摘要：We aimed to determine whether the Victorian measles surveillance system had missed hospitalised cases of measlesduring an inter-epidemic period. We searched the Victorian Inpatient Minimum Dataset (VIMD) for the period1 January 1997 to 30 June 1998 to identify patients with ICD-9 discharge codes for measles (055). The data werecompared with that held in the Victorian measles surveillance dataset. The hospital case notes of patients identifiedin the VIMD but not in the measles surveillance dataset were reviewed systematically to determine whether thepatients met case definitions for laboratory-confirmed or clinically compatible measles. Sixteen admissions (15patients) were identified with a measles ICD-9 code. Eight patients were not identified in the measles surveillancedataset. Of these, one was a laboratory confirmed case of measles and two met a clinical case definition but allshould have been notified to the Department of Human Services as suspected cases. While the small number ofmissed notifications is encouraging in terms of overall measles surveillance, it highlights important deficiencies inthe awareness of hospital staff of their role in the control of measles, particularly as Australia moves towards theelimination of measles
