Automated digital reporting of clinical laboratory information to national public health surveillance systems, results of a EU/EEA survey, 2018.

Katrin Claire Leitmeyer, Laura Espinosa, Eeva Kaarina Broberg, Marc Jean Struelens
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引用次数: 6

Abstract

BackgroundTimely reporting of microbiology test results is essential for infection management. Automated, machine-to-machine (M2M) reporting of diagnostic and antimicrobial resistance (AMR) data from laboratory information management systems (LIMS) to public health agencies improves timeliness and completeness of communicable disease surveillance.AimWe surveyed microbiology data reporting practices for national surveillance of EU-notifiable diseases in European Union/European Economic Area (EU/EEA) countries in 2018.MethodsEuropean Centre for Disease Prevention and Control (ECDC) National Microbiology and Surveillance Focal Points completed a questionnaire on the modalities and scope of clinical microbiology laboratory data reporting.ResultsComplete data were provided for all 30 EU/EEA countries. Clinical laboratories used a LIMS in 28 countries. LIMS data on EU-notifiable diseases and AMR were M2M-reported to the national level in 14 and nine countries, respectively. In the 14 countries, associated demographic data reported allowed the de-duplication of patient reports. In 13 countries, M2M-reported data were used for cluster detection at the national level. M2M laboratory data reporting had been validated against conventional surveillance methods in six countries, and replaced those in five. Barriers to M2M reporting included lack of information technology support and financial incentives.ConclusionM2M-reported laboratory data were used for national public health surveillance and alert purposes in nearly half of the EU/EEA countries in 2018. Reported data on infectious diseases and AMR varied in extent and disease coverage across countries and laboratories. Improving automated laboratory-based surveillance will depend on financial and regulatory incentives, and harmonisation of health information and communication systems.

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临床实验室信息向国家公共卫生监测系统的自动数字报告,欧盟/欧洲经济区调查结果,2018年。
及时报告微生物学检测结果对感染管理至关重要。从实验室信息管理系统(LIMS)向公共卫生机构自动报告诊断和抗菌素耐药性(AMR)数据的机器对机器(M2M)可提高传染病监测的及时性和完整性。AimWe调查了2018年欧盟/欧洲经济区(EU/EEA)国家监测欧盟法定疾病的微生物学数据报告做法。方法欧洲疾病预防和控制中心(ECDC)国家微生物学和监测联络点完成了一份关于临床微生物学实验室数据报告方式和范围的问卷调查。结果所有30个EU/EEA国家均提供了完整的数据。28个国家的临床实验室使用LIMS。LIMS关于欧盟应通报疾病和抗生素耐药性的数据分别在14个国家和9个国家的国家一级进行了m2m报告。在14个国家中,报告的相关人口统计数据允许对患者报告进行重复。在13个国家,m2m报告的数据被用于国家一级的群集检测。M2M实验室数据报告已在6个国家与传统监测方法进行了验证,并在5个国家取代了传统监测方法。M2M报告的障碍包括缺乏信息技术支持和财政激励。结论2018年,近一半的欧盟/欧洲经济区国家将m2m报告的实验室数据用于国家公共卫生监测和警报目的。报告的传染病和抗微生物药物耐药性数据在不同国家和实验室的程度和疾病覆盖范围上各不相同。改进基于实验室的自动化监测将取决于财政和监管激励措施,以及卫生信息和通信系统的协调。
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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