RESUMO
BACKGROUND AND OBJECTIVE: During the influenza pandemic 2009/2010 and the outbreak of entero-haemorrhagic Escherichia coli (EHEC)/hemolytic-uremic syndrome (HUS) 2011, the statutory reporting system in Germany was complemented by additional event-related surveillance systems in hospitals. The Pandemic Influenza Hospital Surveillance (PIKS) and the Surveillance of Bloody Diarrhea (SBD) were evaluated, to make experiences available for similar future situations. METHODS: The description and evaluation of our surveillance systems is based on the "Updated Guidelines for Evaluating Public Health Surveillance Systems" published by the U.S. Centers for Disease Control and Prevention in 2001. RESULTS: PIKS and SBD could be implemented quickly and were able to capture resilient data in a timely manner both on the severity and course of the influenza pandemic 2009/2010 and the outbreak of EHEC and HUS 2011. Although lacking in representativeness, sensitive and useful data were generated. CONCLUSION: In large outbreaks of severe diseases, the establishment of specific hospital surveillance should be considered as early as possible. In Germany, the participating hospitals were able to rapidly implement the required measures.
Assuntos
Infecções Comunitárias Adquiridas/epidemiologia , Infecção Hospitalar/epidemiologia , Surtos de Doenças/estatística & dados numéricos , Disenteria/epidemiologia , Escherichia coli Êntero-Hemorrágica , Síndrome Hemolítico-Urêmica/epidemiologia , Influenza Humana/epidemiologia , Vigilância da População/métodos , Centers for Disease Control and Prevention, U.S. , Infecções Comunitárias Adquiridas/transmissão , Infecção Hospitalar/prevenção & controle , Infecção Hospitalar/transmissão , Estudos Transversais , Coleta de Dados , Notificação de Doenças/estatística & dados numéricos , Surtos de Doenças/prevenção & controle , Disenteria/etiologia , Disenteria/prevenção & controle , Serviço Hospitalar de Emergência/estatística & dados numéricos , Alemanha , Síndrome Hemolítico-Urêmica/etiologia , Síndrome Hemolítico-Urêmica/prevenção & controle , Sistemas de Informação Hospitalar , Humanos , Influenza Humana/prevenção & controle , Influenza Humana/transmissão , Unidades de Terapia Intensiva/estatística & dados numéricos , Internet , Admissão do Paciente/estatística & dados numéricos , Design de Software , Estados UnidosRESUMO
Germany has a well established broad statutory surveillance system for infectious diseases. In the context of the current outbreak of bloody diarrhoea and haemolytic uraemic syndrome caused by Shiga toxin/ verotoxin-producing Escherichia coli in Germany it became clear that the provisions of the routine surveillance system were not sufficient for an adequate response. This article describes the timeline and concepts of the enhanced surveillance implemented during this public health emergency.
