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使用例行急诊室数据建立和验证胃肠道感染的综合征监测,德国,2019-2023年

Jonathan Hans Josef Baum^1,2,3, Achim Dörre^4,5, Tamara Sonia Boender^4,6,7

¹Department of Infectious Disease Epidemiology, Robert Koch Institute (RKI), Berlin, Germany. baumj@rki.de.

Scientific reports

|November 3, 2025

概括

德国急诊室中胃肠道感染的新综合征定义改善了疫情的检测. 这种自动化监测系统提供了及时的数据,补充了用于更好的公共卫生监测的传统方法.

科学领域:

公共卫生公共卫生
传染病流行病学传染病流行病学
医疗信息学医疗信息学

背景情况:

胃肠道感染在德国造成了严重的医疗负担,需要加强监测.
现有的基于实验室的监测有报告延迟,阻碍了及时发现疫情.
综合征监测为快速监测传染病趋势提供了一个潜在的解决方案.

研究的目的:

开发和验证一个综合症定义,用于在德国急诊室中对胃肠道感染的综合症监测.
与实验室数据相比,评估新型综合征监测系统的及时性和准确性.
将验证的综合症定义应用于德国的国家例行监测.

主要方法:

综合症定义是使用提交投诉 (加拿大紧急部门信息系统) 和诊断 (ICD-10) 开发的.
通过交叉相关性分析对特定胃肠道病原体的综合征和实验室监测趋势的验证.
从德国AKTIN注册表中包含紧急部门的连续数据 (01/2019-06/2023).

主要成果:

新型综合征定义结合了症状 (腹,吐,恶心) 和诊断 (肠道传染病).
对864,353次访问的分析确定2.1%为胃肠道感染病例.
综合征和基于实验室的监测显示出一致的趋势,显著的交叉相关性 (0.73) 在滞后-1时,表明实验室数据报告延迟1周.

结论:

开发的综合征定义有效地使得在急诊室中对胃肠道感染的综合征监测成为可能.
这种自动化系统补充了实验室监控,提供了更好的及时性和减少工作量.
经过验证的系统已在德国国家紧急部门的常规监控中实施.

关键词:

应急部门的紧急情况.紧急服务,医院医院服务.胃肠炎是一种胃肠炎.胃肠道疾病胃肠道疾病胃肠道感染胃肠道感染公共卫生监督是对公共卫生的监督.哨兵监视监视的哨兵监视综合症监测监测综合症监测

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