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[Implementing a community surveillance network to monitor antimicrobial resistance: the Labville network].

Abstract：

BACKGROUND:In France, antimicrobial resistance monitoring is based on the contribution of many microbiological partners and networks, especially hospital laboratories. In order to complete this surveillance, the InVS implemented a network based on private-sector laboratories (PSL): the Labville network. METHOD:Stratified by French region, 69 PSL were randomly selected. The microbiological analysis results, including anonymized individual patient data, are translated into an appropriate data format within an automated reading process. This data is then sent to InVS through a secure Internet connection. RESULTS:The specifications of the automated system were defined according to a feasibility study conducted in 2003. The first stage of the project consisted in defining a global strategy for the reading of printed microbiological results. Then, the parameters were adapted for each PSL using a set of specific analysis over two to three weeks. After validation by InVS, the reading strategy was applied on to routinely printed results. The strategy was definitely validated after four month of a daily data transmission. The general approach needs to be adapted to each PSL and undergoes several adjustments. This long step of the project still requires microbiological expertise. CONCLUSION:The automated data extraction process used for Labville project is innovating. It is not affected by the compatibility and diversity of computing systems and reduces the biologist's workload. The Labville network is a challenging project motivating future development of other electronic surveillance networks.

journal_name

Med Mal Infect

journal_title

Medecine et maladies infectieuses

authors

Maugat S,Georges S,Nicolau J,Mevel M,Moreau F,Laurent F,Aubry Damon H,Coignard B

doi

10.1016/j.medmal.2008.03.004

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

249-55

issue

5

eissn

0399-077X

issn

1769-6690

pii

S0399-077X(08)00064-4

journal_volume

38

pub_type

杂志文章

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