Surveillance system for acute severe infections with epidemic potential based on a deterministic-stochastic model, the StochCum Method.

Autor: Castañón-González JA; Health Sciences Research Center, Faculty of Health Sciences, Universidad Anahuac, Huixquilucan, Estado de Mexico; Department of Critical Care Medicine, Hospital Juarez de Mexico, Mexico City; Mexico., Polanco-González C; Health Sciences Research Center, Faculty of Health Sciences, Universidad Anahuac, Huixquilucan, Estado de Mexico; Faculty of Sciences, Universidad Nacional Autónoma de Mexico, Mexico City; Department of Electromechanical Instrumentation, Instituto Nacional de Cardiología 'Ignacio Chávez', México City; Mexico., González-González R; Department of Epidemiology, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico City, Mexico., Carrillo-Ruiz JD; Health Sciences Research Center, Faculty of Health Sciences, Universidad Anahuac, Huixquilucan, Estado de Mexico; Research Direction, Hospital General de México, Mexico City, Mexico.
Jazyk: angličtina
Zdroj: Cirugia y cirujanos [Cir Cir] 2020 Mar 09. Date of Electronic Publication: 2020 Mar 09.
DOI: 10.24875/CIRU.20000725
Abstrakt: Background: The dynamic interactions of severe infectious diseases with epidemic potential and their hosts are complex. Therefore, it remains uncertain if a sporadic zoonosis restricted to a certain area will become a global pandemic or something in between.
Objective: The objective of the study was to present a surveillance system for acute severe infections with epidemic potential based on a deterministic-stochastic model, the StochCum Method.
Design: The StochCum Method is founded on clinical, administrative, and sociodemographic variables that provide a space/time map as a preventive warning of possible outbreaks of severe infections that can be complemented based on the sum of all the first accumulated cases. If the outbreak is happening in high-risk areas, an early warning can be elicited to activate the health response system and save time while waiting for the confirmation of symptomatic cases.
Results: The surveillance system was tested virtually for 1 month on admissions to the emergency room of a public hospital located in Mexico City, Mexico. It promptly identified simulated cases of acute respiratory infections with epidemic potential.
Conclusions: The StochCum Method proved to be a practical and useful system for conducting epidemic surveillance on a hospital network.
Databáze: MEDLINE