Health Protection Agency, Colindale, London, United Kingdom.
Euro Surveill. 2012 Aug 2;17(31):20237. doi: 10.2807/ese.17.31.20237-en.
A new surveillance system was developed to detect possible new or emerging infections presenting as undiagnosed serious infectious illness (USII) for use during the London 2012 Olympic and Paralympic Games. Designated clinicians in sentinel adult and paediatric intensive care units (ICU/ PICUs) reported USII using an online reporting tool or provided a weekly nil notification. Reported cases were investigated for epidemiological links. A pilot study was undertaken for six months between January and July 2011 to evaluate the feasibility and acceptability of the system. In this six-month period, 5 adults and 13 children were reported by six participating units (3 ICUs, 3 PICUs). Of these 18 patients, 12 were reported within four days after admission to an ICU/PICU. Nine patients were subsequently diagnosed and were thus excluded from the surveillance. Therefore, only nine cases of USII were reported. No clustering was identified.On the basis of the pilot study, we conclude that the system is able to detect cases of USII and is feasible and acceptable to users. USII surveillance has been extended to a total of 19 sentinel units in London and the south-east of England during the London 2012 Olympic and Paralympic Games.
开发了一个新的监测系统，以检测在伦敦 2012 年奥运会和残奥会期间可能出现的新的或新兴感染，这些感染表现为未确诊的严重传染病（USII）。指定的成人和儿科重症监护病房（ICU/PICU）临床医生使用在线报告工具报告 USII，或每周提供零报告。报告的病例将进行流行病学调查。在 2011 年 1 月至 7 月期间进行了为期六个月的试点研究，以评估该系统的可行性和可接受性。在这六个月期间，有 6 个参与单位（3 个 ICU，3 个 PICU）报告了 5 名成人和 13 名儿童。在这 18 名患者中，有 12 名是在入住 ICU/PICU 后四天内报告的。随后诊断出 9 名患者，因此从监测中排除。因此，仅报告了 9 例 USII。未发现聚集性。基于试点研究，我们得出结论，该系统能够检测到 USII 病例，并且对用户来说是可行和可接受的。USII 监测已在伦敦和英格兰东南部的 19 个监测单位中扩展到伦敦 2012 年奥运会和残奥会期间。
