Analysis of the Korean Emergency Department Syndromic Surveillance System: Mass Type Acute Diarrheal Syndrome
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study was designed to compare the data from the emergency department syndromic surveillance system of Korea in detection and reporting of acute diarrheal syndrome (mass type) with the data from the Korea Food and Drug Administration. And to offer fundamental materials for making improvements in current surveillance system was our purpose. Methods: A study was conducted by reviewing the number of cases reported as acute diarrheal syndrome (mass type) from the Korean Center for Disease Control and Prevention between June, 2002 and July, 2008. And the data were compared with the number of mass food poisoning cases during the same period, reported from the Korea Food and Drug Administration. The difference between two groups was measured and their transitions were compared. Results: The emergency department syndromic surveillance system’s reports of the numbers of acute diarrheal syndrome (mass type) cases were different from the transition of mass food poisonings, reported by the Korea Food and Drug Administration. Their reports were not accurate and they could not follow the trends of increase in mass food poisonings since 2002. Conclusions: Current problems in the emergency department syndromic surveillance system in Korea are mostly related to inaccuracies of daily data reporting system. Manual data input by the reporters could play a big role in such inaccuracies. There need to be improvements in the ways of reporting data, such as automated information transport system linking electronic medical record.
Abstract
Objectives: This study was designed to compare the data from the emergency department syndromic surveillance system of Korea in detection and reporting of acute diarrheal syndrome (mass type) with the data from the Korea Food and Drug Administration. And to offer fundamental materials for making improvements in current surveillance system was our purpose. Methods: A study was conducted by reviewing the number of cases reported as acute diarrheal syndrome (mass type) from the Korean Center for Disease Control and Prevention between June, 2002 and July, 2008. And the data were compared with the number of mass food poisoning cases during the same period, reported from the Korea Food and Drug Administration. The difference between two groups was measured and their transitions were compared. Results: The emergency department syndromic surveillance system’s reports of the numbers of acute diarrheal syndrome (mass type) cases were different from the transition of mass food poisonings, reported by the Korea Food and Drug Administration. Their reports were not accurate and they could not follow the trends of increase in mass food poisonings since 2002. Conclusions: Current problems in the emergency department syndromic surveillance system in Korea are mostly related to inaccuracies of daily data reporting system. Manual data input by the reporters could play a big role in such inaccuracies. There need to be improvements in the ways of reporting data, such as automated information transport system linking electronic medical record.
참고문헌 (13)
- Sosin DM, "Syndromic surveillance: the case for skillful investment view", Biosecur Bioterror, 1, pp.247~253 (2003)
- "Anti-Bioterrorism Information Network"[URL]
- 조준필, "응급실 증후군 감시체계의 운영 현황과 활성화 방안", 예방의학회지, 41(4), pp.219~224 (2008), 대한예방의학회
- Beitel AJ, "Use of emergency department chief complaint and diagnostic codes for identifying respiratory illness in a pediatric population", Pediatr Emerg Care, 20, pp.355~360 (2004)
- Fleischauer AT, "The validity of chief complaint and discharge diagnosis in emergency department-based syndromic surveillance", Acad Emerg Med, 11, pp.1262~1267 (2004)
- [URL]
- Caudle JM, "Telehealth Ontario detection of gastrointestinal illness outbreaks", Can J Public Health, 100, pp.253~257 (2009)
- Gangnon R, "Syn dromic surveillance: early results from the MARISSA project", WMJ, 108, pp.256~258 (2009)
- Muscatello DJ, "An automated, broad-based, near realtime public health surveillance system using presentations to hospital Emergency Departments in New South Wales, Australia", BMC Public Health, 5, pp.141~ (2005)
- van-Dijk A, "Real-time surveillance for respiratory disease outbreaks", Emerg Infect Dis, 15, pp.799~801 (2009)
- Irvin CB, "Syndromic analysis of computerized emergency department patients' chief complaints: an opportunity for bioterrorism and influenza surveillance", Ann Emerg Med, 41, pp.447~452 (2003)
- Chapman WW, "Classification of emergency department chief complaints into 7 syndromes: a retrospective analysis of 527,228 patients", Ann Emerg Med, 46, pp.445~455 (2005)
- Buehler JW, "CDC Working Group. Framework for evaluating public health surveillance systems for early detection of outbreaks: recommendations from the CDC Working Group", MMWR Recomm Rep, 53, pp.1~11 (2004)