The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol

The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol
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DOI:
10.1186/1471-2334-12-259
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发表时间:
2012-10-15
影响因子:
3.7
通讯作者:
van Pelt, Wilfrid
van Pelt, Wilfrid
中科院分区:
医学3区
文献类型:
--
作者:
Enserink, Remko;Noel, Harold;van Pelt, Wilfrid

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背景:日托相关传染病被广泛认为是一个公共卫生问题,但很少研究。深入了解它们的动态及其与日托环境的关联对于传染病控制管理中的有效决策非常重要。本文介绍了我们的国家多中心,日托为基础的传染病哨点监测网络(KIzSS网络)的目的,设计和潜力。的KIzSS网络的目的是获得一个长期的洞察综合征和微生物方面的日托相关的传染病和相关的疾病负担,并模拟这些方面与日托设置characteristics.Methods/design:KIzSS网络采用前瞻性队列设计,以下日托中心,而不是个别儿童或工作人员随着时间的推移。每天、每周或每月收集关于传染病症状和相关发病率(儿童和工作人员)、医疗消费、缺勤和肠道循环病原体(儿童)的数据。每两年进行一次调查,以评估参与日托centers.Discussion的特点:KIzSS网络提供了一个独特的潜力,研究传染病的动态在日托设置在一个持续的时间。创建的(生物)数据库将帮助我们评估日托相关的疾病负担,在参加儿童和工作人员之间的传染病,以及他们与日托设置的关系。这将支持急需的基于证据和务实的指南,在日托中心的传染病控制的发展。
Background: Day care-associated infectious diseases are widely recognized as a public health problem but rarely studied. Insights into their dynamics and their association with the day care setting are important for effective decision making in management of infectious disease control. This paper describes the purpose, design and potential of our national multi-center, day care-based sentinel surveillance network for infectious diseases (the KIzSS network). The aim of the KIzSS network is to acquire a long-term insight into the syndromic and microbiological aspects of day care-related infectious diseases and associated disease burden and to model these aspects with day care setting characteristics.Methods/design: The KIzSS network applies a prospective cohort design, following day care centers rather than individual children or staff members over time. Data on infectious disease symptoms and related morbidity (children and staff), medical consumption, absenteeism and circulating enteric pathogens (children) are collected on a daily, weekly or monthly basis. Every two years, a survey is performed to assess the characteristics of participating day care centers.Discussion: The KIzSS network offers a unique potential to study infectious disease dynamics in the day care setting over a sustained period of time. The created (bio) databases will help us to assess day care-related disease burden of infectious diseases among attending children and staff and their relation with the day care setting. This will support the much needed development of evidence-based and pragmatic guidelines for infectious disease control in day care centers.