CAJ | 학술논문

近来，症状监测作为疾病监测的补充方法，以近于实时的速度对新发传染病和重大传染病暴发疫情进行预警，大大提高了疫情发现的敏感性和公共卫生预警能力，在国内外得到高度的重视和推广，在我国也取得很好的应用效果。笔者通过大量的国内外文献检索，描述了症状监测在新发传染病和暴发疫情预警中应用的进展及优势，并结合我国实际情况分析了目前症状监测在基层应用中存在推广应用成本昂贵、医疗机构缺乏信息平台、未能建立数字化的实时预警系统，以及需要建立多方位的公共数据交流平台等问题和困难。提出了在未来工作中需要结合实际情况适时推广症状监测，需立足现有条件，提高监测效率，并与传统的疾病监测系统和先进的实验室网络体系有机结合，迫切需要建立数字化信息系统来实现实时预警等策略建议。
근래，증상감측작위질병감측적보충방법，이근우실시적속도대신발전염병화중대전염병폭발역정진행예경，대대제고료역정발현적민감성화공공위생예경능력，재국내외득도고도적중시화추엄，재아국야취득흔호적응용효과。필자통과대량적국내외문헌검색，묘술료증상감측재신발전염병화폭발역정예경중응용적진전급우세，병결합아국실제정황분석료목전증상감측재기층응용중존재추엄응용성본앙귀、의료궤구결핍신식평태、미능건립수자화적실시예경계통，이급수요건립다방위적공공수거교류평태등문제화곤난。제출료재미래공작중수요결합실제정황괄시추엄증상감측，수립족현유조건，제고감측효솔，병여전통적질병감측계통화선진적실험실망락체계유궤결합，박절수요건립수자화신식계통래실현실시예경등책략건의。
Over the past decade, syndromic surveillance, as supplementation of disease surveillance, has provided possibility of early alert in a real-time way for detection of emerging infectious diseases and outbreaks of widespread infectious diseases, resulting in improvement in sensitivity of outbreak detection and public health alert capacity. This tool has been highly valued and widely used in the world, and effective implementation has been observed in China. Upon abundant literature search, the authors reviewed the progress and advance of syndromic surveillance in early alert of emerging infectious diseases and outbreaks, and analyzed the problem met in the current situation in China when implementing syndromic surveillance in local facilities, which are high cost, lack of medical information platform, lack of real-time digital alert system and lack of a comprehensive information exchange platform. The authors suggested that syndromic surveillance should be implemented considering the local situation and performed in a more effective way in the current situation. Syndromic surveillance has to be integrated into the conventional public health surveillance systems and advanced laboratory networks. Digital information system is urgently needed to achieve real-time alert.