莱姆病的发病率和治疗:苏格兰全科医学回顾性研究。

IF 2.5 Q2 PRIMARY HEALTH CARE BJGP Open Pub Date : 2024-10-29 Print Date: 2024-10-01 DOI:10.3399/BJGPO.2023.0241
Sally Mavin, Swapna Guntupalli, Michael Robb
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引用次数: 0

摘要

背景:莱姆病在苏格兰基层医疗机构的真实发病率尚不清楚。目的:分析苏格兰国家医疗服务体系高地(北部)六年来的普通诊疗数据,评估莱姆病在初级医疗中的发病率和管理情况:这是一项回顾性描述性研究。研究数据提取自2017年至2022年NHS高地(北部)的所有63家全科诊所:通过与莱姆病相关的临床读码、伯氏杆菌检测请求、自由文本 "标签 "和/或莱姆病抗生素脚本识别莱姆病咨询:使用读码识别莱姆病/疑似莱姆病患者,估计年平均发病率为 124/100,000,比仅根据实验室确诊报告估计的发病率高出 2.1 倍。如果将接受抗生素治疗的莱姆病/疑似莱姆病患者(通过读码、实验室检测请求和自由文本 "标签 "确定)计算在内,发病率则增至 5.2 倍(362/100,000 人)。确定了当地的感染 "热点"。对抗生素数据的分析表明,NHS 高地的抗生素处方基本遵循 NICE 指南:这种数据分析途径可以而且应该在整个苏格兰推广,以评估莱姆病在初级保健中的发病率和管理情况,从而分配适当的资源。
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Incidence and management of Lyme disease: a Scottish general practice retrospective study.

Background: The true burden of Lyme disease in primary care in Scotland is unknown. Epidemiological data are currently based on laboratory-confirmed reports as there is no mandatory reporting of clinical cases.

Aim: To analyse data from general practice in NHS Highland (North) over a 6-year period to assess the incidence and management of Lyme disease in primary care.

Design & setting: This was a retrospective descriptive study. Study data from 2017 to 2022 were extracted from all 63 general practices within NHS Highland (North).

Method: Consultations for Lyme disease were identified via Lyme-related clinical Read codes, requests for borrelia tests , free text, 'tags' and/or Lyme disease antibiotic scripts.

Results: Using Read codes to identify patients with Lyme disease or suspected Lyme disease gave an estimated average annual incidence of 124/100 000 population, which was 2.1 times more than estimates based solely on laboratory-confirmed reports. The incidence figures increased 5.2 times (362/100 000 population) when patients with Lyme disease or suspected Lyme disease (identified via Read codes, laboratory test requests, and free text tags) who were given antibiotic treatment were taken into account. Local 'hot spots' of infection were identified. Analysis of the antibiotic data indicates that antibiotic prescribing in NHS Highland largely follows the National Institute for Health and Care Excellence (NICE) guidelines.

Conclusion: This data analysis pathway can, and should, be rolled out across the whole of Scotland to assess the incidence and management of Lyme disease in primary care and allow appropriate allocation of resources.

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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
期刊最新文献
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