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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Describir las meningitis no meningoc&#243;cicas bacterianas &#40;MnMB&#41; y evaluar el Sistema de Vigilancia Epidemiol&#243;gica &#40;SVE&#41; en la provincia de Zaragoza entre 1999 y 2004&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se utiliz&#243; el registro de enfermedades de declaraci&#243;n obligatoria &#40;EDO&#41; y el conjunto m&#237;nimo b&#225;sico de datos &#40;CMBD&#41;&#46; Se evalu&#243; el SVE utilizando criterios de los Centers for Disease Control and Prevention&#44; estimando la exhaustividad mediante captura-recaptura&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se notificaron 111 casos de MnMB &#40;62&#44;2&#37; en hombres&#41;&#46; La edad media fue de 40&#44;7 a&#241;os&#46; La mayor proporci&#243;n de casos &#40;16&#44;5&#37;&#41; fue en ni&#241;os menores de 2 a&#241;os&#46; La forma cl&#237;nica en el 81&#44;1&#37; de los casos fue la meningitis&#59; el 70&#44;3&#37; fue diagnosticada por cultivo&#46; Aparecieron <span class="elsevierStyleItalic">Streptococcus</span> en el 54&#37; de los casos &#40;el 82&#37; por <span class="elsevierStyleItalic">S&#46; pneumoniae</span>&#41;<span class="elsevierStyleItalic">&#44;</span> enterobacterias en el 5&#44;4&#37;&#44; <span class="elsevierStyleItalic">Lysteria</span> y <span class="elsevierStyleItalic">Staphylococcus</span> en el 4&#44;5&#37;&#44; <span class="elsevierStyleItalic">Pseudomona aeruginosa</span> en el 1&#44;8&#37;&#44; y <span class="elsevierStyleItalic">Haemophilus influenzae</span> en el 0&#44;9&#37;&#46; La incidencia por 100&#46;000 habitantes fue entre 1&#44;6 en 2004 y 2&#44;6 en 2001&#46; La letalidad fue del 7&#44;3&#37;&#46; La exhaustividad del sistema EDO fue m&#225;xima en el a&#241;o 2001 &#40;del 84&#44;4&#37;&#41;&#46; La exhaustividad conjunta con CMBD fue superior al 85&#37; y la oportunidad fue de 2 d&#237;as&#46; La aceptabilidad del sistema fue buena&#44; ya que el 75&#37; de las variables estaban cumplimentadas en el 97&#37; de las encuestas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se destaca la relevancia de la evaluaci&#243;n del SVE en funci&#243;n de sus resultados&#46; Las MnMB debidas a <span class="elsevierStyleItalic">S&#46; pneumoniae</span> representan un grupo significativo y su letalidad es elevada&#46; La exhaustividad del SVE en Zaragoza supera el 80&#37;&#44; al considerar EDO y CMBD&#46; La incorporaci&#243;n del CMBD en la vigilancia facilitar&#237;a una aproximaci&#243;n a la incidencia real de algunas EDO&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe non-meningococcal bacterial meningitis &#40;nMM&#41; and to evaluate the Epidemiological Surveillance System &#40;ESS&#41; in the province of Saragossa &#40;Spain&#41; between 1999 and 2004&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Information was obtained from the register of diseases subject to mandatory reporting and the Minimum Basic Data Set &#40;MBDS&#41;&#46; The ESS was evaluated by using the Centers for Disease Control and Prevention &#40;CDC&#41; criteria and by estimating the completeness of the system through the capture-recaptu re technique&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">111 cases of nMM were notified &#40;62&#46;2&#37; in males&#41; and the mean age was 40&#46;7 years&#46; The largest proportion of cases &#40;16&#46;5&#37;&#41; occurred in children under 2 years of age&#46; The clinical presentation was meningitis in 81&#46;1&#37;&#46; Diagnosis was through bacterial culture in 70&#46;3&#37;&#46; <span class="elsevierStyleItalic">Streptococcus</span> sp&#46; was found in 54&#37; &#40;82&#37; due to <span class="elsevierStyleItalic">S&#46; pneumoniae</span>&#41;<span class="elsevierStyleItalic">&#44;</span> enterobacteria in 5&#46;4&#37;&#44; <span class="elsevierStyleItalic">Listeria</span> and <span class="elsevierStyleItalic">Staphylococcus</span> in 4&#46;5&#37;&#44; <span class="elsevierStyleItalic">Pseudomonas</span><span class="elsevierStyleItalic">aeruginosa</span> in 1&#46;8&#37;&#44; and <span class="elsevierStyleItalic">Haemophilus</span><span class="elsevierStyleItalic">influenzae</span> in 0&#46;9&#37;&#46; The incidence rate per 100&#44;000 inhabitants was 1&#46;6 in 2004 and 2&#46;6 in 2001&#46; The case fatality was 7&#46;3&#37;&#46; The completeness of the mandatory reporting system reached a peak in 2004 at 84&#46;4&#37;&#46; The combined completeness of the MBDS and the mandatory reporting system was above 85&#37; and timeliness of reporting was 2 days&#46; The acceptability of the system was high since 75&#37; of all variables were complete in 97&#37; of the questionnaires&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">We</span> highlight the importance of evaluation of the ESS&#44; based on its results&#46; nMM due to <span class="elsevierStyleItalic">S&#46; pneumoniae</span> represent an important group of diseases and their case fatality is high&#46; The completeness of the ESS in Saragossa was over 80&#37; when the mandatory reporting system and the MBDS were combined&#46; Incorporating the MBDS into surveillance would facilitate the estimation of the real incidence of various diseases subject to mandatory reporting&#46;</p>"
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