Journal of Kermanshah University of Medical Sciences
Peer-reviewed Medical Quarterly
Outlines
Alarm threshold levels of meningitis outbreak in Hamadan province (2010- 2012)
Author(s):
Mohammad Fariadras1, Manoochehr Karami2,*, Nader Esmailnasab3, Abbas Moghimbeigi4, Hastyar Pazhouhi51Dept. of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran
2Social Determinant of Health Research Center and Department of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran
3Dept. of Epidemiology and Biostatistics, Kurdistan University of Medical Sciences, Kurdistan, Iran
4Modeling of Non-communicable Diseases Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran
5Dept. of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Corresponding author: Manoochehr Karami, Social Determinant of Health Research Center and Department of Epidemiology, Hamadan University of Medical Sciences, Hamadan, Iran, Tel: +98 8138380762 Email: [email protected]
Published online:Nov 19, 2015
Article type:Research Article
Received:May 17, 2015
Accepted:Nov 03, 2015
How to Cite:Fariadras M, Karami M, Esmailnasab N, Moghimbeigi A, Pazhouhi H. Alarm threshold levels of meningitis outbreak in Hamadan province (2010- 2012). J Kermanshah Univ Med Sci. 2015;19(5):e69840. doi: https://doi.org/10.22110/jkums.v19i5.2310
Abstract
Background: The surveillance systems need to define the levels of alarm threshold for early detection of outbreak. The purpose of this study was to determine the threshold levels of meningitis outbreak in Hamadan province, Iran.
Methods: The suspected cases of meningitis that were reported through meningitis surveillance form 2010 to 2012 were investigated in this study. Explainable patterns of the syndromic data of fever and neurological symptoms were removed by Generalized Linear Model. The upper limits of cumulative sum (CUSUM) algorithm were used to estimate the alarm threshold levels of meningitis outbreak. The seasonal pattern of dynamic alarm thresholds was defined using the data obtained from different seasons.
Results: The fixed alarm threshold levels according to standardized CUSUM, i.e. 1.5 to 2 standard deviations from the mean, were equal to the occurrence of more than 3 and 4 suspected cases of meningitis, respectively. The corresponding values for dynamic levels based on the upper control limit of CUSUM were 2.6 to 3.2 cases for different seasons. In other words, 3 cases were considered to be a discrete scale for suspected cases of meningitis.
Conclusion: Due to the seasonality pattern of meningitis, dynamic levels of alarm threshold should be determined according to the seasons and months of year.
References
- 1.The references of this article is available on PDF.
Copyright
© 2015, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
Similar Articles
16
Jul
2016
Temporal Patterns of Meningitis in Hamadan, Western Iran: Addressing and Removing Explainable Patterns
Hastyar Pazhouhi,
Manoochehr Karami,
Nader Esmailnasab,
Abbas Moghimbeigi,
Mohammad Fariadras
Pazhouhi H, Karami M, Esmailnasab N, Moghimbeigi A, Fariadras M. Temporal Patterns of Meningitis in Hamadan, Western Iran: Addressing and Removing Explainable Patterns. Arch Clin Infect Dis. 2016;11(3):e31532. doi: https://doi.org/10.5812/archcid.31532
11
Jan
2022
Evaluation of Multiplex Real-time PCR and WHO Criteria for Diagnosing Childhood Bacterial Meningitis in a Tertiary Referral Hospital in Iran
Gholamreza Pouladfar,
Anahita Sanaei Dashti,
Mohammad Rahim Kadivar,
Maedeh Jafari,
Bahman Pourabbas,
Marzieh Jamalidoust
,et al.Pouladfar G, Sanaei Dashti A, Kadivar MR, Jafari M, Pourabbas B, et al. Evaluation of Multiplex Real-time PCR and WHO Criteria for Diagnosing Childhood Bacterial Meningitis in a Tertiary Referral Hospital in Iran. Arch Pediatr Infect Dis. 2022;10(3):e101822. doi: https://doi.org/10.5812/pedinfect.101822
4
Jan
2015
Epidemiology of Meningitis Studied at a University Hospital in Zahedan, South-Eastern Iran
Batool Sharifi-Mood,
Ali Khajeh,
Maliheh Metanat,
Azam Rasouli
Sharifi-Mood B, Khajeh A, Metanat M, Rasouli A. Epidemiology of Meningitis Studied at a University Hospital in Zahedan, South-Eastern Iran. Int J Infect. 2015;2(2):e23634. doi: https://doi.org/10.17795/iji-23634
16
Mar
2025
Comparison of Common Bacteria That Cause Meningitis in Cerebrospinal Fluid Samples by Culture and Polymerase Chain Reaction
Amjad Ahmadi,
Mohammad Sina Alikhani,
Mohsen Nazari,
Jaber Hemmati,
Rasoul Yousefimashouf,
Seyyed Hamid Hashemi
,et al.Ahmadi A, Alikhani MS, Nazari M, Hemmati J, Yousefimashouf R, et al. Comparison of Common Bacteria That Cause Meningitis in Cerebrospinal Fluid Samples by Culture and Polymerase Chain Reaction. Jundishapur J Microbiol. 2025;18(3):e157110. doi: https://doi.org/10.5812/jjm-157110
28
Sep
2015
Evaluation of suspected measles incidence rate trend in Iran and the affecting factors: Negative-Binomial mixed model
Nasrin Shirmohammadi,
Abbass Moghimbeigi,
Manoochehr Karami,
Hossein Mahjub,
Azam Sabouri
Shirmohammadi N, Moghimbeigi A, Karami M, Mahjub H, Sabouri A. Evaluation of suspected measles incidence rate trend in Iran and the affecting factors: Negative-Binomial mixed model. koomesh. 2015;16(4):e151244. doi:
Download PDF613.49 KB
Crossmark
Checking
Comments
Number of Comments:0Cited by
- Scopus by DOI: 0
Last Update: 3 days ago
- Scopus by Title: 0
Last Update: 3 days ago
- Scopus by Title (Ref): 2
Last Update: 3 days ago
- CrossRef: 0
Last Update: 5 days ago
Ordering Reprints
Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC
Search Relations
Author(s):
Related Articles