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Bioterrorism and Influenza Surveillance Network

生物恐怖主义和流感监测网络

基本信息

批准号：
6785184
负责人：
JONATHAN L TEMTE
金额：
$ 9.96万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-30 至 2005-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6785184
关键词：
bioterrorism /chemical warfare clinical research diarrhea emerging infectious disease epidemiology human subject influenza influenzavirus A primary care physician public health skin disorder

项目摘要

DESCRIPTION (provided by applicant): The Wisconsin Bioterrorism and Influenza Sentinel Surveillance Network [BISSEN] Background: The ability to conduct sentinel surveillance for infections resulting from bioterrorism and other emerging infections is becoming an essential function of the health care system in the United States. There is little evidence in existence, however, to inform public health officials on how to engage in primary care--or on how to engage primary care clinicians--for purposes of surveillance. Building short-term or "drop-in" surveillance for bioterrorism as an add-on to existing practice-based research network (PBRN) function or to an existing nationwide influenza surveillance program may be an efficient and effective means to detect unusual events. Research Questions: Does participation in a PBRN enhance physician response to "drop-in" surveillance protocols for emerging infectious diseases and bioterrorism? Does participation by primary care physicians in an existing influenza sentinel surveillance program enhance response to "drop-in" surveillance protocols for emerging infectious diseases and bioterrorism? Experimental Design: Subjects are 120 physicians. Thirty family physician members of the Wisconsin Research Network (WReN), 30 Wisconsin Influenza Sentinel Clinician Program (WISCP) physicians, and 60 family physician members of the Wisconsin Academy of Family Physicians (WAFP) will be recruited to participate in two future episodes of "drop-in" surveillance with web-based reporting. One surveillance protocol will entail reporting the numbers and age categories of patients with acute diarrhea during a four-week period. The second protocol will involve reporting specific, HIPAA-compliant data on individual cases of acute rash illness during a two-week surveillance period. Outcome Measures: Primary outcome measures include the median rates of protocol compliance by each group of physicians for each type of protocol. The rate of participation will allow comparison of WReN physicians to WISCP physicians and family physicians engaged in organized collection of data (WReN+WISCP) to nonaffiliated physicians. Secondary outcomes will emerge as physician attitudes from a post-hoc meeting at which selected high- and low-responders from each group will be invited to interact with public health surveillance personnel. Significance: The results of this exploratory study will provide key information to public health officials, PBRN directors, and influenza surveillance coordinators as to the appropriate clinicians to recruit for bioterrorism and emerging infection surveillance. Since numerous PBRNs exist across the nation and most states have some level of influenza surveillance, the results should be generalizable to a wide geographic area. Moreover, the results will inform those interested in creating surveillance protocols on features that will enhance participation of clinicians, thus improving efforts to conduct surveillance for emerging public health threats.

描述（由申请人提供）：威斯康星州生物恐怖主义和流感哨点监测网络[BISSEN]背景：对由生物恐怖主义和其他新发感染引起的感染进行哨点监测的能力正在成为美国卫生保健系统的一项基本功能。然而，几乎没有证据可以告诉公共卫生官员如何参与初级保健，或者如何聘请初级保健临床医生进行监测。作为现有基于实践的研究网络（PBRN）功能或现有的全国性流感监测计划的补充，建立生物恐怖主义的短期或“临时”监测可能是发现异常事件的一种高效和有效的手段。