Clinical diagnosis and geographic distribution of leptospirosis, Thailand.
We defined the positive predictive accuracy of a hospital-based clinical diagnosis of leptospirosis in 9 provinces across Thailand. Of 700 suspected cases, 143 (20%) were confirmed by laboratory testing. Accuracy of clinical diagnosis varied from 0% to 50% between the provinces and was highest during the rainy season. Most confirmed cases occurred in the north and northeast regions of the country.
Wuthiekanun
Vanaporn
V
Mahidol University, Bangkok, Thailand.
Sirisukkarn
Nisa
N
Daengsupa
Prayad
P
Sakaraserane
Prangyong
P
Sangkakam
Amornwadee
A
Chierakul
Wirongrong
W
Smythe
Lee D
LD
Symonds
Meegan L
ML
Dohnt
Michael F
MF
Slack
Andrew T
AT
Day
Nicholas P
NP
Peacock
Sharon J
SJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007922:Leptospirosis / Q000175:diagnosis* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D012621:Seasons; D013785:Thailand / Q000453:epidemiology