Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Notification”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 577 records · Page 32Linked to original sources
PubMed2002

[Mandatory notification of HIV infection. Epidemiologic justifications and ethical questioning].

Since the appearance in May 1999 of the two decrees on the application of the law relative to the reinforcement of sanitation quality control established in July 1998, the disclosure of HIV infection "irregardless of the stage" has become mandatory. This is the first time that it is imposed that one must declare a serologic diagnosis, that is to say an infection in the asymptomatic stage. The sensitive nature of all of the information available on AIDS provides an explanation for the numerous contradictory reactions linked to this decision. We attempt to organise the arguments brought forth according to two approaches: 1) the epidemiological arguments that justify the compilation of the precise data thought to be necessary for the follow-up of the disease and for the implementation of well-targeted prevention actions; and 2) the ethical reservations concerning such an imposed measurement, as well as the questions related to anonymity and confidentiality.

Disease Notification↗
PubMedDate not supplied

[The incidence of respiratory tuberculosis in the province of Leon according to the system of notification of disease mandatory declaration, 1992-1999].

BACKGROUND: Tuberculosis continues to be a major public health problem. Knowing the incidence, trend and geographical spread of reported tuberculosis may serve to evaluate the prevention and control measures implemented and point to further needs. METHODS: Retrospective study of the reported cases of tuberculosis in the province of Leon, broken down by years, Health Care Areas and Basic Health Care Districts for the 1992-1999 period. RESULTS: The average annual incidence rates were 40.3, 38.6 and 44.4 per 100,000 inhabitants/year (10(5) inhabitants/year) for the province of Leon, Leon Health Care Area and Bierzo Health Care Area, respectively. Seventy percent (70%) were males and thirty percent (30%) females. The specific rates by sex in the province of Leon were 55.5 for males and 22.9 per 10(5) for females. The specific rates by age and sex were similar for males and females up to age 25, the incidence among males being much greater as of this age. The geographical spread of tuberculosis in the province of Leon was heterogeneous, the highest incidence being in mining areas. In the Leon Health Care Area, cases among the oldest adults prevailed, no differences being found among young adults and adults over age 55 in the Basic Health Care District. CONCLUSIONS: The province of Leon has an incidence of tuberculosis greater than that estimated for Spain as a whole. It would be necessary to step up epidemiological surveillance and control measure systems as directly-monitored cases detected and systematic study of contacts in order to achieve a greater efficiency regarding the control of this disease.

Adult↗
PubMed2003

[Analysis of the factors influencing the internal reporting of nosocomial infections. A review of 108 notifications].

INTRODUCTION: Since July 26, 2001, the external reporting to the regional office of health and social affairs (Direction départementale des affaires sanitaires et sociales--Ddass) and the coordination centre (Comité de lutte contre les infections nosocomiales--Cclin) for the fight against nosocomial infections (NI) is mandatory. However, the modalities of internal reporting to the Clin are unknown. METHOD: We performed a retrospective analysis of 108 cases of NI reported over 23 months in 4 medical-surgical departments (MSD) with 14 to 35 NI reported/MSD. The distribution of the bacteria responsible was compared with that of the local epidemiological state (chi2 test). A correlation analysis was performed between the number of NI reported in each MSD and the structural characteristics and activity index of these MSD (Spearmann's correlation test). RESULTS: The NI were predominantly infections related to a catheter (43), lower respiratory tract (25) and infection of the site of surgery (19). Ninety were documented biologically, among which 10 implied multi-resistant bacteria. Ninety-four NI were associated with the prescription of an antibiotic. Compared with the local epidemiological state, the NI reported generally implied multi-resistant bacteria (p=0.009). The other microbiological data had little implication. In each of the MSD, the number of cases reported was independent of: the global activity, the number of interventions, the mean duration of hospitalisation, the number of beds, the number of clinicians, the number of new patients managed and the chemotherapy outpatient activity. Conversely, there was a strong correlation between the global consumption of antibiotics (r=0.78), and the number of the Clin members in each MSD DMC (r=0.82). CONCLUSION: In each MSD, the internal reporting of NI relies on the discovery of multi-resistant bacteria, but above all on the implication of those involved in the fight against nosocomial infections.

Anti-Bacterial Agents↗
PubMed2004

Mandatory parental notification: the importance of confidential health care for adolescents.

Studies have shown that lack of confidentiality is a barrier to adolescents use of needed health care services. Professional medical organizations support confidential care for adolescents as a matter of individual and public health. Confidentiality is governed by both state and federal law, and physicians must be aware of both. Physicians must facilitate communication between teens and parents while guaranteeing confidential care to their adolescent patients.

Adolescent↗
PubMed2004

The legal situation concerning notification of sexual partners of HIV/AIDS patients in Costa Rica: problems in contact tracing.

Among solutions to the problems of HIV/AIDS, a public health preventive measure has been proposed to notify the sexual partners of patients, this being a justifiable exception to professional secrecy. Every such measure must conform to a legal framework in order to facilitate the task of the health care worker, to respect the patient's right to privacy and to protect life as a juridical value. The General Law governing HIV/AIDS and its Costa Rican regulations propose a procedure to notify sexual partners. This study analyses how the procedure is developing in Costa Rica as well as its legal justificaitons.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Electronic reporting improves timeliness and completeness of infectious disease notification, The Netherlands, 2003.

In 2002, the internet based reporting system OSIRIS was introduced in the Netherlands and by the end of that year had fully replaced the paper-based reporting system. The objectives of OSIRIS were to improve timeliness and completeness of surveillance data on infectious diseases reported from regional to national level. We compared the timeliness of infectious diseases reported by the conventional paper-based system in 2001 with those reported by OSIRIS in 2003. Two distinct types of delay were compared: (1) total delay: defined as time between symptom onset and reporting at national level and (2) central delay: defined as time between regional and national reporting. Median delays between both systems were compared using the Wilcoxon Rank Sum-Test. We also compared electronic reports received via OSIRIS in 2003 to those received through the conventional system for 2001 for completeness of specific data fields. The Fisher exact test and the Mantel-Haenzel test with Yates correction were used to determine the significance of proportions of completed data fields in each system. Results showed the median central delay was significantly reduced for all diseases in OSIRIS compared to conventional reporting system. Overall, the median central delay was reduced from 10 days (interquartile range 4) in 2001 to 1 day (interquartile range 1) in 2003. Except for cases of malaria, the total delay, from symptom onset to national reporting, was also significantly reduced. In addition, OSIRIS records contained more complete information than conventional records. In total, in 2003, 92.3% of data field examined were complete compared with 81.3% in 2001. This study documents the benefits of electronic reporting of infectious disease surveillance data in terms of improved timeliness and completeness.

Clinical Laboratory Information Systems↗