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Impact of electronic laboratory reporting on hepatitis A surveillance in New York City.

机译:电子实验室报告对纽约市甲型肝炎监测的影响。

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BACKGROUND: The New York City Department of Health and Mental Hygiene (DOHMH) coordinates the administration of timely postexposure prophylaxis (PEP) to contacts of hepatitis A cases, making prompt disease reporting especially valuable. Electronic laboratory reporting (ELR) has been shown to improve timeliness of infectious disease reporting, and DOHMH began receiving hepatitis A reports via ELR in 2002. OBJECTIVES: (1) to quantify the increase in the proportion of hepatitis A reports received electronically, (2) to assess how implementation of ELR affected the reporting time of hepatitis A, and (3) to assess how changes in reporting time impacted the ability to offer timely prophylaxis to contacts. METHODS: We evaluated the proportion of reports received via ELR and the annual reporting time of all hepatitis A reports and quantified the individuals who received PEP from 2000 to 2006. The specific impact of ELR on laboratory reporting time was assessed for nine laboratories certified as of July 2006. RESULTS: The proportion of hepatitis A reports received via ELR increased during the study period to 35 percent in 2006. Electronic laboratory reporting improved the reporting time for most of the laboratories certified to report electronically, with a median decrease of 17 days. In 2006, DOHMH administered PEP to 299 individuals; a fourfold increase from 2000. CONCLUSIONS: Electronic laboratory reporting provides timely disease data to health departments. Increased utilization of ELR can have a remarkable impact on public health surveillance and response.
机译:背景:纽约市卫生和心理卫生部(DOHMH)协调对甲型肝炎患者接触者及时进行暴露后预防(PEP)的管理,这使得及时报告疾病特别有价值。电子实验室报告(ELR)可以改善传染病报告的及时性,并且DOHMH从2002年开始通过ELR接收甲型肝炎报告。目标:(1)量化通过电子方式接收的甲型肝炎报告比例的增加,(2 )评估ELR的实施方式如何影响甲型肝炎的报告时间,以及(3)评估报告时间的变化如何影响及时预防接触者的能力。方法:我们评估了通过ELR收到的报告的比例和所有甲型肝炎报告的年度报告时间,并对2000年至2006年接受PEP的个体进行了量化。评估了截至2009年9月获得认证的9个实验室的ELR对实验室报告时间的具体影响。 2006年7月。结果:在研究期间,通过ELR收到的甲型肝炎报告的比例在2006年增加到35%。电子实验室报告缩短了大多数认证为电子报告实验室的报告时间,中位数减少了17天。 2006年,DOHMH对PEP进行了299人治疗;与2000年相比增长了四倍。结论:电子实验室报告为卫生部门提供了及时的疾病数据。 ELR利用率的提高可以对公共卫生的监测和响应产生显着影响。

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