Lepto Bureau of Epidemiology, DDC, MPH  


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 ੾С͹ͧ
  • 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 աõǨ׹ѹ§ҹ·׹ѹŴ·ء
    ͺǹä(Epidemiological Investigation)
    ͺǹ੾ (Individual Investigation) ੾мá㹾鹷 պԹͺǹä㹷ѹ һѨ§ ä آ֡͡ûͧѹä㹼蹵 óռªԵõǨ׹ѹ §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 ˹ѧ͹äԴ