关键词: digital health prevention and control public health rabies telehealth service telemedicine zoonotic disease

来  源:   DOI:10.1002/puh2.109   PDF(Pubmed)

Abstract:
UNASSIGNED: Rabies expert on demand (REOD) telehealth service is provided by the U.S. Centers for Disease Control and Prevention (CDC) to assist public health practitioners, health providers, and the public to interpret national and international rabies prevention guidelines. REOD is staffed by subject matter experts of the CDC Poxvirus and Rabies Branch to assess each unique situation and provide evidence-based guidance to stakeholders. This study aims to describe the utilization of a rabies telehealth system and provide insight into common consultations.
UNASSIGNED: A cross-sectional study of the nature of inquiries to REOD was done using the data collected from September 1, 2017 to September 30, 2021. An inquiry tracking form and Microsoft Access database were developed to document all inquiries received. Inquired ones were summarized to determine the frequency of inquiries by month, category, and location.
UNASSIGNED: Over a 49-month period, REOD received 5228 inquiries. Peak inquiries (n = 108) occurred during August 2019. The most frequent inquiries received pertained to risk assessment and management of rabies exposures (n = 1109), requests for testing assistance (n = 912), consultation for suspected human rabies (n = 746), rabies exposures and post-bite treatment occurring internationally (n = 310), and consultation for deviations in the recommended pre- and postexposure prophylaxis regimen (n = 300).
UNASSIGNED: REOD is a global resource for consultation related to managing rabies exposures, diagnostic issues, and rabies control strategies. REOD is a regularly utilized CDC service, as the demand for up-to-date rabies guidance remains high. REOD fulfills a critical role for the interpretation and consultation on rabies prevention guidelines to stakeholder.
摘要:
狂犬病专家按需(REOD)远程医疗服务由美国疾病控制和预防中心(CDC)提供,以协助公共卫生从业人员,健康提供者,和公众解释国家和国际狂犬病预防指南。REOD由CDCPoxvirus和狂犬病分支的主题专家组成,以评估每种独特的情况,并为利益相关者提供循证指导。这项研究旨在描述狂犬病远程医疗系统的使用情况,并提供对常见咨询的见解。
使用从2017年9月1日至2021年9月30日收集的数据对REOD的询问性质进行了横断面研究。开发了查询跟踪表和MicrosoftAccess数据库,以记录收到的所有查询。对查询的进行了汇总,以确定按月查询的频率,类别,和位置。
在49个月的时间里,REOD收到5228个查询。高峰查询(n=108)发生在2019年8月。收到的最频繁的询问涉及狂犬病暴露的风险评估和管理(n=1109),测试援助请求(n=912),怀疑人类狂犬病的咨询(n=746),国际上发生的狂犬病暴露和咬伤后治疗(n=310),并咨询推荐的暴露前和暴露后预防方案的偏差(n=300)。
REOD是与狂犬病暴露管理相关的全球咨询资源,诊断问题,和狂犬病控制策略。REOD是一种经常使用的CDC服务,因为对最新狂犬病指导的需求仍然很高。REOD在向利益相关者解释和咨询狂犬病预防指南方面发挥了关键作用。
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