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Syndromic surveillance of acute gastroenteritis based on drug consumption

  • F. BOUNOURE (a1), P. BEAUDEAU (a2), D. MOULY (a2), M. SKIBA (a1) and M. LAHIANI-SKIBA (a1)...
Summary

Since 1998, the French Health Insurance (NHI) system had established a national database in order to reimburse drug prescriptions. These electronical data are a considerable potential source for syndromic surveillance because of their exhaustive and regular updates. The aim of this study was to develop a method to identify acute gastroenteritis (AG) cases from drug reimbursements of the NHI database. The algorithm aimed at discriminating AG from other pathologies was determined from a sample of 206 AG prescriptions and 351 non-AG prescriptions collected in five pharmacies. The AG case identification was mainly based on the lag time between the prescription and delivery day, the occurrence of non-AG case-specific drugs, AG case-specific drug associations and treatment duration. The discriminant algorithm led to a sensitive and specific indicator of medically treated cases of AG with a time–spatial resolution power which met the need for waterborne AG surveillance.

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Copyright
Corresponding author
*Author for correspondence: Dr F. Bounoure, Laboratoire de Pharmacie Galénique, 22 bd Gambetta, 76183 Rouen Cedex, France. (Email: frederic.bounoure@univ-rouen.fr)
References
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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