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传染病在公共卫生中的优先排序:对优先排序方法的反馈,2008 年 7 月 15 日至 2009 年 1 月 15 日。

Prioritisation of infectious diseases in public health: feedback on the prioritisation methodology, 15 July 2008 to 15 January 2009.

机构信息

Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.

出版信息

Euro Surveill. 2011 May 5;16(18):19861.

PMID:21586264
Abstract

In 2004, the German public health institute, the Robert Koch Institute (RKI), prioritised pathogens by public health criteria and presented the methodology and findings. In order to further improve the methodology, the RKI invited experts to give feedback on this via a structured web-based questionnaire. The survey was completed by 72 participants during 15 July 2008 to 15 January 2009. Prioritisation of pathogens was considered as useful for public health purposes by 68 participants and for both surveillance and epidemiological research by 64 participants. Additional pathogens were suggested, including some that are resistant to antimicrobials. The criteria incidence, severity, outbreak potential, emerging potential and preventability were each considered as useful or very useful for the prioritisation (by more than 65 participants for each criterion). Weighting of the criteria was judged as relevant or very relevant by 67 of participants, but needs more explanation. It was also suggested that the group carrying out the prioritisation be composed of a median of 15 experts (range: 5–1,000). The feedback obtained in the survey has been taken into account in the modification of the methodology for the next round of prioritisation, which started in December 2010.

摘要

2004 年,德国公共卫生机构罗伯特·科赫研究所(RKI)根据公共卫生标准对病原体进行了优先级排序,并介绍了相关方法和结果。为了进一步改进方法,RKI 邀请专家通过结构化的网络问卷对此提出反馈。该调查于 2008 年 7 月 15 日至 2009 年 1 月 15 日期间由 72 名参与者完成。68 名参与者认为病原体的优先级排序对公共卫生目的有用,64 名参与者认为对监测和流行病学研究有用。还提出了其他病原体,包括一些对抗生素有耐药性的病原体。每个标准(发病率、严重程度、暴发潜力、新出现的潜力和可预防程度)的有用性或非常有用性都得到了超过 65%的参与者的认可。67%的参与者认为对标准的加权判断是相关的或非常相关的,但需要更多的解释。还建议参与优先级排序的专家组由中位数为 15 名专家组成(范围:5-1000)。调查中获得的反馈已在 2010 年 12 月开始的下一轮优先级排序方法的修改中得到考虑。

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