Current awareness and optimization recommendations regarding the pneumonia with unknown etiology surveillance system among healthcare professionals in Shanghai
10.19428/j.cnki.sjpm.2026.250418
- VernacularTitle:上海市医疗卫生专业人员对不明原因肺炎监测系统的认知现状及优化建议
- Author:
Qiwen FANG
1
;
Chenyan JIANG
2
;
Xin CHEN
1
;
Huanyu WU
1
;
Bihong JIN
2
;
Xiaohuan GONG
1
;
Shenghua MAO
2
;
Qi QIU
2
;
Ruobing HAN
2
;
Huilin SHI
2
;
Wenbin DONG
2
;
Xin HU
2
;
Jian CHEN
2
;
Yaxu ZHENG
1
Author Information
1. Institute of Surveillance and Early Warning, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 201107, China
2. Institute of Infections Disease Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 201107, China
- Publication Type:Journal Article
- Keywords:
pneumonia with unknown etiology (PUE);
healthcare professional;
surveillance system;
awareness and knowledge;
issue;
recommendation
- From:
Shanghai Journal of Preventive Medicine
2026;38(6):482-487
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the current awareness and optimization recommendations on pneumonia with unknown etiology (PUE) surveillance among Shanghai healthcare professionals, and to provide evidence for the improvement of the surveillance system. MethodsIn December 2024, healthcare professional participants from diverse medical and health institutions were randomly selected within each stratum using a stratified cluster sampling method in all 16 districts of Shanghai for questionnaire surveys on their knowledge and suggestions for optimization of the PUE surveillance system. Descriptive statistics analyses, multivariate logistic regressions, and content analyses were used for data analyses. ResultsA total of 385 survey subjects were involved in the study, including 119 professional staffs from disease prevention and control centers and 266 from medical institutions. Those who understood the case definition for PUE correctly accounted for 67.01% (258/385). Multivariate regression model analyses showed that female gender (aOR=2.22, 95%CI: 1.36‒3.66), professionals from disease control institutions (aOR=2.02, 95%CI: 1.12‒3.72), and those who self-assessed as being familiar with the monitoring system (aOR=2.18, 95%CI:1.23‒3.89) had better understanding of the definition. Overall, 89.61% (345/385) of the survey subjects acknowledged the necessity of the surveillance system. Small number of cases meeting the case definition (54.46%, 214/379), insufficient diagnostic awareness (39.84%, 151/379), and lack of incentives for case reporting (29.29%, 111/379) were major problems for the current surveillance system, with variations observed across different types of institutions. Suggested segments for optimizing the surveillance system included monitoring purpose, case definition, form of monitoring and reporting procedure, organization mechanism, and epidemiological investigation and response. ConclusionThe necessity of PUE surveillance is commonly recognized among healthcare workers. However, the existing system falls short in terms of mastery of case definition and overall surveillance adaptability. There is an urgent need for optimization and improvement to enhance the capacity for preventing and controlling emerging and sudden respiratory infectious diseases.
