timeliness of infectious diseases reported by the conventional paper-based system in 2001 with those reported by OSIRIS in 2003. Two distinct types of delay were compared: (1) total delay: defined as time between symptom onset and reporting at national level and (2) central delay: defined as time between regional and national reporting. Median delays between both systems were compared using the Wilcoxon Rank Sum-Test. We also compared electronic reports received via OSIRIS in 2003 to those received through the conventional system for 2001 for completeness of specific data fields. The Fisher exact test and the Mantel-Haenzel test with Yates correction were used to determine the significance of proportions of completed data fields in each system. Results showed the median central delay was significantly reduced for all diseases in OSIRIS compared to conventional reporting system. Overall, the median central delay was reduced from 10 days (interquartile range 4) in 2001 to 1 day (interquartile range 1) in 2003. Except for cases of malaria, the total delay, from symptom onset to national reporting, was also significantly reduced. In addition, OSIRIS records contained more complete information than conventional records. In total, in 2003, 92.3% of data field examined were complete compared with 81.3% in 2001. This study documents the benefits of electronic reporting of infectious disease surveillance data in terms of improved timeliness and completeness.

Clinical Laboratory Information Systems↗

PubMed1992

Is the thymus a target organ in infectious diseases?

The thymus is a central lymphoid organ, in which T cell precursors differentiate and generate most of the so-called T cell repertoire. Along with a variety of acute infectious diseases, we and others determined important changes in both microenvironmental and lymphoid compartments of the organ. For example, one major and common feature observed in acute viral, bacterial and parasitic diseases, is a depletion of cortical thymocytes, mostly those bearing the CD4-CD8 double positive phenotype. This occurs simultaneously to the relative enrichment in medullary CD4 or CD8 single positive cells, expressing high densities of the CD3 complex. Additionally we noticed a variety of changes in the thymic microenvironment (and particularly its epithelial component), comprising abnormal location of thymic epithelial cell subsets as well has a denser Ia-bearing cellular network. Moreover, the extracellular matrix network was altered with an intralobular increase of basement membrane proteins that positively correlated with the degree of thymocyte death. Lastly, anti-thymic cell antibodies were detected in both human and animal models of infectious diseases, and in some of them a phenomenon of molecular mimicry could be evidenced. Taken together, the data reviewed herein clearly show that the thymus should be regarded as a target in infectious diseases.

Acquired Immunodeficiency Syndrome↗

PubMed1998

Fever without apparent source on clinical examination, infectious diseases, and lower respiratory infections in children.

This section focuses on issues in infectious diseases that are commonly encountered in pediatric office practice. Paul McCarthy discusses recent literature regarding the evaluation and management of acute fevers without apparent source on clinical examination in infants and children, and the evaluation of children with prolonged fevers of unknown origin. Jean Klig reviews recent literature about lower respiratory tract infection in children. Jeffrey Kahn and Eugene Shapiro discuss recent developments in pediatric infectious diseases concerning neonatal herpes infections, poliovirus immunization schedule, and group B streptococcus screening and treatment.

Child, Preschool↗