Author/Editor		Patkovič-Colarič, Jasmina; Seljak, Marija
Title		Epidemiološke značilnosti lymske borelioze v Sloveniji od leta 1993 do 1997 - klinični pojavi lymske borelioze
Translated title		Epidemiological characteristics of lyme borreliosis in Slovenia from the year 1993 to 1997 - clinical manifestations of lyme borreliosis
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 39, št. 5-6
Publication year		2000
Volume		str. 78-85
Language		slo
Abstract		First descriptions of the signs of a disease which are today known as parts of Lyme borreliosis, can be traced in European medical literature already more than 100 years ago. In Slovenia the disease attracted greater attention not earlier than 1981 and registered cases increase from year to year. Today Lyme borreliosis is the most frequent transmissive infectious disease, transmitted by ticks, in Slovenia. In the contribution, epidemiological characteristics of Lyme borreliosis from 1993 to 1997 and its clinical manifestations in Slovenia are presented. Data on patients were collected from data base of the Institute of Public Health of the Republic of Slovenia. Lyme borreliosis occurrs in all the Slovenian regions and compulsory notification is increasing from year to year. The highest share among individual manifestations of Lyme borreliosis presents erythema migrans, which amounts to 95% of all the registered cases of this disease. 62% of registered patients are from the regions of Ljubljana and Kranj. Highest incidence of erythema migrans is during summer months, mostly in July. Highest morbidity is found among persons between 40 and 59 years of age, and lowest above the age of 75 years and in youth between 10 and 19 years of age. The disease occurs more often in women. There are more patients with Lyme meningitis in the second half of the year, the disease is more frequent in childhood (0 to 9 years of age) and in adults between 50 and 69 years of age. Lyme arthropathy has no seasonal oscillation but is more frequent in women and between 50 and 59 years of age. Since the year 1986, when the notification of this disease has become compulsory, the number of registered cases has been increasing but the notification is far from being satisfactory. Without an adequate notification it is impossible to evaluate the impact of lyme borreliosis on the health state of population. (Abstract truncated at 2000 characters.)
Summary		Prve opise posameznih znakov bolezni, za katere danes vemo, da so del lymske borelioze, zasledimo v evropski medicinski literaturi že pred več kot 100 leti. V Sloveniji je bolezen vzbudila večjo pozornost šele po letu 1981, registrirani primeri pa naraščajo iz leta v leto. Danes je lymska borelioza v Sloveniji najpogostejša transmisivna nalezljiva bolezen, ki jo prenašajo klopi. V prispevku so prikazane epidemiološke značilnosti lymske borelioze v Sloveniji od leta 1993 do 1997 in klinični pojavi te bolezni. Podatki o bolnikih so bili zbrani iz podatkovne zbirke Inštituta za varovanje zdravja. Lymska borelioza se pojavlja v vseh regijah Slovenije, prijavljanje pa narašča iz leta v leto. Najvišji delež med posameznimi pojavi lymske borelioze predstavlja erythema migrans, ki znaša 95% vseh prijavljenih primerov te bolezni. 62% prijavljenih bolnikov je iz Ijubljanske in kranjske regije. Najvišja incidenca erythema migrans je v poletnih mesecih, največ julija. Najvišja zbolevnost je pri osebah med 40. in 59. letom starosti, najnižja pa v starosti nad 75 let in pri mladostnikih rned 10. in 19. letom starosti. Pogosteje se pojavlja pri ženskah. Bolnikov z lymskim meningitisom je več v drugi polovici leta, pogostejši je v otroštvu (0 do 9 let starosti) in pri odraslih med 50. in 69. letom. Za lymsko artropatijo ni značilno sezonsko nihanje, pogosteje pa se je pojavljala pri ženskah, in sicer med 50. in 59. letom starosti. Od leta 1986, ko je prijavljanje bolezni v Sloveniji obvezno, je število prijavljenih primerov naraščalo, vendar s prijavljanjem še zdaleč ne moremo biti zadovoljni. Brez dobre prijave pa je nemogoče oceniti, kakšen vpliv ima lymska borelioza na zdravstveno stanje prebivalstva. Danes nimamo cepiva, s katerim bi lahko pri človeku preprečili lymsko boreliozo. Proti tej bolezni se lahko borimo samo z nespecifičnimi ukrepi za preprečevanje bolezni, katerih osnova je zdravstveno prosvetljevanje Ijudi ter s pravočasnim in pravilnim zdravljenjem.
Descriptors		LYME DISEASE INCIDENCE DISEASE NOTIFICATION ERYTHEMA CHRONICUM MIGRANS SLOVENIA SEASONS AGE FACTORS SEX FACTORS MENINGITIS ARTHRITIS