TY - JOUR AU - Ndeikoundam Ngangro, Ndeindo AU - Pioche, Corinne AU - Vaux, Sophie AU - Viriot, Delphine AU - Durand, Julien AU - Berat, Bénédicte AU - Hamdaoui, Mohammed AU - Lot, Florence PY - 2022 DA - 2022/10/25 TI -法国性传播感染诊所的自动监测系统(SurCeGGID):流行病学监测研究JO - JMIR Form Res SP - 31136 VL - 6 IS - 10kw - HIV KW -乙型肝炎KW -丙型肝炎KW -性传播感染KW -性健康KW -流行病学KW -监测AB -背景:病毒性和细菌性传播感染(STIs)是全球公共卫生关注的问题，但监测系统不够全面，无法在大多数国家准确设计和监测STI控制策略。2016年，法国实施了320个性传播感染诊所(法语为CeGIDDs)，主要针对受感染最多的人群，尽管任何人都可以免费使用。目的:本文介绍了基于CeGIDD个人数据的强制性监测系统(SurCeGIDD)，旨在更好地指导STI预防。方法:一项法令确保使用软件管理cegidd的会诊和传输监测数据。实现了一个web服务，以确保数据从CeGIDDs的软件传输到中央数据库的安全。CeGIDDs还可以通过安全的数据共享平台传输CSV格式的数据。然后，在集成之前自动检查数据。收集了上一年(n-1)的社会人口学变量、性暴露、血液暴露、症状、性传播感染检测、性传播感染诊断和性健康服务提供方面的数据。分别对2018年和2019年传输的2017-2018年数据进行了初步和描述性分析，使用定性变量的数字和比例。 Results: In 2017, 54/320 (16.9%) CeGIDDs transmitted their data. In 2018, this number of participants increased to 143/320 (44.7%) CeGIDDs. The corresponding volume of records increased from 2414 in 2017 to 382,890 in 2018. In 2018, most attendances were hospital based (263,480/382,890, 68.81%). In 2018, attendees were mostly men 227,326/379,921 (59.84%), while 151,963/379,921 (40%) were women 632/379,921 (0.17%) transgenders. The median age was 27 years for men, 23 years for women, and 30 years for transgender. Half of the attendees (81,964/174,932, 46.85%) were heterosexual men, 69,016/174,932 (39.45%) heterosexual women, 20,764/174,932 (11.87%) men who have sex with men, and 3188/174,932 (1.82%) women who have sex with women. A majority of them were born in France (227,698/286,289, 79.53%) and unemployed 115,913/211,707 (54.75%). The positivity rates were 0.37% for 205,348 HIV serologies, 1.31% for 131,551 hepatitis B virus serologies, 7.16% for 161,241 Chlamydia trachomatis PCR, 2.83% for 146,649 gonorrhea PCR, 1.04% for the syphilis combination of treponema and nontreponema serologies, and 5.96% for 13,313 Mycoplasma genitalium PCR. Conclusions: Despite challenges, the effectiveness of the SurCeGIDD surveillance based on routine patients’ records was demonstrated. The wide range of information, including socioeconomic determinants, might help to better guide and evaluate the prevention policies and services delivery. However, the growing volumes of information will require adapted tools and algorithms for the data management and analyses. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/10/e31136 UR - https://doi.org/10.2196/31136 UR - http://www.ncbi.nlm.nih.gov/pubmed/36282557 DO - 10.2196/31136 ID - info:doi/10.2196/31136 ER -