Epidemiologie de la borreliose de Lyme en Suisse romande. [Epidemiology of Lyme borreliosis in French-speaking Switzerland]

Details

Serval ID
serval:BIB_604D84109F73
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Epidemiologie de la borreliose de Lyme en Suisse romande. [Epidemiology of Lyme borreliosis in French-speaking Switzerland]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Nahimana  I., Gern  L., Peter  O., Praz  G., Moosmann  Y., Francioli  P.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
10/2000
Volume
130
Number
41
Pages
1456-61
Notes
English Abstract
Journal Article --- Old month value: Oct 14
Abstract
The purpose of this study was to assess the number of cases and the clinical aspects of Lyme borreliosis in French-speaking Switzerland. From July 1996 to December 1997, all laboratories performing serological tests for Lyme borreliosis sent a questionnaire to the treating physicians whenever the tests were positive. In addition, the physicians who diagnosed a case on clinical grounds only were also asked to report these cases. During this period, 1460 positive serological tests were recorded among approximately 10,360 performed (14%). A total of 775 questionnaires were returned (53%). In 3/4 of the cases, the test was ordered because of an acute clinical manifestation or a tick bite. The rest related to chronic symptoms or follow-up. In 504 cases (65%), diagnosis was considered certain or probable. These were erythema migrans in 46%, clinical manifestations of stage II in 33% (26 facial palsy, 20 acute arthritis, 5 benign cutaneous lymphocytoma) and chronic symptoms in 21% (23 acrodermatitis, 26 neuropathies, and 8 arthritis). The adjusted incidence, estimated on the basis of the treating physician's place of residence, ranged from 9/100,000 in Valais to 95/100,000 in Neuchatel. This study indicates that Lyme borreliosis is a diagnosis frequently looked for and established in French-speaking Switzerland. Although erythema migrans is the main clinical manifestation, symptoms of stage II and III indicate that Lyme borreliosis is also responsible for relatively major systemic morbidity.
Keywords
Adolescent Adult Aged Aged, 80 and over Animals Child Child, Preschool Female Follow-Up Studies Geography Humans Incidence Infant Lyme Disease/diagnosis/*epidemiology Male Middle Aged Physicians Questionnaires Switzerland/epidemiology Ticks
Pubmed
Web of science
Create date
25/01/2008 17:07
Last modification date
20/08/2019 14:17
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