The purpose of this study was to estimate the health burden imposed by Lyme disease (LD) in Maryland during 1992 and 1993.
A cross-sectional 1-in-15 survey of physicians (total, 1200) in Maryland was conducted to estimate the incidence of diagnosed LD, presumptive cases of LD, patients with tick bites, and diagnostic tests ordered for LD.
Results show that LD is underreported by 10-to 12-fold in Maryland, that 80% of cases are managed by primary care physicians, and that there is discordance between the actual clinical treatment of patients and the recommended approach.
In addition, the much greater numbers of patients treated for presumptive LD, seen and given prophylaxis for tick bites, and having diagnostic tests indicate that real and perceived LD is a far greater public health problem and uses more medical resources than official surveillance data suggest.
Mots-clés Pascal : Lyme maladie, Borréliose, Spirochétose, Bactériose, Infection, Incidence, Méthode, Diagnostic, Epidémiologie, Surveillance sanitaire, Maryland, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Lyme disease, Borrelia infection, Spirachaetosis, Bacteriosis, Infection, Incidence, Method, Diagnosis, Epidemiology, Sanitary surveillance, Maryland, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0231081
Code Inist : 002B05B02L6. Création : 199608.