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首页> 外文期刊>BMC Pregnancy and Childbirth >Maternal and neonatal data collection systems in low- and middle-income countries for maternal vaccines active safety surveillance systems: A scoping review
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Maternal and neonatal data collection systems in low- and middle-income countries for maternal vaccines active safety surveillance systems: A scoping review

机译：低收入和中等收入国家的孕产妇和新生儿数据收集系统，用于母体疫苗积极安全监测系统：范围审查

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Most post-licensure vaccine pharmacovigilance in low- and middle-income countries (LMICs) are passive reporting systems. These have limited utility for maternal immunization pharmacovigilance in LMIC settings and need to be supplemented with active surveillance. Our study’s main objective was to identify existing perinatal data collection systems in LMICs that collect individual information on maternal and neonatal health outcomes and could be developed to inform active safety surveillance of novel vaccines for use during pregnancy. A scoping review was performed following the Arksey and O’Malley six-stage approach. We included studies describing electronic or mixed paper-electronic data collection systems in LMICs, including research networks, electronic medical records, and custom software platforms for health information systems. Medline PubMed, EMBASE, Global Health, Cochrane Library, LILACS, Bibliography of Asian Studies (BAS), and CINAHL were searched through August 2019. We also searched grey literature including through Google and websites of existing relevant perinatal data collection systems, as well as contacted authors of key studies and experts in the field to validate the information and identify additional sources of relevant unpublished information. A total of 11,817 records were identified. The full texts of 264 records describing 96 data collection systems were assessed for eligibility. Eight perinatal data collection systems met our inclusion criteria: Global Network’s Maternal Newborn Health Registry, International Network for the Demographic Evaluation of Populations and their Health; Perinatal Informatic System; Pregnancy Exposure Registry & Birth Defects Surveillance; SmartCare; Open Medical Record System; Open Smart Register Platform and District Health Information Software 2. These selected systems were qualitatively characterized according to seven different domains: governance; system design; system management; data management; data sources, outcomes and data quality. This review provides a list of active maternal and neonatal data collection systems in LMICs and their characteristics as well as their outreach, strengths, and limitations. Findings could potentially help further understand where to obtain population-based high-quality information on outcomes to inform the conduct of maternal immunization active vaccine safety surveillance activities and research in LMICs.
机译：低收入和中等收入国家（LMIC）的大多数授权疫苗药物可被动报告系统。这些具有有限的母体免疫药物途径在LMIC环境中具有有限的实用性，需要补充积极监测。我们的研究主要目的是识别LMIC中的现有围产期数据收集系统，收集有关孕产妇和新生儿健康状况的个人信息，并可以制定以告知怀孕期间使用新型疫苗的主动安全监测。在Arksey和O'Malley六阶段方法之后进行了一个范围审查。我们包括描述了LMIC中的电子或混合纸电子数据收集系统的研究，包括用于健康信息系统的研究网络，电子医疗记录和自定义软件平台。 Medline PubMed，Embase，Global Health，Cochrane图书馆，Lilacs，亚洲研究的参考书目和Cinahl在2019年8月被搜查。我们还搜索了灰色文学，包括通过谷歌和现有相关的围产期数据收集系统的网站，以及联系了本领域重点研究和专家的作者，以验证信息并确定相关未发表信息的其他来源。共识别出11,817条。描述了264条记录的全文，描述了96个数据收集系统的资格。八个围产期数据收集系统符合我们的纳入标准：全球网络的母亲新生儿健康登记处，国际网络，用于人口的人口和健康状况;围产期信息系统;怀孕曝光登记和出生缺陷监测; SmartCare;公开医疗记录系统;打开智能寄存器平台和区健康信息软件2.根据七个不同的域名，这些选择的系统具有定性特征：治理;系统设计;系统管理;数据管理;数据源，结果和数据质量。本次审查提供了LMIC中的有源母体和新生儿数据收集系统的列表及其特征以及其外展，优势和局限性。调查结果可能有助于进一步了解在何处获得有关成果的基于人口的高质量信息，以告知母体免疫活性疫苗安全监测活动和LMICS的研究。

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