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[症状监测:把握公共卫生的脉搏]

[Syndromic surveillance: a finger on the pulse of public health].

作者信息

van Asten Liselotte, Fanoy Ewout B, Hooiveld Mariëtte, Koopmans Marion P G, Kretzschmar Mirjam E E

机构信息

*Dit artikel is een bewerking van het hoofdstuk 'Mogelijkheden van syndroomsurveillance', in: Bijkerk P, van der Plas SM, van Asten L, et al. Staat van Infectieziekten in Nederland 2011. (Bilthoven: RIVM; 2012).

出版信息

Ned Tijdschr Geneeskd. 2014;158:A7415.

PMID:24975977
Abstract

Syndromic surveillance is a monitoring methodology in which data from disease indicators are collected and interpreted as quickly as possible (in real time) to get an impression of the current morbidity in the population. In this case 'syndrome' means: behavior, signs and symptoms that may be indicative of an infection, without a proven pathogen, or incidents such as an environmental disaster. Syndromic surveillance has gained momentum in response to various international infectious disease threats, including the outbreak of severe acute respiratory syndrome (SARS) in 2003. In several European countries, syndromic surveillance has been used to monitor the impact of outbreaks or natural disasters and the health of visitors of mass events. Following the outbreak of an infectious disease, syndromic surveillance can be reassuring in the absence of an epidemic. Insight into burden of disease can provide guidance in adjusting care capacity to need. Several syndromic surveillance systems and pilot studies have been set up recently in the Netherlands. The costs, benefits and their best application should be evaluated in the near future.

摘要

症状监测是一种监测方法,即尽快(实时)收集和解读来自疾病指标的数据,以了解人群当前的发病率情况。在此情形下,“综合征”指:可能表明存在感染但病原体未经证实的行为、体征和症状,或诸如环境灾难等事件。鉴于包括2003年严重急性呼吸综合征(SARS)疫情在内的各种国际传染病威胁,症状监测已得到进一步发展。在一些欧洲国家,症状监测已被用于监测疫情或自然灾害的影响以及大型活动参观者的健康状况。传染病疫情爆发后,若无疫情,症状监测可让人安心。了解疾病负担可为根据需求调整护理能力提供指导。荷兰最近已建立了若干症状监测系统和试点研究项目。在不久的将来应对其成本、效益及其最佳应用进行评估。

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