Syndromic surveillance of gastrointestinal illness using pharmacy over-the-counter sales - A retrospective stud of waterborne outbreaks in Saskatchewan and Ontario
Syndromic surveillance of gastrointestinal illness using pharmacy over-the-counter sales - A retrospective stud of waterborne outbreaks in Saskatchewan and Ontario
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DOI：
10.1007/bf03403991
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发表时间：
2004-11-01
影响因子：
4.3
通讯作者：
Ellis, A
中科院分区：
文献类型：
--
作者：
Edge, VL;Pollari, F;Ellis, A
目的：为了确定监测非处方药（OTC）销售是否可以提供及时的症状监测方法来检测胃肠道疾病的爆发。方法：本研究通过比较回顾性药房OTC销售的抗腹泻药和抗腹泻药与急诊室就诊和加拿大两起与隐孢子虫和大肠杆菌O157水污染相关的暴发的病例数，评价了综合征监测系统的潜力：H7和弯曲杆菌。每周合计OTC产品的本地销售趋势与疫情流行曲线相当。销售数据的统计控制测试表明，开始的爆发periods.Conclusions：一个自动化的监测工具的基础上的空间和时间的趋势分析，每日OTC销售将提供补充社区卫生信息的公共卫生官员，比目前可用的实验室为基础的监测系统。
Objective: To ascertain if monitoring over-the-counter (OTC) drug sales could provide a timely syndromic surveillance method of detecting outbreaks of gastrointestinal illness.Method: This study evaluated the potential of a syndromic surveillance system by comparing retrospective pharmacy OTC sales of anti-nauseants and anti-diarrheals to emergency room visits and case numbers from two Canadian outbreaks related to water contamination by Cryptosporidium, and E.coli O157:H7 and Campylobacter.Results: Local sales trends of weekly aggregate OTC products were comparable to the outbreak epidemic curves. Statistical control tests on the sales data indicated the start of the outbreak periods.Conclusions: An automated monitoring tool based on spatial and temporal trend analyses of daily OTC sales would provide supplemental community health information for public health officials that is timelier than currently available laboratory-based surveillance systems.