Chronic Q Fever Diagnosis—Consensus Guideline versus Expert Opinion

Autor: Linda M, Kampschreur, Marjolijn C A, Wegdam-Blans, Peter C, Wever, Nicole H M, Renders, Corine E, Delsing, Tom, Sprong, Marjo E E, van Kasteren, Henk, Bijlmer, Daan, Notermans, Jan Jelrik, Oosterheert, Frans S, Stals, Marrigje H, Nabuurs-Franssen, Chantal P, Bleeker-Rovers, Leo G, Visser
Jazyk: angličtina
Rok vydání: 2015
Předmět:
persistent focalized Coxiella burnetii infection
Pediatrics
Epidemiology
diagnosis
lcsh:Medicine
cardiovascular infections
Chronic Q fever
CRITERIA
bacteria
antimicrobial drug prophylaxis
Netherlands
biology
treatment
C. burnetii
Infectious Diseases
INFECTIONS
Coxiella burnetii
Practice Guidelines as Topic
endocarditis
France
Q Fever
Consensus guideline
vascular infection
Microbiology (medical)
medicine.medical_specialty
systematic echocardiography
MEDLINE
Q fever
lcsh:Infectious and parasitic diseases
valvulopathy
medicine
Research Letter
chronic Q fever
Endocarditis
Humans
lcsh:RC109-216
Expert Testimony
business.industry
the Netherlands
lcsh:R
Chronic Q Fever Diagnosis—Consensus Guideline versus Expert Opinion
No Such Thing as Chronic Q Fever
Guideline
biology.organism_classification
medicine.disease
bacterial infections and mycoses
Policy Review
lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4]
Expert opinion
business
Zdroj: Emerging Infectious Diseases, Vol 21, Iss 7, Pp 1183-1188 (2015)
Emerging Infectious Diseases
Emerging Infectious Diseases, 21, 7, pp. 1183-8
Emerging Infectious Diseases, 21, 1183-8
Emerging Infectious Diseases, 21(7), 1183. Centers for Disease Control and Prevention (CDC)
ISSN: 1080-6059
1080-6040
Popis: Literature-based consensus guideline is more sensitive and easier to use in clinical practice.
Chronic Q fever, caused by Coxiella burnetii, has high mortality and morbidity rates if left untreated. Controversy about the diagnosis of this complex disease has emerged recently. We applied the guideline from the Dutch Q Fever Consensus Group and a set of diagnostic criteria proposed by Didier Raoult to all 284 chronic Q fever patients included in the Dutch National Chronic Q Fever Database during 2006–2012. Of the patients who had proven cases of chronic Q fever by the Dutch guideline, 46 (30.5%) would not have received a diagnosis by the alternative criteria designed by Raoult, and 14 (4.9%) would have been considered to have possible chronic Q fever. Six patients with proven chronic Q fever died of related causes. Until results from future studies are available, by which current guidelines can be modified, we believe that the Dutch literature-based consensus guideline is more sensitive and easier to use in clinical practice.
Databáze: OpenAIRE
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