Importanza dei flussi informativi nella sorveglianza delle malattie infettive soggette a notifica

A system of epidemiological surveillance of infectious diseases is performed according the actual law and notified to Regional Register after the isolation done in the Microbiology lab.The system is operating in our hospital. The notification is done after 12-48 hours in the module ISO 9000 to the Sanitary Surveillance Office and the Office Control Hospital Infection and regards name of patients, provenience, collection time, time of diagnostic performance, and diagnostic bacteriological evaluation.All data regarding the control procedures are included in the same protocol. The microbiology data is sent immediately by phone to the medical staff who is involved to the compilation of specific protocol (MB form) sent directly from medical staff to the Medical Direction. The Medical Direction is involved to advise the Local Sanitary Authority (Azienda Sanitaria Locale, ASL) in all cases in which is necessary to send to reference laboratories some material from patients (smears, coltures, etc) and to inform National Authority. From January 2002 to April 2003 364 cases were involved and the present study is involved in the analysis of the system. From 62 coltural examination 43 involved Salmonella spp and from 39 serological data 19 involved EB disease. Clostridium difficile was detected in 90 cases (toxins A and B) and Rotavirus in 36 cases. Mycobacteria were detected 22 cases and Parasitic disease in 14 cases. The system is highly recomanded surveillance of notifiable infectious diseases in hospital and for control of hospital infections.The absence of notification is not allowed.