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公共卫生诊断 - 传染病监测与控制

Diagnostics for Public Health - Infectious Disease Surveillance and Control.

作者信息

Lipsitch Marc, Grad Yonatan

机构信息

Harvard T.H. Chan School of Public Health, Harvard University, Boston.

出版信息

NEJM Evid. 2024 May;3(5):EVIDra2300271. doi: 10.1056/EVIDra2300271. Epub 2024 Apr 23.

Abstract

AbstractAccurate diagnostics are critical in public health to ensure successful disease tracking, prevention, and control. Many of the same characteristics are desirable for diagnostic procedures in both medicine and public health: for example, low cost, high speed, low invasiveness, ease of use and interpretation, day-to-day consistency, and high accuracy. This review lays out five principles that are salient when the goal of diagnosis is to improve the overall health of a population rather than that of a particular patient, and it applies them in two important use cases: pandemic infectious disease and antimicrobial resistance.

摘要

摘要

准确的诊断对于公共卫生至关重要,以确保疾病追踪、预防和控制取得成功。医学和公共卫生中的诊断程序都需要许多相同的特性:例如,低成本、高速度、低侵入性、易于使用和解读、日常一致性以及高准确性。本综述阐述了在诊断目标是改善人群而非特定患者的整体健康时显著的五项原则,并将其应用于两个重要的应用案例:大流行传染病和抗菌药物耐药性。

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