Underreporting of congenital rubella in Italy, 2010-2014
In accordance with the goals of the World Health Organization Regional Committee for Europe, the Italian national Measles and Rubella Elimination Plan 2010-2015 aimed to reduce the incidence of congenital rubella cases to <1 case/100,000 live births by 2015. In Italy, a passive national surveillance system for congenital rubella and rubella in pregnancy is active since 2005. We estimated the degree of underreporting of congenital rubella, performing a capture-recapture analysis of cases detected through two independent sources: the national surveillance system and the national hospital discharge database, in the years 2010-2014. We found that 6 out of 11 cases tracked in the retrospective case-finding from hospital registries had not been notified to the surveillance system, and we estimated a degree of underreporting of 53% for the period 2010-2014. This approach showed to be simple to perform, repeatable, and effective.
CONCLUSION: In order to reduce underreporting, some actions aimed at strengthening surveillance procedures are needed. The adoption on a routine basis of the review of hospital discharge registries for case-finding, monthly zero-reporting, and actions to train and sensitize all the specialists involved in the care of pregnant women and the newborns to notification procedures are recommended. What is Known • In Italy, the incidence of congenital rubella was below the WHO target of 1/100,000 live births in 2005-2015, except for two peaks in 2008 and 2012 (5 and 4/100,000, respectively). • Further efforts are required to improve congenital rubella surveillance so that it is more sensitive and specific. The WHO proposes retrospective case-finding from hospital records as an alternative approach to detect infants with congenital rubella. What is New • Underreporting of congenital rubella in Italy was 53% in 2010-2014. • Hospital discharge registries resulted to be an appropriate source to detect congenital rubella cases.
| Errataetall: |
ErratumIn: Eur J Pediatr. 2017 Aug;176(8):1145. - PMID 28695269 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:176 |
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| Enthalten in: |
European journal of pediatrics - 176(2017), 7 vom: 27. Juli, Seite 955-962 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Giambi, Cristina [VerfasserIn] |
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| Links: |
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| Themen: |
Capture-recapture method |
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| Anmerkungen: |
Date Completed 04.04.2018 Date Revised 13.11.2018 published: Print-Electronic ErratumIn: Eur J Pediatr. 2017 Aug;176(8):1145. - PMID 28695269 Citation Status MEDLINE |
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| doi: |
10.1007/s00431-017-2935-7 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM272328995 |
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| 245 | 1 | 0 | |a Underreporting of congenital rubella in Italy, 2010-2014 |
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| 500 | |a Date Revised 13.11.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ErratumIn: Eur J Pediatr. 2017 Aug;176(8):1145. - PMID 28695269 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a In accordance with the goals of the World Health Organization Regional Committee for Europe, the Italian national Measles and Rubella Elimination Plan 2010-2015 aimed to reduce the incidence of congenital rubella cases to <1 case/100,000 live births by 2015. In Italy, a passive national surveillance system for congenital rubella and rubella in pregnancy is active since 2005. We estimated the degree of underreporting of congenital rubella, performing a capture-recapture analysis of cases detected through two independent sources: the national surveillance system and the national hospital discharge database, in the years 2010-2014. We found that 6 out of 11 cases tracked in the retrospective case-finding from hospital registries had not been notified to the surveillance system, and we estimated a degree of underreporting of 53% for the period 2010-2014. This approach showed to be simple to perform, repeatable, and effective | ||
