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| 題 名 | Epidemiology of Haemophilus influenzae Type b Meningitis in Taiwan, 1997 and 2000=1997年及2000年臺灣地區B型嗜血桿菌腦膜炎之流行病學研究 |
|---|---|
| 作 者 | 邵蓓嵐; 季瑋珠; 王崇怡; 楊靖瑩; 呂俊毅; 張鑾英; 黃立民; | 書刊名 | 微免與感染雜誌 |
| 卷 期 | 37:3 2004.06[民93.06] |
| 頁 次 | 頁164-168 |
| 分類號 | 415.9313 |
| 關鍵詞 | B型嗜血桿菌腦膜炎; 流行病學; Epidemiology; Haemophilus influenzae; Incidence; Meningitis; |
| 語 文 | 英文(English) |
| 英文摘要 | In order to determine the incidence of Haemophilus influenzae type b (Hib) meningitis in Taiwan, we analyzed the National Health Insurance Research Database (NHIRD). We identified cases that were younger than 5 years old and diagnosed with Hib meningitis from the NHIRD in both 1997 and 2000. Sixteen and 8 children with Hib meningitis were identified in the NHIRD for 1997 and 2000, respectively. The majority of cases were 2 years old and under. The overall fatality rate was 8.33%. Assuming similar proportions of Hib meningitis in cases of meningitis with identified causes and meningitis without identified causes, the annual incidence of Hib meningitis in children younger than 5 years old was estimated to be 5.57 and 3.22 per 100,000 in years 1997 and 2000, respectively. The incidence of Hib meningitis in Taiwan is lower than in western countries and other Asian countries. This is consistent with the notion that Hib meningitis incidence is low in Chinese populations. The decline in incidence from 1997 to 2000 is likely a result of the introduction of a self-paid Hib vaccine in Taiwan, starting in 1993. The availability of the NHIRD provides an extra tool for the epidemiological study of infectious diseases in Taiwan and can be valuable for similar studies. |
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