Electronic reporting of diagnostic laboratory test results from all health care sectors is a cornerstone of national preparedness and control of COVID-19 in Denmark

K Schønning, Rbc Dessau, T G Jensen, N M Thorsen, C Wiuff, L Nielsen, S Gubbels, M Denwood, Uffe Høgsbro Thygesen, Lasse Engbo Christiansen, C H Møller, J K Møller, S Ellermann-Eriksen, C Østergaard, J Lam, N Abushalleeh, M Meaidi, S S Olsen, K Mølbak, M Voldstedlund

Research output: Contribution to journalJournal articleResearchpeer-review

3 Downloads (Pure)

Abstract

The COVID-19 pandemic has led to an unprecedented demand for real-time surveillance data in order to inform critical decision makers regarding the management of the pandemic. The aim of this review is to describe how the Danish national microbiology database, MiBa, served as a cornerstone for providing data to the real-time survelliance system by linkage to other nationwide health registries. The surveillance system was established on an existing IT health infrastructure and a close network between clinical microbiologists, information technology experts and public health officials. In 2020, testing capacity for SARS-CoV-2 was ramped up from none to over 10,000 weekly PCR tests per 100,000 population. The crude incidence data mirrored this increase in testing. Real-time access to denominator data and patient registries enabled adjustments for fluctuations testing activity, providing robust data on crude SARS-CoV-2 incidence during the changing diagnostic and management strategies. The use of the same data for different purposes, e.g. final laboratory reports, information to the public, contact tracing, public health and science, has been a critical asset for the pandemic response.It has also raised issues concerning data protection and critical capacity of the underlying technical systems and key ressources. However, even with these limitations, the set-up has enabled decision makers to adopt timely interventions. The experiences from COVID-19 may motivate a transformation from traditional indicator based public health surveillance to an all-encompassing information system based on access to a comprehensive set of data sources, including diagnostic and reference microbiology.

Original languageEnglish
JournalA P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica
Number of pages29
ISSN0903-4641
DOIs
Publication statusAccepted/In press - 4 May 2021

Bibliographical note

This article is protected by copyright. All rights reserved.

Keywords

  • Electronic reporting
  • COVID-19
  • Microbiological test-results
  • National surveillance

Fingerprint Dive into the research topics of 'Electronic reporting of diagnostic laboratory test results from all health care sectors is a cornerstone of national preparedness and control of COVID-19 in Denmark'. Together they form a unique fingerprint.

Cite this