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症状监测用于局部暴发检测和预警：评估电话分诊、网络查询和非处方药店销售中急性胃肠炎的暴发信号。

Syndromic surveillance for local outbreak detection and awareness: evaluating outbreak signals of acute gastroenteritis in telephone triage, web-based queries and over-the-counter pharmacy sales.

机构信息

Swedish Institute for Communicable Disease Control (SMI), Solna, Sweden.

County Medical Officer, Västerbotten, Sweden.

出版信息

Epidemiol Infect. 2014 Feb;142(2):303-13. doi: 10.1017/S0950268813001088. Epub 2013 May 15.

DOI:10.1017/S0950268813001088
PMID:23672877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3891475/
Abstract

For the purpose of developing a national system for outbreak surveillance, local outbreak signals were compared in three sources of syndromic data--telephone triage of acute gastroenteritis, web queries about symptoms of gastrointestinal illness, and over-the-counter (OTC) pharmacy sales of antidiarrhoeal medication. The data sources were compared against nine known waterborne and foodborne outbreaks in Sweden in 2007-2011. Outbreak signals were identified for the four largest outbreaks in the telephone triage data and the two largest outbreaks in the data on OTC sales of antidiarrhoeal medication. No signals could be identified in the data on web queries. The signal magnitude for the fourth largest outbreak indicated a tenfold larger outbreak than officially reported, supporting the use of telephone triage data for situational awareness. For the two largest outbreaks, telephone triage data on adult diarrhoea provided outbreak signals at an early stage, weeks and months in advance, respectively, potentially serving the purpose of early event detection. In conclusion, telephone triage data provided the most promising source for surveillance of point-source outbreaks.

摘要

为了开发一个全国性的疫情监测系统，本研究比较了三种症候群数据来源（急性肠胃炎电话分诊、胃肠道疾病症状网络查询和非处方（OTC）止泻药销售）中的本地疫情信号。该研究将这三个数据源与瑞典 2007 年至 2011 年的九起已知的水源性和食源性疫情进行了比较。在电话分诊数据中发现了四起最大疫情中的四起疫情信号，在 OTC 销售的止泻药数据中发现了两起最大疫情中的两起疫情信号。网络查询数据中没有发现疫情信号。第四大疫情的信号强度表明，疫情规模比官方报告的大十倍，支持使用电话分诊数据来进行态势感知。对于两个最大的疫情，成人腹泻的电话分诊数据分别在提前几周和几个月的早期阶段提供了疫情信号，这可能有助于早期事件检测。总之，电话分诊数据是监测点源疫情最有希望的来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/ff368d43ddbf/S0950268813001088_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/0e25978457b8/S0950268813001088_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/151305e22cdd/S0950268813001088_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/236f9fa5d807/S0950268813001088_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/ff368d43ddbf/S0950268813001088_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/0e25978457b8/S0950268813001088_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/151305e22cdd/S0950268813001088_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/236f9fa5d807/S0950268813001088_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab7/3891475/ff368d43ddbf/S0950268813001088_fig4.jpg

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