Branch-Elliman Westyn, Sundermann Alexander J, Wiens Jenna, Shenoy Erica S
Section of Infectious Diseases, Department of Medicine, Veterans' Affairs (VA) Boston Healthcare System, Boston, Massachusetts.
VA Boston Center for Healthcare Organization and Implementation Research (CHOIR), Boston, Massachusetts.
Antimicrob Steward Healthc Epidemiol. 2023 Feb 10;3(1):e26. doi: 10.1017/ash.2022.333. eCollection 2023.
Current methods of emergency-room-based syndromic surveillance were insufficient to detect early community spread of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in the United States, which slowed the infection prevention and control response to the novel pathogen. Emerging technologies and automated infection surveillance have the potential to improve upon current practice standards and to revolutionize the practice of infection detection, prevention and control both inside and outside of healthcare settings. Genomics, natural language processing, and machine learning can be leveraged to improve identification of transmission events and aid and evaluate outbreak response. In the near future, automated infection detection strategies can be used to advance a true "Learning Healthcare System" that will support near-real-time quality improvement efforts and advance the scientific basis for the practice of infection control.
目前基于急诊室的症状监测方法不足以在美国检测到严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的早期社区传播,这减缓了对这种新型病原体的感染预防和控制反应。新兴技术和自动化感染监测有潜力改进当前的实践标准,并彻底改变医疗保健机构内外的感染检测、预防和控制实践。基因组学、自然语言处理和机器学习可用于改进传播事件的识别,并协助和评估疫情应对。在不久的将来,自动化感染检测策略可用于推动真正的“学习型医疗系统”,该系统将支持近实时的质量改进工作,并推进感染控制实践的科学基础。