世博期间上海市浦东新区医疗机构症状监测系统的建立与结果分析

The establishment and preliminary analysis of syndromic surveillance system of hospitals during World Expo in Pudong New Area,Shanghai

目的以2010年上海世界博览会卫生保障为背景,以医疗机构为数据源,探讨建立浦东新区传染病症状监测系统和早期预警的方法。方法依托医院信息系统(hospital information system,HIS)嵌入模块,采集上海市浦东新区21家医院就诊患者的相关症状,通过浦东新区卫生信息网导入症状监测系统数据库进行资料分析;并采用累积和预警模型和绝对值预警方法探测报告数异常情况。结果 2010年5月1日～10月31日期间,监测目标病例共计105 352例,以发热呼吸道和腹泻症候群最为常见,东方医院和浦东新区人民医院报告病例数最多。监测期内系统总共发出191条预警信号,信号数最多的是发热呼吸道和腹泻症候群,最少的是中枢神经系统症候群,信号强度以1级为主。结论笔者等成功建立了浦东新区医疗机构传染病症状监测系统,并在2010年上海世界博览会期间成功应用。

Objective To explore the methods of a community-based syndromes surveillance system and early warning, getting data source from medical institutions, on the background of health security for 2010 Shanghai World Expo. Methods We collected relative symptom of patients who went to the 21 hospitals in Pudong of Shanghai, depending on embedded modules in hospital information system （ HIS）, then the data were loaded into syndromes surveillance system da- tabase through health information network to analysis; and we probed reported numbers＇ abnormal situation by the cusum early warning model and the absolute value of early warning methods. Results From 1 st May, 2010 to 31 st October, a total of 105 352 targeted cases were monitored, syndrome with fever respiratory and diarrhea were the most common, Eastern Hospital and people＇s hospital reported the most cases; a total of 191 early warning signals were issued during monitoring period, the largest number of signals were fever respiratory syndrome and diarrhea syndrome, and the least number was the severe central nervous system syndrome, the 1 level was the main signal strength. Conclusions A community-based syn- dromes surveillance system of infectious disease in medical institutions was successfully established, and it was perfectly applied during 2010 Shanghai World Expo in Pudong.