title: [Three years of Q fever in the Netherlands: faster diagnosis].
abstract: OBJECTIVE
  To assess if more rapid diagnosis and treatment is possible and to assess if this could be improved, since the first outbreak of Q fever in 2007.
  
  
  METHODS
  Retrospective study of secondary data.
  
  
  METHODS
  Analysis of surveillance data regarding Q fever over the period 2007 to 2009 and additional information on some patients from 2007 and 2008 obtained from general practitioners.
  
  
  RESULTS
  Diagnostic delay fell sharply between 2007 and 2009 and to a lesser extent, so did therapeutic delay from 2007 to 2008. In high incidence areas, diagnosis and treatment was faster with a lower proportion of patients admitted to hospital than in low incidence areas.
  
  
  CONCLUSIONS
  It appears that familiarity with the condition leads to faster diagnosis coupled with a lower percentage of hospital admissions. In order to react quickly it is necessary that doctor and patient should be aware of Q fever, especially in areas of low incidence. Polymerase chain reaction diagnostic techniques should also be available.
authors.affiliation: Rijksinstituut voor Volksgezondheid en Milieu, Bilthoven, Centrum Infectieziektebestrijding, the Netherlands. wim.van.der.hoek@rivm.nl
authors.forename: Wim
authors.initials: W
authors.lastname: van der Hoek
authors.forename: Frederika
authors.initials: F
authors.lastname: Dijkstra
authors.forename: Nancy
authors.initials: N
authors.lastname: Wijers
authors.forename: Ariene
authors.initials: A
authors.lastname: Rietveld
authors.forename: Clementine J
authors.initials: CJ
authors.lastname: Wijkmans
authors.forename: Jim E
authors.initials: JE
authors.lastname: van Steenbergen
authors.forename: Daan W
authors.initials: DW
authors.lastname: Notermans
authors.forename: Peter M
authors.initials: PM
authors.lastname: Schneeberger
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D006801:Humans; D009426:Netherlands / Q000453:epidemiology; D010819:Physician's Role; D011778:Q Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D012189:Retrospective Studies; D018571:Sentinel Surveillance; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents