@文章{信息:doi/10.2196/17242，作者="Martin, S{e}bastien和Maeder, Muriel Nirina和Gon{c{c}}alves, Ana Rita和Pedrazzini, Baptiste和Perdrix, Jean和Rochat, Carine和Senn, Nicolas和Mueller, Yolanda"，标题="瑞士初级保健工作者的在线流感监测系统:观察性前瞻性试验研究"，期刊="JMIR公共卫生监测"，年="2020"，月="Sep"，日="10"，卷="6"，数="3"，页="e17242"，关键词="流感;监测系统;初级保健;在线;医院;背景:更好地了解初级保健工作者中的流感流行病学可以指导未来在初级保健实践中预防传播的建议。因此，我们设计了一项试点研究，以评估在初级保健工作者中使用基于工作的在线流感监测系统的可行性。这种方法在冠状病毒疾病(COVID-19)大流行的背景下尤其重要，因为其研究结果可以适用于具有类似传播机制的其他传染病。目的:本研究旨在确定在瑞士初级保健工作者使用基于工作的在线流感监测系统的可行性。方法:在2017-2018年流感季节，一个免预约诊所和两个选定的初级保健诊所的医生和工作人员参加了这项观察性前瞻性试点研究。 They were invited to record symptoms of influenza-like illness in a weekly online survey sent by email and to self-collect a nasopharyngeal swab in case any symptoms were recorded. Samples were tested by real-time polymerase chain reaction for influenza A, influenza B, and a panel of respiratory pathogens. Results: Among 67 eligible staff members, 58{\%} (n=39) consented to the study and 53{\%} (n=36) provided data. From the time all participants were included, the weekly survey response rate stayed close to 100{\%} until the end of the study. Of 79 symptomatic episodes (mean 2.2 episodes per participant), 10 episodes in 7 participants fitted the definition of an influenza-like illness case (attack rate: 7/36, 19{\%}). One swab tested positive for influenza A H1N1 (attack rate: 3{\%}, 95{\%} CI 0{\%}-18{\%}). Swabbing was considered relatively easy. Conclusions: A work-based online influenza surveillance system is feasible for use among primary care workers. This promising methodology could be broadly used in future studies to improve the understanding of influenza epidemiology and other diseases such as COVID-19. This could prove to be highly useful in primary care settings and guide future recommendations to prevent transmission. A larger study will also help to assess asymptomatic infections. ", issn="2369-2960", doi="10.2196/17242", url="http://publichealth.www.mybigtv.com/2020/3/e17242/", url="https://doi.org/10.2196/17242", url="http://www.ncbi.nlm.nih.gov/pubmed/32909955" }