Krause Gérard, Altmann Doris, Faensen Daniel, Porten Klaudia, Benzler Justus, Pfoch Thomas, Ammon Andrea, Kramer Michael H, Claus Hermann
Department of Infectious Disease Epidemiology, Robert Koch Institute, Seestrasse 10, 13353 Berlin, Germany.
Emerg Infect Dis. 2007 Oct;13(10):1548-55. doi: 10.3201/eid1310.070253.
In 2001, the Robert Koch Institute (RKI) implemented a new electronic surveillance system (SurvNet) for infectious disease outbreaks in Germany. SurvNet has captured 30,578 outbreak reports in 2001-2005. The size of the outbreaks ranged from 2 to 527 cases. For outbreaks reported in 2002-2005, the median duration from notification of the first case to the local health department until receipt of the outbreak report at RKI was 7 days. Median outbreak duration ranged from 1 day (caused by Campylobacter) up to 73 days (caused by Mycobacterium tuberculosis). The most common settings among the 10,008 entries for 9,946 outbreaks in 2004 and 2005 were households (5,262; 53%), nursing homes (1,218; 12%), and hospitals (1,248; 12%). SurvNet may be a useful tool for other outbreak surveillance systems because it minimizes the workload of local health departments and captures outbreaks even when causative pathogens have not yet been identified.
2001年,德国罗伯特·科赫研究所(RKI)实施了一项针对传染病暴发的新型电子监测系统(SurvNet)。SurvNet在2001年至2005年期间收集到30578份暴发报告。暴发规模从2例至527例不等。对于2002年至2005年报告的暴发,从首例病例通报给当地卫生部门到RKI收到暴发报告的中位时长为7天。暴发的中位持续时间从1天(由弯曲杆菌引起)至73天(由结核分枝杆菌引起)不等。在2004年和2005年9946起暴发的10008条记录中,最常见的场所是家庭(5262处;53%)、养老院(1218处;12%)和医院(1248处;12%)。SurvNet可能是其他暴发监测系统的有用工具,因为它能将当地卫生部门的工作量减至最小,并且即使在致病病原体尚未确定时也能捕捉到暴发情况。