The impact on primary care of a large waterborne campylobacter outbreak in Norway: a controlled observational study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-01 Epub Date: 2024-02-07 DOI:10.1080/02813432.2023.2299116

A Iversen, G Rortveit, K A Wensaas, C O Gulla

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引用次数: 0

Abstract

Objective: Document the impact of an outbreak of gastroenteritis on local primary health care services, compared to a control period.

Design: Controlled observational study with data from the outbreak and a control period. Data obtained from electronic medical records (EMR) of general practitioners (GPs) and the out-of-hours (OOH) service. Telephone data from the OOH service's telephone records.

Setting: Campylobacteriosis outbreak in Askøy municipality, Norway in 2019. Over 2000 individuals were infected.

Subjects: Patients in contact with GPs and the OOH service during the outbreak and a control period.

Main outcome measures: Patient contacts with GPs and the OOH service during the outbreak and a control period.

Results: There was a 36% increase in contacts during the outbreak compared to the control period (4798 vs. 3528), with the OOH service handling 78% of outbreak-related contacts. Telephone advice was the dominant method for managing the increase in contacts to primary care, both in OOH services and daytime general practice (OR 3.73 CI: [3.24-4.28]). Children aged 0-4 years had increased use of primary care during the outbreak (OR 1.51 CI: [1.28-1.78]). GPs referred 25% and OOH services referred 75% of 70 hospitalized cases.

Conclusion: The OOH service handled most of the patients during the outbreak, with support from daytime general practice. The outbreak caused a shift towards telephone advice as a means of providing care. Young children significantly increased their use of primary care during the outbreak.

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挪威大规模水传播弯曲杆菌疫情对初级保健的影响：一项对照观察研究。

目标：记录肠胃炎爆发对当地初级医疗服务的影响：与对照期相比，记录肠胃炎爆发对当地初级医疗服务的影响：设计：对照观察研究，数据来自疫情爆发期和对照期。数据来自全科医生（GPs）和非工作时间（OOH）服务的电子病历（EMR）。电话数据来自非住院服务的电话记录：2019年挪威阿斯科伊市爆发弯曲杆菌病。2000多人受到感染：疫情爆发期间和对照期间与全科医生和户外医疗服务机构接触的患者：主要结果测量：疫情爆发期间和对照期间与全科医生和户外医疗服务机构接触的患者：结果：与对照期相比，疫情爆发期间的接触人数增加了36%（4798人对3528人），其中78%的疫情相关接触由户外医疗服务处理。电话咨询是处理初级保健接触者增加的主要方法，无论是在户外医疗服务机构还是在日间普通诊所（OR 3.73 CI：[3.24-4.28]）。疫情爆发期间，0-4 岁儿童对初级医疗服务的使用有所增加（OR 1.51 CI：[1.28-1.78]）。在 70 个住院病例中，全科医生转诊了 25% 的病例，而户外医疗服务转诊了 75% 的病例：疫情爆发期间，在日间全科医生的支持下，户外医疗服务处理了大部分患者。疫情的爆发导致人们转而将电话咨询作为提供医疗服务的一种手段。在疫情爆发期间，幼儿使用初级医疗服务的人数大幅增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.