韩国某国际机场对发热入境者的发热筛查和检测：自我报告发热、红外热像仪扫描和鼓膜温度之间的关系。
Fever Screening and Detection of Febrile Arrivals at an International Airport in Korea: Association among Self-reported Fever, Infrared Thermal Camera Scanning, and Tympanic Temperature.
机构信息
Health Management and Policy Program, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA ; Ministry of Health and Welfare, Sejong, Republic of Korea.
Health Management and Policy Program, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA ; Applied Economics Graduate Program, Oregon State University, Corvallis, OR, USA.
出版信息
Epidemiol Health. 2014 May 30;36:e2014004. doi: 10.4178/epih/e2014004. eCollection 2014.
OBJECTIVES
The purpose of this research was to measure fever prevalence and the effectiveness of a fever screening procedure in detecting febrile arrivals at an international airport in Korea.
METHODS
Data were retrieved from arrivals' health declaration forms and questionnaires for febrile arrivals at an international airport collected by a national quarantine station during the year 2012. Self-reported health declaration forms were returned by 355,887 arrivals (61% of the total arrivals). Of these, 608 symptomatic arrivals (0.2%) including 6 febrile arrivals were analyzed.
RESULTS
Fever prevalence at an international airport in Korea was 0.002%. Self-reported fever was significantly positively associated with tympanic temperature (p<0.001). The difference between the thermal camera temperature (36.83°C) and tympanic (or ear) temperature (38.14°C) was not statistically significant.
CONCLUSIONS
The findings imply that a procedure for mass detection of fever such as self-reported questionnaires and thermal camera scanning may serve as an effective tool for detecting febrile arrivals at quarantine stations. Future research can benefit from looking at the sensitivity, specificity, positive predictive value, and negative predictive value of the entry screening system.
OBJECTIVES
The purpose of this research was to measure fever prevalence and the effectiveness of a fever screening procedure in detecting febrile arrivals at an international airport in Korea.
METHODS
Data were retrieved from arrivals’ health declaration forms and questionnaires for febrile arrivals at an international airport collected by a national quarantine station during the year 2012. Self-reported health declaration forms were returned by 355,887 arrivals (61% of the total arrivals). Of these, 608 symptomatic arrivals (0.2%) including 6 febrile arrivals were analyzed.
RESULTS
Fever prevalence at an international airport in Korea was 0.002%. Self-reported fever was significantly positively associated with tympanic temperature (<0.001). The difference between the thermal camera temperature (36.83°C) and tympanic (or ear) temperature (38.14°C) was not statistically significant.
CONCLUSIONS
The findings imply that a procedure for mass detection of fever such as self-reported questionnaires and thermal camera scanning may serve as an effective tool for detecting febrile arrivals at quarantine stations. Future research can benefit from looking at the sensitivity, specificity, positive predictive value, and negative predictive value of the entry screening system.
目的
本研究旨在测量韩国国际机场发热患者的流行率和发热筛查程序的效果。
方法
数据来自 2012 年国家检疫站收集的国际入境者健康申报单和发热入境者问卷。有 355887 名入境者（占总入境者的 61%）返回了自我报告的健康申报表。其中，分析了 608 名有症状的入境者（0.2%），包括 6 名发热入境者。
结果
韩国国际机场发热流行率为 0.002%。自我报告的发热与鼓室温度显著正相关（<0.001）。热像仪温度（36.83°C）与鼓室（或耳）温度（38.14°C）之间的差异无统计学意义。
结论
这些发现表明，自我报告问卷和热像仪扫描等大规模发热检测程序可作为检疫站检测发热入境者的有效工具。未来的研究可以从入境筛查系统的敏感性、特异性、阳性预测值和阴性预测值方面受益。
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