Despite legionellosis surveillance is active in Italy since many years, the disease notification appears still undervalued. A multicentric survey was carried out among 5 big Italian hospitals. It examined 11,435 discharge forms (1999-2001), reporting pneumonia diagnosis. Legionellosis (II class of notify system for infectious disease) was studied among pneumonia diagnosis by discharge forms. According to the ICD9-CM, there's no specific code for legionellosis (this disease is included among "others gram-negative pneumonia"). So the presumed pneumonia imputable to Legionella spp were the 2.7% of the whole number of analyzed discharge forms. Besides, the data regarding the other pneumonia showed that the etiological agent was specified only in the 11.2% of the case. This situation could be rectified both introducing adequate discharge forms codes and promoting the etiological diagnosis during the hospital stay.
La Scheda di Dimissione Ospedaliera: vantaggi e limiti nell'individuazione dei casi di legionellosi / P., Trerotoli; M. T., Montagna; Borella, Paola; V., ROMANO SPICA; G., Stancanelli; M., Triassi; G., Serio; C., Napoli; S., Soldano; D., Tatò; Vercilli, Francesco; Gentile, Cinzia; G., Quaranta; M., Volpe; A., Ambrosio; R., Santarpia; S., Montegrosso. - In: ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITÀ. - ISSN 1120-9135. - STAMPA. - 15:(2003), pp. 817-824.
La Scheda di Dimissione Ospedaliera: vantaggi e limiti nell'individuazione dei casi di legionellosi
BORELLA, Paola;VERCILLI, Francesco;GENTILE, Cinzia;
2003
Abstract
Despite legionellosis surveillance is active in Italy since many years, the disease notification appears still undervalued. A multicentric survey was carried out among 5 big Italian hospitals. It examined 11,435 discharge forms (1999-2001), reporting pneumonia diagnosis. Legionellosis (II class of notify system for infectious disease) was studied among pneumonia diagnosis by discharge forms. According to the ICD9-CM, there's no specific code for legionellosis (this disease is included among "others gram-negative pneumonia"). So the presumed pneumonia imputable to Legionella spp were the 2.7% of the whole number of analyzed discharge forms. Besides, the data regarding the other pneumonia showed that the etiological agent was specified only in the 11.2% of the case. This situation could be rectified both introducing adequate discharge forms codes and promoting the etiological diagnosis during the hospital stay.
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