頁籤選單縮合
題名 | 2013-2017年臺灣公費提供登革熱NS1抗原快速診斷試劑政策對通報時效之影響=Impacts of Publicly Funded Dengue NS1 Antigen Rapid Test Program on Notification Timeliness, Taiwan, 2013-2017 |
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作者 | 林怜伶; 陳主慈; 周玉民; 楊靖慧; Lin, Ling-ling; Chen, Chu-tzu; Chou, Yu-min; Yang, Chin-hui; |
期刊 | 疫情報導 |
出版日期 | 20190820 |
卷期 | 35:16 2019.08.20[民108.08.20] |
頁次 | 頁230-236 |
分類號 | 412.42 |
語文 | chi |
關鍵詞 | 登革熱; 登革熱NS1抗原快速診斷試劑; 通報時效; Dengue; Dengue NS1 antigen rapid test; Notification time; |
中文摘要 | 登革熱為病媒蚊傳播的急性傳染病,症狀從輕微或不明顯,到發燒、出疹的典型登革熱,或出現嗜睡、躁動不安、肝臟腫大等警示徵象,甚至可能導致嚴重出血或嚴重器官損傷的登革熱重症。因多數病例症狀不明顯,提高病例的偵測效能及通報時效,以及早執行孳生源清除及疫情調查等防治工作,實為預防登革熱流行之關鍵。故疾病管制署於2015年9月17日委託中央健康保險署代辦「登革熱NS1抗原快速診斷試劑」之費用申報及核付作業,鼓勵醫療院所儲備及運用該試劑。本研究分析目前臺灣提供登革熱NS1抗原快速診斷試劑醫療院所之佈點情形,目前分佈於5個縣市,且區域醫院提供試劑所佔比例最高(87%),診所提供的比例佔最少(8%)。另本研究顯示,實施公費提供登革熱NS1抗原快速診斷試劑政策後,無論全國或試劑分佈之醫療院所,登革熱確診病例之通報時效皆優於政策實施前,顯示該政策實施後,確實對縮短病例之通報時間有一定的成效。另外,除運用快速篩檢試劑外,建議平時提升民眾及診療醫師對登革熱臨床症狀認知,及地區發生流行疫情時,儘速提醒社區民眾及鄰近醫療院所,提高就醫及通報警覺,以減少登革熱疫情之擴散風險。 |
英文摘要 | Dengue is an acute infectious disease spreading by mosquitoes. Symptoms of patients may experience subclinical symptoms, fever, rash, or warning signs such as lethargy, restlessness or liver enlargement, even severe hemorrhage or organ damage. Because most patients have obscure symptoms, improving the detection of cases and the timeliness of notification and implementing vector control and epidemic investigation in early phase are keys to prevention of dengue epidemic. On September 17, 2015, Taiwan Centers for Disease Control entrusted National Health Insurance Administration to manage the publicly funded “Dengue NS1 Antigen Rapid Test program” to encourage medical institutions to utilize the reagents for early diagnosis. We analyzed the situation of medical institutions providing dengue NS1 antigen rapid diagnostic test. The program was implemented in 5 counties or cities, and the proportion of reagents provided by regional hospitals was the highest (87%), and the proportion provided by clinics was the lowest (8%). In addition, we found that after the implementation of the program, the notification timeliness of dengue fever confirmed cases improved both in medical institutions providing the tests and nationwide, indicating that the implementation of the program had positive impact on early detection of dengue cases and management of epidemics. In addition to using the rapid test, we recommended to raise the awareness of the public and healthcare professionals on clinical symptoms of dengue fever. Thus, when an epidemic occurs, the community and neighboring medical institutions could respond earlier in seeking medical care and alertness in case notification to reduce the risk of outbreak spreading. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。