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基于中毒控制中心的食源性疾病症状监测。

Poison Control Center--based syndromic surveillance for foodborne illness.

作者信息

Derby Mary P, McNally J, Ranger-Moore J, Hulette L, Villar R, Hysong T, MacNeill E, Lebowitz M, Burgess J

机构信息

Environmental and Community Health, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, Arizona 85719, USA.

出版信息

MMWR Suppl. 2005 Aug 26;54:35-40.

Abstract

OBJECTIVES

This retrospective study evaluated the usefulness of a poison control center (PCC) data collection system in Tucson, Arizona for early detection of foodborne disease outbreaks.

METHODS

A search of a PCC database identified callers with gastrointestinal symptoms attributable to suspected foodborne illnesses whose calls were received during January 1-March 31, 2000. For each foodborne illness-related call, PCC coding was compared with a predefined diarrhea/gastroenteritis syndrome. PCC calls also were evaluated by using ZIP code, age, sex, and date of symptom onset to determine if call classifications matched any laboratory-confirmed cases reported to a county health department.

RESULTS

An independent review generally agreed with the PCC's classification of calls. When calls and cases were compared, only one potential match was identified.

CONCLUSION

Although confirmatory diagnostic information was not available, PCC calls were not duplicative of cases evaluated by the county health department, which suggests that they represent two independent data sets. PCC data might provide a useful addition to surveillance data reported to public health agencies for the early detection of foodborne disease outbreaks. These results will now be used to develop collaborative prospective surveillance systems.

摘要

目的

本回顾性研究评估了亚利桑那州图森市毒物控制中心(PCC)数据收集系统在食源性疾病暴发早期检测中的作用。

方法

对PCC数据库进行检索,确定2000年1月1日至3月31日期间接到的、因疑似食源性疾病出现胃肠道症状的来电者。对于每一个与食源性疾病相关的来电,将PCC编码与预先定义的腹泻/肠胃炎综合征进行比较。还通过邮政编码、年龄、性别和症状出现日期对PCC来电进行评估,以确定来电分类是否与向县卫生部门报告的任何实验室确诊病例相匹配。

结果

一项独立审查总体上同意PCC对来电的分类。在比较来电和病例时,仅确定了一个潜在匹配项。

结论

虽然没有确诊诊断信息,但PCC来电与县卫生部门评估的病例并不重复,这表明它们代表两个独立的数据集。PCC数据可能会为向公共卫生机构报告的监测数据增添有用内容,用于食源性疾病暴发的早期检测。这些结果现在将用于开发协作性前瞻性监测系统。

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