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Epidemiological scenario of Q fever hospitalized patients in the spanish health system: what's new

Abstract: Objectives: The objective of this study was to assess the epidemiology and burden of Q fever (QF) in Spain. Methods: We designed a retrospective descriptive study using the minimum basic data set in patients admitted to hospitals of the National Health System between 1998 and 2015 with a diagnosis of Q fever (ICD-9: 083.0.). Results: We found 4214 hospitalized patients with a mean age (±SD) of 50.9±19.3 years. The male/female ratio was 3:1. The incidence rate was between 0.41 and 0.65 cases per 100,000 person-years over the 18-year period. The highest incidence of cases was from March to August (p=0.024). 21.1% patients had pneumonia, 17.5% had liver disease, and only 3.2% had endocarditis. The average hospital stay was 13.8 days (±12.8). A total of 117 (2.8%) patients died. The total mean cost of QF is approximately €154,232,779 (€36,600±139,422 per patient). Conclusions: QF is an important zoonosis in Spain with a stable incidence rate and high cost for hospitalization. Older patients have a more severe clinical picture and higher mortality, which can be decreased with early clinical suspicion.

 Fuente: International journal of infectious diseases 2020 Jan;90:226-233

 Editorial: Elsevier

 Año de publicación: 2019

 Nº de páginas: 8

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.ijid.2019.10.043

 ISSN: 1201-9712,1878-3511

 Url de la publicación: https://doi.org/10.1016/j.ijid.2019.10.043

Autoría

RODRÍGUEZ-ALONSO, BEATRIZ

ALMEIDA, HUGO

ALONSO-SARDÓN, MONTSERRAT

LÓPEZ-BERNUS, AMPARO

VELASCO-TIRADO, VIRGINIA

CARRANZA-RODRÍGUEZ, CRISTINA

PÉREZ-ARELLANO, JOSÉ LUIS

BELHASSEN-GARCÍA, MONCEF