Diercke Michaela, Beermann Sandra, Tolksdorf Kristin, Buda Silke, Kirchner Göran
Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Seestraße 10, 13353, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Jul;61(7):806-811. doi: 10.1007/s00103-018-2758-3.
The revision of the International Classification of Diseases (ICD) could change morbidity and mortality statistics significantly, which also affects the area of infectious diseases. Infectious diseases are classified according to their etiology, affected body system or the life period during which the episode occurs. Specific challenges arise from emerging pathogens and the respective necessary adaptation. For epidemiologic analysis ICD-10 does not always offer enough additional information.ICD provides the basis for international comparison of infectious disease morbidity and mortality statistics, but it is also used to collect data for surveillance and research purposes, e. g. the notification system for infectious diseases, syndromic surveillance systems and the evaluation of data quality by using secondary data sources.ICD-11 offers the chance to better represent epidemiological concepts of infectious diseases by adding more relevant information as affected body system or manifestation. Due to the complexity of coding, ensuring continuity of morbidity and mortality statistics could be challenging.
《国际疾病分类》（ICD）的修订可能会显著改变发病率和死亡率统计数据，这也会影响传染病领域。传染病是根据其病因、受影响的身体系统或发病期间的生命周期进行分类的。新出现的病原体以及相应的必要调整带来了特定挑战。对于流行病学分析而言，ICD - 10并不总是能提供足够的额外信息。ICD为传染病发病率和死亡率统计数据的国际比较提供了基础，但它也用于收集监测和研究目的的数据，例如传染病通报系统、症状监测系统以及利用二手数据源评估数据质量。ICD - 11通过添加更多相关信息（如受影响的身体系统或表现），提供了更好地体现传染病流行病学概念的机会。由于编码的复杂性，确保发病率和死亡率统计数据的连续性可能具有挑战性。
