㹡ѧä (Case Definition for Surveillance)
ICD-10 : A 27
ࡳҧԹԡ (Clinical Criteria)
٧ ˹ лǴЪԴعç Ѻ ҡ ҧ˹ҡ ջѵҪվʡѺ 鹷 Ǵ軹觢Ѻ¢ͧѵ
Ǵҧعç ͡纵 Сͧ
ᴧ (ʹʹᴧҹ繵Ң ʹ͡ )
ҧҨҡǡѺкҷ ֡ǼԴ 繵
лʹ
·ҡعçҨ ʹ͡ԴԵеҧ ¹ʹ بմ ʹʴ ҡôիҹ 繵
ࡳҧͧԺѵԡ (Laboratory Criteria)
Screening Test : ˹觢 źǡ
Latex agglutination test (LA)
Dipstick test
Lateral flow test
Microcapsule agglutination test (MCAT)
Confirmatory Test: ˹觢 źǡ
Immunofluorescent antibody test (IFA)
Ǩ IgM > 1: 100 IgG > 1: 400
Ǩʹ(paired sera)աҧ 4 (four-fold rising) ͧ IgM IgG
Microscopic agglutination test (MAT)
Ǩ IgM > 1: 100 IgG > 1: 400
Ǩʹ (paired sera) four-fold rising ͧ IgM IgG
ELISA test for leptospirosis źǡ
ͨҡʹ ѹѧ ͻоŻ
㹡óշ öǨԸ Polymerase chain reaction
(Case Classification)
·ʧ(Suspected case) ¶֧ ҡõࡳҧԹԡ ջѵ§͡ä ҨʹµǨҧͧԺѵԡ Ͷҡʹ㹢áѺ ǹ仵Ǩ Screening test ź öԴʹ¤駷ͧ (觵Ǩ 10-14 ѹ ѧҡФá) §ҹ繼·ʧ
·Ң(Probable case) :
·ѹ (Confirmed case) ¶֧ ·ʧ Ѻʹ㹪ǧáѺ仵Ǩ Screening test źǡ ͶҵǨʹáźöԴʹ駷ͧ仵Ǩ źǡ §ҹ繼ѹ ҼšõǨʹ駷ͧ繼źѴҡäŻë
§ҹµкѧä-ç.506(Reporting Criteria)
§ҹ·ʧ·ء աõǨѹ§ҹ·ѹŴ·ء
ͺǹä(Epidemiological Investigation)
ͺǹ (Individual Investigation) мá㹾鹷 պԹͺǹä㹷ѹ һѨ§ ä آ֡͡ûͧѹä㹼蹵 óռªԵõǨѹ §ҹͺǹ·ªԵӹѡкҴԷ
ͺǹкҴ (Outbreak Investigation) 㹡óշԴä繡 պӡͺǹкҴѹ ͡ä ˵ءкҴ㹤駹 ͡ҧἹ㹡äǺ㹤駹 лͧѹкҴ㹤駵ҧ١ͧ
˵пѡ 2-30 ѹ ( 10 ѹ)
ҡ ˹ѧäԴ