[Analysis on bacillary dysentery surveillance data collected from the National Surveillance System in 2007.].
OBJECTIVE
To improve the national surveillance plan on bacillary dysentery and to increase the sensitivity of the surveillance system on the disease.


METHODS
Data was collected through China Disease Reporting Information System (CDRIS) and National Sentinel Surveillance Sites on bacillary dysentery. Data from the CDRIS was compared with the data from the National Sentinel Surveillance to identify the exiting problems.


RESULTS
Data from the monitoring sites showed that the detection rate of infant cases of bacillary dysentery infection was 1%, less than that of other age groups. The highest rates were seen in children aged 3 through 9 years. Rate on misdiagnosis in all age group was 23.38%, when using the surveillance case definition of clinical cases and suspect case. The rate of misdiagnosis on infant cases of bacillary dysentery infection by clinical diagnosis was 50%. It showed that Shigella flexneri and Shigella sonnei were dominant with the positive rates as 57.21% and 42.41%, respectively. From the national sentinel surveillance sites, the confirmed cases taking up 43.39% which did not match the figure from the CDRIS.


CONCLUSIONS
The diagnostic criterion for bacillary dysentery fit well on other age groups in surveillance system except on infants. Active surveillance on bacillary dysentery that combining both clinical and laboratory diagnosis seems quite necessary on CDRIS, especially for infants.
Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 510300, China.
Hao-jie
HJ
Zhong
Zhao-rui
ZR
Chang
Jing
J
Zhang
D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D004405:Dysentery, Bacillary / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011159:Population Surveillance; D012762:Shigella dysenteriae