| 520 | |a CONCLUSION: In order to reduce underreporting, some actions aimed at strengthening surveillance procedures are needed. The adoption on a routine basis of the review of hospital discharge registries for case-finding, monthly zero-reporting, and actions to train and sensitize all the specialists involved in the care of pregnant women and the newborns to notification procedures are recommended. What is Known • In Italy, the incidence of congenital rubella was below the WHO target of 1/100,000 live births in 2005-2015, except for two peaks in 2008 and 2012 (5 and 4/100,000, respectively). • Further efforts are required to improve congenital rubella surveillance so that it is more sensitive and specific. The WHO proposes retrospective case-finding from hospital records as an alternative approach to detect infants with congenital rubella. What is New • Underreporting of congenital rubella in Italy was 53% in 2010-2014. • Hospital discharge registries resulted to be an appropriate source to detect congenital rubella cases | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Capture-recapture method | |
| 650 | 4 | |a Congenital rubella | |
| 650 | 4 | |a Hospital discharge records | |
| 650 | 4 | |a Surveillance | |
| 650 | 4 | |a Underreporting | |
| 700 | 1 | |a Bella, Antonino |e verfasserin |4 aut | |
| 700 | 1 | |a Filia, Antonietta |e verfasserin |4 aut | |
| 700 | 1 | |a Del Manso, Martina |e verfasserin |4 aut | |
| 700 | 1 | |a Nacca, Gloria |e verfasserin |4 aut | |
| 700 | 1 | |a Declich, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Rota, Maria Cristina |e verfasserin |4 aut | |
| 700 | 0 | |a Regional contact points for rubella |e verfasserin |4 aut | |
| 700 | 1 | |a Di Giacomo, M |e investigator |4 oth | |
| 700 | 1 | |a Locuratolo, F |e investigator |4 oth | |
| 700 | 1 | |a Cauzillo, G |e investigator |4 oth | |
| 700 | 1 | |a Natter, B |e investigator |4 oth | |
| 700 | 1 | |a Mignuoli, A |e investigator |4 oth | |
| 700 | 1 | |a Pascucci, M G |e investigator |4 oth | |
| 700 | 1 | |a Frasca, G |e investigator |4 oth | |
| 700 | 1 | |a Gallo, T |e investigator |4 oth | |
| 700 | 1 | |a Braida, C |e investigator |4 oth | |
| 700 | 1 | |a Vitagliano, A |e investigator |4 oth | |
| 700 | 1 | |a Guerra, M |e investigator |4 oth | |
| 700 | 1 | |a Scognamiglio, P |e investigator |4 oth | |
| 700 | 1 | |a Cremonesi, I |e investigator |4 oth | |
| 700 | 1 | |a Piatti, A |e investigator |4 oth | |
| 700 | 1 | |a Cereda, D |e investigator |4 oth | |
| 700 | 1 | |a Senatore, S |e investigator |4 oth | |
| 700 | 1 | |a Fiacchini, D |e investigator |4 oth | |
| 700 | 1 | |a Giuliani, S |e investigator |4 oth | |
| 700 | 1 | |a Ponzio, G V |e investigator |4 oth | |
| 700 | 1 | |a Ferrara, L |e investigator |4 oth | |
| 700 | 1 | |a Giovannetti, F |e investigator |4 oth | |
| 700 | 1 | |a Prato, R |e investigator |4 oth | |
| 700 | 1 | |a Cappelli, M G |e investigator |4 oth | |
| 700 | 1 | |a Palmas, M A |e investigator |4 oth | |
| 700 | 1 | |a Macis, F |e investigator |4 oth | |
| 700 | 1 | |a Palermo, M |e investigator |4 oth | |
| 700 | 1 | |a Balocchini, E |e investigator |4 oth | |
| 700 | 1 | |a Pecori, L |e investigator |4 oth | |
| 700 | 1 | |a Carraro, V |e investigator |4 oth | |
| 700 | 1 | |a Zuccali, M G |e investigator |4 oth | |
| 700 | 1 | |a Ruffier, M |e investigator |4 oth | |
| 700 | 1 | |a Russo, F |e investigator |4 oth | |
| 700 | 1 | |a Zanella, F |e investigator |4 oth | |
| 700 | 1 | |a Bano, M |e investigator |4 oth | |
| 700 | 1 | |a Tosti, A |e investigator |4 oth | |
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