Emergency Department Visit Data for Rapid Detection and Monitoring of Norovirus Activity, United States

Rha, Brian; Burrer, Sherry; Park, Soyoun; Trivedi, Tarak; Parashar, Umesh D.; Lopman, Benjamin A.

i

Emergency Department Visit Data for Rapid Detection and Monitoring of Norovirus Activity, United States

Supporting Files Public Domain

Aug 2013
By Rha, Brian ; Burrer, Sherry ; Park, Soyoun ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Rha, Brian ; Burrer, Sherry ; Park, Soyoun ; Trivedi, Tarak ; Parashar, Umesh D. ; Lopman, Benjamin A.
Description:

Noroviruses are the leading cause of gastroenteritis in the United States, but timely measures of disease are lacking. BioSense, a national-level electronic surveillance system, assigns data on chief complaints (patient symptoms) collected during emergency department (ED) visits to 78 subsyndromes in near real-time. In a series of linear regression models, BioSense visits mapped by chief complaints of diarrhea and nausea/vomiting subsyndromes as a monthly proportion of all visits correlated strongly with reported norovirus outbreaks from 6 states during 2007-2010. Higher correlations were seen for diarrhea (R = 0.828-0.926) than for nausea/vomiting (R = 0.729-0.866) across multiple age groups. Diarrhea ED visit proportions exhibited winter seasonality attributable to norovirus; rotavirus contributed substantially for children <5 years of age. Diarrhea ED visit data estimated the onset, peak, and end of norovirus season within 4 weeks of observed dates and could be reliable, timely indicators of norovirus activity.
Subjects:

Adolescent Adult Aged Caliciviridae Infections Child Child, Preschool Diarrhea Disease Outbreaks Electronic Health Records Emergency Service, Hospital Epidemiological Monitoring Gastroenteritis Humans Infant Linear Models Middle Aged Norovirus Research Rotavirus Infections Seasons Young Adult
Source:

Emerg Infect Dis. 19(8):1214-1221.
Document Type:

Journal Article
Place as Subject:

United States
Location:

North America
Volume:

19
Issue:

8
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:1f94abd7a806ca5779cf2b8737f67b88a2a4b65466d31ebbf6b56b1eb8686764
Download URL:

https://stacks.cdc.gov/view/cdc/21048/cdc_21048_DS1.pdf
File Type:

[PDF - 1.36 MB ]

File Language:

English

ON THIS PAGE

Details Supporting Files

CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.

As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.