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Volume 17, Number 10—October 2011

Dispatch

Timeliness of Surveillance during Outbreak of Shiga Toxin–producing Escherichia coli Infection, Germany, 2011

Mathias AltmannComments to Author , Anke Spode, Doris Altmann, Maria Wadl, Justus Benzler, Tim Eckmanns, Gérard Krause, and Matthias an der Heiden

Author affiliations: Robert Koch Institute, Berlin, Germany (M. Altmann, M. Wadl, D. Altmann, J. Benzler, T. Eckmanns, G. Krause, M. an der Heiden); Health Department of the Hamburg Northern District, Hamburg, Germany (A. Spode)

Main Article

Table 1

Median reporting intervals, in days, for 1,394 hemolytic uremic syndrome cases in 3 periods, Germany*

Interval† Period A
Period B
Period C
Total no./N‡ (%)
No./N‡ (%) Med (IQR) No./N‡ (%) Med (IQR) No./N‡ (%) Med (IQR)
From symptom onset to 1,267/1,394§ (91)
Diagnosis 283/497 (57) 8 (4–12) 136/237 (57) 8 (6–9) 331/533 (62) 4 (2–6) 750/1,267 (59)
Notification to LHD 312/497 (63) 10 (6–15) 173/237 (73) 9 (7–10) 396/533 (74) 5 (3–7) 881/1,267 (70)
Report to RKI
497/497 (100)
20 (14–26)

237/237 (100)
12 (9–15)

533/533 (100)
8 (6–11)
1,267/1,267 (100)
From diagnosis to 798/1,394§ (57)
Notification to LHD 264/294 (90) 1 (0–3) 14/15 (93) 4.5 (1–7) 473/489 (97) 0 (0–1) 751/798 (94)
Report to RKI
294/294 (100)
10 (7–16)

15/15 (100)
8 (8–9)

489/489 (100)
3 (2–6)
798/798 (100)
From notification to LDH to 943/1,394§ (68)
Report to RKI 319/319 (100) 7 (5–13) 6/6 (100) 8 (6–8) 618/618 (100) 3 (1–5) 943/943 (100)

*Period A, 2003 Jan 1–2011 Apr 30; Period B, 2011 May 1–2011 May 18; Period C, 2011 May 19–2011 Jun 22; med, median; IQR, interquartile range; LHD, local health department; RKI, Robert Koch Institute.
†Classification of the interval in 1 of the 3 periods according to the first date of this interval.
‡No./N, no. patients having available data for both dates of the interval/no. patients having available data for the first date of the interval.
§No. patients having available data for this date/total no. hemolytic uremic syndrome cases.

*Period A, 2003 Jan 1–2011 Apr 30; Period B, 2011 May 1–2011 May 18; Period C, 2011 May 19–2011 Jun 22; med, median; IQR, interquartile range; LHD, local health department; RKI, Robert Koch Institute.
†Classification of the interval in 1 of the 3 periods according to the first date of this interval.
‡No./N, no. patients having available data for both dates of the interval/no. patients having available data for the first date of the interval.
§No. patients having available data for this date/total no. hemolytic uremic syndrome cases.

*Period A, 2003 Jan 1–2011 Apr 30; Period B, 2011 May 1–2011 May 18; Period C, 2011 May 19–2011 Jun 22; med, median; IQR, interquartile range; LHD, local health department; RKI, Robert Koch Institute.
†Classification of the interval in 1 of the 3 periods according to the first date of this interval.
‡No./N, no. patients having available data for both dates of the interval/no. patients having available data for the first date of the interval.
§No. patients having available data for this date/total no. hemolytic uremic syndrome cases.

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