Implementation of the community network of reference laboratories for human influenza in Europe

Implementation of the community network of reference laboratories for human influenza in Europe
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DOI:
10.1016/j.jcv.2005.02.005
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发表时间:
2005-10-01
影响因子:
8.8
通讯作者:
van der Velden, K
van der Velden, K
中科院分区:
医学3区
文献类型:
--
作者:
Meijer, A;Valette, M;van der Velden, K

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背景:欧洲联盟对准确流感实验室监测数据的需求日益增加,要求将参与欧洲流感监测计划(EISS)的现有合作国家流感参考实验室网络正规化。目的:建立欧洲人类流感参考实验室社区网络。方法:EISS病毒学家明确了CNRL的目标和任务。通过基于问卷的清单和质量控制评估(QCA)来监测实验室在任务中的表现。随后,制定了改善CNRL性能的措施。结果:CNRL于2003年4月启动,截至2004年5月,包括24个欧洲国家的32个实验室。其目标是为欧洲的人流感监测、早期预警和大流行防范提供高质量的参考服务。确定的基本任务是流感病毒的直接检测、培养、分型、分型和毒株特征、流感血清学诊断和临床标本和病毒分离株的储存。基于问卷的清单和QCAs显示,大多数CNRL实验室在大多数基本任务中表现良好,尽管在病毒测试的某些领域需要改进。因此,建立了任务小组,进一步改进网络中使用的方法。在2003-2004年流感季节期间,CNRL报告了有关A/福建/411/2002 (H3N2)样病毒引起的流感流行的准确数据,并在亚洲和加拿大发生甲型H5N1和甲型H7N3动物流行病期间迅速分享了信息、方案和试剂,证明了它的有用性。结论:EISS在欧洲建立了一个运作良好的人流感参考实验室社区网络,并为进一步加强和合作奠定了基础。今后重要的步骤包括改进实验室以执行所有基本任务,并与欧洲疾病预防和控制中心合作。(C) 2005 Elsevier B.V.版权所有
Background: The increased need for accurate influenza laboratory surveillance data in the European Union required formalisation of the existing network of collaborating national influenza reference laboratories participating in the European Influenza Surveillance Scheme (EISS).Objective: To establish a Community Network of Reference Laboratories for Human Influenza in Europe (CNRL).Methods: Virologists in EISS defined the objective and tasks of the CNRL. Performance of the laboratories in the tasks was monitored by questionnaire-based inventories and quality control assessments (QCA). Subsequently, actions were defined to improve the performance of the CNRL.Results: The CNRL started in April 2003 and included as of May 2004 32 laboratories in 24 European countries. The objective is to provide high quality reference services for human influenza surveillance, early warning and pandemic preparedness in Europe. The defined basic tasks are direct detection, culture, typing, subtyping and strain characterisation of influenza virus, diagnostic influenza serology and storage of clinical specimens and virus isolates. The questionnaire-based inventories and QCAs revealed that the majority of CNRL laboratories perform well in most of the basic tasks, although improvements are needed in certain areas of virus testing. Therefore, task groups have been established to further improve the methods used in the network. The CNRL has proven its usefulness during the 2003-2004 season by the reporting of accurate data concerning the flu epidemic caused by A/Fujian/411/2002 (H3N2)-like viruses and by the rapid sharing of information, protocols and reagents during the A(H5N1) and A(H7N3) epizootics in Asia and Canada.Conclusion: EISS has established a functioning Community Network of Reference Laboratories for Human Influenza in Europe and laid the foundation for further enhancement and collaborations. Important next steps include improving the laboratories to carry out all basic tasks and collaboration with the European Centre for Disease Prevention and Control. (C) 2005 Elsevier B.V. All rights reserved.