MCH EPI Conference, 2004 - PowerPoint PPT Presentation

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MCH EPI Conference, 2004

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??????????????? ???????? ????????????? ????????: ??????? ... Janet Mohle-Boetani. Ruth Lynfield. Monica Farley. The Active Bacterial Core surveillance team ... – PowerPoint PPT presentation

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Title: MCH EPI Conference, 2004


1
??????????????? ???????? ????????????? ????????
??????? ????????? ?? ????? ???????????? ? ?????
  • MCH EPI Conference, 2004
  • Atlanta, GA
  • Stephanie Schrag, D Phil
  • Division of Bacterial and Mycotic Diseases
  • Centers for Disease Control and Prevention

2
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  • ?????????? ? ??????? ????? ?????
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    ??? ???????????? ??????????
    (? ??????? ?? ??????)
  • 78 ???????????? ?????????????? ?????????? ??-??
    ????????
  • ?????????????
  • ????????????? ?????? ????? 10 ??????? ??????
    ?????? ?????????????
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  • ???????? ? ?????? ???????? ????????????
    ?????????? ??????????? ? ??????? ???????????
    ?????

Hebert et al., Obstet Gynecol. 1999. 94942-7
3
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    ????????????? ????????????
  • ???????????? ?????????, ???????????? ? ?? ?????
    ?????
  • ???????????????? ??????????? ????? ???????????
    ????????? ??????????????
  • ????????????? ???????????, ?????????
    ?????????????? ?????? ? ? 1993 ????
    ????????????? 39,000 ???????
  • ?????????? ????????
    1 ?????? ? ??? ?? ???????
    ???

4
?????? ???????????????? ????????
1.
.
5
2.
???????? ???????
????
???????????, ?????????? ?????????????? ?????? ?
????????????
..
???????????, ???????????? ??????? ?????, ?
????????????
6
3.
??? ?? ?????? ???????, ????? ?? ???? ?????????
????????? ??? ? ?????? ??????

.
7
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???????
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??????????? ??????????
???????? ?? ?????????? ???????? ???????
???????? ?? ??? ?????????
???????? ????????????? ??????????? (????????,
???????, ??????)
8
???? ?? ??????? ???? ???????? ?????????
  • ???????????? ???????????? ? ??????????
    ???????????????? ???????????
  • (???????? ????? ???? ?????????? ?? ???? ????????
    ??????????????)

9
??????? ?????? ?? ???????????? ? ?????




10
????????? ???????? ???????????(Birth-Net)
  • ????????????? ?????? ?????????? ? ??????????,
    ?????????? ?????????? ???????? ?? ??????????
    (EIP) (??????? ???????? ?? 11 ??????)
  • ???? ???????? ?? ????? ??????????????
    ??????????????? ???????? ???????????? ???????? ?
  • ????????? EIP ??????????? 2 ?????? ??????? ??
    ???????????? ? ????? ??? ?? ??????????? ?????
    ???? ???????? ?? ?????? 2003/2004 ?????

11
????????? ? ?????? ????????
  • ?????????? ??????? ? ?????????????? ????????????
    ???????????, ?????? ????????? ??????? (?????
    400-600) ?? ??????? ?????
  • ????????? ?????? ?? ???????????? ? ????? ?
    ??????????? ?????, ??????????
  • ??????????????? ?????????? ? ?????? ????????????
    ??????? ? ?????
  • ????????????, ????? ? ?????????? ?????????
    ???????? (????????, ????????, ???, ???????? ?,
    ?????? ? ??????????????? ????????, ?????????????)
  • ??????? ??????? ???????????? ? ?????
  • ???????????????? ????????? ?????????????

12
????????? ???????????? ?? ???????? ? ? GBS
1998-9, ABCs
Schrag et al. 2003. Obstet Gynecol 102753-60
13
??????? ??????? ????? ?? ???-????????????, 1998
and 1999, ABCs
?????????????? ???????????? ??????? ? ???????????
? ??????? 48 ?????, 1999
Opt-out policy
14
??? ?????????????? ?????? ???????? ?? ???????????
  • ??? ?????????? ??????????? ???????? ?????????????
    ??????????????? ??????????? ?????? ? ?
    ??????????? ????????????? ??????????????
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  • ??? ?????????? ???????? ?????????? ?? ????????
  • ??? ??????????? ???????????????? ??????????? ??
    ??????? ??????
  • ??? ?????? ??????? ??????? ?? ?????????????
    ????????????
  • ??? ?????? ???????? ?????? ????????????
    ???????????

15
???????? / ???????????
  • ????????? ????? ??????????? ??????????? ????????
    ????? 3-9 ??????? ????? ????????? ????????????
    ????
  • ?????? ? ?????? ????????? ????????? ??????
    ???????? ??????? ? ???????? ????????
    ??????????????? ??????? ??????????? ???????
  • ???? ?????????? ????? ?? ???????? ??????????
    ???? ????????????
  • ??????????? ?? ??????? ????????????-????
  • ???????????? ?????????? ?? ????????????
    ?????? ?? ????????? ????????????? ??
    ??????????????? ?????? ???????
    ?? ???, ???
    ???????????, ???????
    ????????? ? ??????????

16
?????? ?? ???????
  • ??????????????? ???????? ?????? ?? ??????????? ??
    ?????, ?? ?????????? ?????????? EIP
  • ?????? CDC ?? ??? ????? ?? ????? ????? ??????
    ????????? ??????????? ??? ???? ??????
  • ????????? ?????????? ?? ???????????? ???????? ?
    ???????? ???????????
  • ????????? ?????????????? ?????? CDC (? ???????
    -??????? ?????? ?? ????????????? ?????????)
  • ?????????? ?????????? ? ???????????????
    ?????????? ???????????????
  • ????????? ?????????? ?? ???? ???????? ????????
    ?????? ? ??????? ??????? ??????????????
    ??????????? ? ????????? ???? ?????? ? ????????
    ???????????

17
????????????? ??????
Anne Schuchat Elizabeth Zell Aaron Roome Katie
Arnold Janet Mohle-Boetani Ruth Lynfield Monica
Farley The Active Bacterial Core surveillance team
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