§ Miss Melanie Johnson
Almost all group D streptococcal infections in humans are associated with enterococci or 'Streptococcus bovis group'. Data received by the Health Protection Agency Communicable Disease Surveillance Centre under a voluntary reporting system are shown in table 1.
Table 1: Annual totals for England and Wales Number of reports of enterococci isolated from blood stream Number of reports of 'Streptococcus bovis group' isolated from blood stream 1998 3,049 160 1999 3,208 173 2000 3,648 161 2001 4,312 196 2002 4,855 215 Source: Health Protection Agency website: http://www.hpa.org.uk/infections/topics az/bacteraemia/gram pos.htm
Information for hospital episode statistics is shown in table 2.
Table 2: Streptococcus group D (ICD10 B95.2) as the cause of diseases classified to other ICD10 chapters—All diagnosis count of episodes. Finished Consultant Episodes (FCEs)—NHS hospitals in England, 1998–99 to 2002–03 Finished consultant episodes 1998–99 381 1999–2000 479 2000–01 542 2001–02 572 2002–03 707
1. A finished consultant episode (FCE) is defined as a period of admitted patient care under one consultant within one health care provider. Please note that the figures do not represent the number of patients, as a person may have more than one episode of care within the year. These figures represent a count of all FCEs where the diagnosis was mentioned in any of the 14 (7 prior to 2002–03) diagnosis fields in a HES record. A record is only included once in each count, even if a diagnosis is mentioned in more than one diagnosis field of the record.301W
2. Figures are grossed for both coverage and missing/invalid clinical data, except for 2001–02 and 2002–03, which are not yet adjusted for shortfalls.
Hospital Episode Statistics (HES), Department of Health