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目的分析严重临床异常病例/事件监测试运行期间上海市长宁区重点传染病监测结果,为系统的推广使用提供依据。方法分析2014年1-7月间辖区内重点传染病及症状监测系统的结果,与试点医院严重临床异常病例/事件监测结果进行比对。结果试运行期间,通过长宁区区域内现有的传染病、突发公共卫生事件、流感、输入性传染病等各类疾病和症状系统的监测,共检出2例具有公共卫生意义的严重/异常临床个案,其中1例为血清学确诊的流行性出血热病例,1例为可疑的中东呼吸道综合征病例。但因为哨点医院设置、筛查标准等问题,这两例病例均未通过严重临床异常病例/事件监测系统试点医院的系统报告。结论严重临床异常病例/事件监测系统是突发公共卫生事件早期预警的补充手段之一,但在推广应用时需扩大监测范围,并完善筛查标准。
Objective To analyze the surveillance results of key infectious diseases in Changning District of Shanghai during the trial operation of serious clinical abnormal cases / events and provide the basis for the promotion and use of the system. Methods The results of the surveillance system for key infectious diseases and symptoms in the area from January to July 2014 were analyzed and compared with the results of surveillance of severe clinical abnormalities / events in pilot hospitals. Results During the trial operation, 2 kinds of public health-related severe / obstructive diseases were detected through the monitoring of various diseases and symptoms of infectious diseases, public health emergencies, influenza and imported infectious diseases in Changning District. Among the abnormal clinical cases, one was serologically confirmed cases of epidemic hemorrhagic fever and one was suspected Middle East respiratory syndrome. However, neither of the two cases passed the systematic report of the pilot hospital for the serious clinical abnormal case / event monitoring system because of problems such as sentinel hospital setting and screening criteria. Conclusion Serious clinical abnormal case / event monitoring system is one of the supplementary means of early warning of public health emergencies. However, it is necessary to expand the monitoring scope and improve the screening standards in the promotion and application.