Gesteland Per H, Samore Matthew H, Pavia Andrew T, Srivastava Rajendu, Korgenski Kent, Gerber Kristine, Daly Judy A, Mundorff Michael B, Rolfs Robert T, James Brent C, Byington Carrie L
University of Utah School of Medicine, Salt Lake City, UT, USA.
AMIA Annu Symp Proc. 2007 Oct 11;2007:274-8.
The nature of clinical medicine is to focus on individuals rather than the populations from which they originate. This orientation can be problematic in the context of acute healthcare delivery during routine winter outbreaks of viral respiratory disease where an individuals likelihood of viral infection depends on knowledge of local disease incidence. The level of interest in and perceived utility of community and regional infection data for front line clinicians providing acute care is unclear. Based on input from clinicians, we developed an automated analysis and reporting system that delivers pathogen-specific epidemic curves derived from a viral panel that tests for influenza, RSV, adenovirus, parainfluenza and human metapneumovirus. Surveillance summaries were actively e-mailed to clinicians practicing in emergency, urgent and primary care settings and posted on a web site for passive consumption. We demonstrated the feasibility and sustainability of a system that provides both timely and clinically useful surveillance information.
临床医学的本质是关注个体而非个体所来自的人群。在冬季常规病毒性呼吸道疾病暴发期间的急性医疗服务背景下，这种导向可能会出现问题，因为个体感染病毒的可能性取决于当地疾病发病率的相关知识。对于提供急性护理的一线临床医生而言，社区和区域感染数据的受关注程度以及感知到的效用尚不清楚。基于临床医生的意见，我们开发了一个自动分析和报告系统，该系统可生成源自一个检测流感、呼吸道合胞病毒、腺病毒、副流感病毒和人偏肺病毒的病毒检测组的病原体特异性流行曲线。监测总结通过电子邮件主动发送给在急诊、 urgent 和初级护理机构执业的临床医生，并发布在网站上以供被动获取。我们证明了一个能提供及时且具有临床实用性的监测信息的系统的可行性和可持续性。 注：原文中“urgent”此处翻译为“urgent”不太准确，结合语境可能是“紧急护理”之类的表述，但按要求保留原文。
