GeoSentinel: The global emerging infections sentinel network of the International Society of Travel Medicine
GeoSentinel: The global emerging infections sentinel network of the International Society of Travel Medicine
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DOI：
10.1111/j.1708-8305.1999.tb00839.x
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发表时间：
1999-06-01
影响因子：
25.7
通讯作者：
Cetron, MS
中科院分区：
文献类型：
--
作者：
Freedman, DO;Kozarsky, PE;Cetron, MS
GeoSentinel是一个由22个成员旅行/热带医学诊所组成的网络（14个在美国，8个在其他国家），由国际旅行医学学会于1995年发起。GeoSentinel基于这样一个概念，即这些诊所处于理想的位置，可以有效地检测旅行者发病率的地理和时间趋势。核心监控工具是一个单页的可传真表格，提交给每个旅行后患者的中央数据站点，包括移民，难民和外国游客。诊断输入为特定病因或综合征，然后与地理位置，参考日期和临床表现联系起来。此外，定期与全球ISTM成员诊所进行电子通信，以获得更广泛的数据收集，以回应特定的查询。GeoSentinel的范围已经从最初的设想扩大，最初设想是建立一个以提供者为基础的哨兵网络，在发达国家的入境点跟踪新出现的感染。目前的目标是：（1）监测全球旅行者疾病发生的趋势;（2）确定按旅行目的和旅行者类型分类的旅行者群体的危险因素和发病率;（3）对紧急的公共卫生询问作出反应;（4）为旅行者的健康制定教育优先事项;和（5）通过电子方式向监测点、55个国家的所有ISTM成员和公共卫生当局发布警报，以实现快速反应。此外，该网络的一个主要副产品，现在是其最强大的资产之一，是ISTM，疾病控制和预防中心和世界各地的医疗保健提供者以及其他医学协会，政府和私人组织之间的伙伴关系的增长。本文总结了GeoSentinel站点分析的前2813例患者记录的人口统计数据、旅行模式和临床表现。
GeoSentinel is a network of 22 member travel/tropical medicine clinics (14 in the United States and 8 in other countries) initiated in 1995 by the International Society of Travel Medicine (ISTM). GeoSentinel is based on the concept that these clinics are ideally situated to effectively detect geographic and temporal trends in morbidity among travelers. The core surveillance toot is a single-page faxable form submitted to a central data site for each post-travel patient, including immigrants, refugees, and foreign visitors. Diagnoses are entered either as specific etiologies or as syndromes and are then linked to geographic locations, reference dates, and clinical presentations. In addition, electronic communication with the larger body of worldwide ISTM member clinics is periodically done to obtain broader data collection in response to specific inquiries. The scope of GeoSentinel has broadened from the initial vision of a provider-based sentinel network tracking emerging infections at their point of entry into developed countries. its present goals are (1) to monitor global trends in disease occurrence among travelers; (2) to ascertain risk factors and morbidity in groups of travelers categorized by travel purpose and type of traveler; (3) to respond to urgent public health queries; (4) to develop educational priorities for travelers' health; and (5) to effect a rapid response by electronically disseminating alerts to surveillance sites, to all ISTM members in 55 countries, and to public health authorities. In addition, a major byproduct of the network, and now one of its strongest assets, has been the growth of partnerships between ISTM, Centers for Disease Control and Prevention and health-care providers around the world, as well as other medical societies, government, and private organizations. The demographic data, travel patterns, and clinical presentations for the first 2813 patient records analyzed from the GeoSentinel sites are summarized in this paper.