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Volume 14, Number 4—April 2008

Research

Control Measures Used during Lymphogranuloma Venereum Outbreak, Europe

Aura Timen*†Comments to Author , Marlies E.J.L. Hulscher‡, Dieuwke Vos*†, Marita J.W. van de Laar*§, Kevin A. Fenton¶, Jim E. Van Steenbergen*, Jos W.M. van der Meer‡, and Richard P.T.M. Grol‡
Author affiliations: *National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands; †Dutch Association for Public Health Services, Utrecht, the Netherlands; ‡University Medical Centre, St. Radboud, Nijmegen, the Netherlands; §European Centre for Disease Prevention and Control, Stockholm, Sweden; ¶Health Protection Agency, London, UK;

Main Article

Table 1

Control measures used by 18 European countries during an LGV outbreak*

Category All countries (n = 18) Countries with cases (n = 11)
Initial alert and response
Alert and response issued 11 9
Enhanced surveillance 8 7
Voluntary reporting 9 7
Provisional guidelines 9 7
Information dissemination 11 9
Educational activities
6
6
Development of control measures
Outbreak management team (advisory team) 5 5
Initial risk assessment performed 8 7
Methods to collect evidence
Hand search literature 11 9
Search electronic databases 10 7
Search patient entry data 7 6
Search unpublished data 4 4
Methods to analyze evidence
Decision analysis 5 3
Meta-analysis 0 0
Nonsystematic review 5 4
Systematic review 4 4
Experience based 8 7
Methods to formulate measures
Subjective review 8 6
Informal expert consensus 10 8
Formal expert consensus 4 4
Evidence based 0 0
Procedure for updating key recommendations 11 4
National LGV guideline 4 3
Formal authorization process of the guideline
2
2
Content of control measures
Active case finding 9 7
Contact tracing 7 6
Partner notification 5 4
Screening risk group 5 3
Activities targeting risk groups 10 8
Alerting general public 1 1
Alerting general practitioners 8 5
Alerting STI clinics 11 9
Alerting public health physicians 9 9
Alerting microbiologists 9 6
Alerting hospitals 5 3
Alerting GUM and gastroenterologists 8 6
Alerting HIV specialists 3 3
LGV notifiable† 5 4
National case-register for LGV† 9 7

*Data gathered through a survey. LGV, lymphogranuloma venereum; STI, sexually transmitted infection; GUM, genitourinary specialists.
†Data were missing for 3 countries for this category.

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