Syndromic surveillance for influenzalike illness
Syndromic surveillance for influenzalike illness
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DOI：
10.1089/bsp.2007.0056
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发表时间：
2008-06-01
期刊：
影响因子：
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通讯作者：
Achonu, Camille
中科院分区：
文献类型：
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作者：
Lemay, Richard;Mawudeku, Abla;Achonu, Camille
目前，一些综合征监测系统正在使用急诊科的数据来确定自然或人为疾病的暴发，初步结果表明，与传统的报告相比，使用这些数据可以更早地发现常规暴发。本文总结了加拿大渥太华5个流感季节的回顾性研究；时间序列分析用于寻找流感类疾病急诊会诊与社区流感病毒隔离之间的关联。所研究的人群包括到3家当地医院就诊的儿童和成人。在4个季节中，5岁以下儿童到急诊科就诊主要是因发烧和呼吸道症状，在社区分离流感病毒前1至4周达到高峰。如果对主要症状的出现进行定期监测，儿科医院可能成为流感和其他传染病的高效且具有成本效益的哨兵。
Emergency department data are currently being used by several syndromic surveillance systems to identify outbreaks of natural or man-made illnesses, and preliminary results suggest that regular outbreaks might be detected earlier with such data than with traditional reporting. This article summarizes a retrospective study of 5 influenza seasons in Ottawa, Canada; time-series analysis was used to look for an association between consultation to the emergency department for influenzalike illness and the isolation of influenza virus in the community. The population studied included both children and adults consulting to 3 local hospitals. In 4 seasons, visits to the emergency department involving children younger than 5 years consulting mainly for fever and for respiratory symptoms peaked 1 to 4 weeks before the isolation of influenza virus in the community. If monitored regularly for the presence of key symptoms, pediatric hospitals might be efficient and cost-effective sentinels of influenza and of other infectious diseases.