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dc.contributor.authorHerrador, Zaira
dc.contributor.authorFernández Martínez, Amalia
dc.contributor.authorGómez Barroso, Diana
dc.contributor.authorLeón, Inmaculada
dc.contributor.authorVieira, Carmen
dc.contributor.authorMuro, Antonio
dc.contributor.authorBenito, Agustín
dc.identifier.citationHerrador Z, Fernandez-Martinez A, Gomez-Barroso D, León I, Vieira C, Muro A, et al. (2017) Mediterranean spotted fever in Spain, 1997- 2014: Epidemiological situation based on hospitalization recordses_ES
dc.description.abstract[EN] Introduction Mediterranean spotted fever (MSF) is a zoonotic disease caused by Rickettsia conorii. In Spain, deficiencies in the official reporting result in misreporting of this disease. This study aims to describe the clinical and temporal-spatial characteristics of MSF hospitalizations between 1997 and 2014. Materials and methods We performed a retrospective descriptive study using the Hospitalization Minimum Data Set (CMBD). All CMBD's hospital discharges with ICD-9 CM code 082.1 were analyzed. Hospitalization rates were calculated and clinical characteristics were described. Spatial distribution of cases and their temporal behavior were also assessed. Results A total of 4,735 hospitalizations with MSF diagnosis were recorded during the study period, out of which 62.2% were male, mean age of 48. Diabetes mellitus, alcohol dependence syndrome, and chronic liver disease occurred in 10.8%, 2.4% and 2.8% hospitalizations, respectively. The median annual hospitalization rate showed a decreasing trend from a maximum of 12.9 in 1997 to a minimum rate of 3.1 in 2014. Most admissions occurred during the summer, showing a significant annual seasonal behavior. Important regional differences were found. Discussion Although MSF hospitalization rates have decreased considerably, it remains a public health problem due to its severity and economic impact. Therefore, it would be desirable to improve its oversight and surveillance.es_ES
dc.format.extent13 p.
dc.publisherPLOS ONEes_ES
dc.rightsAttribution-NonCommercial-NoDerivs 4.0 International
dc.subjectRickettsia-conorii infectiones_ES
dc.subjectAcute renal failurees_ES
dc.titleMediterranean spotted fever in Spain, 1997-2014: Epidemiological situation based on hospitalization recordses_ES

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