National Resource for Infection Control – Technical Issues

Sue Wiseman 1 , Gawesh Jawaheer 2 , Faiza Hansraj 2 , Patty Kostkova 2 Jane Mani-Saada 3 1 Department of Health, U.K.

2 City eHealth Research Centre (CERC) City University, London, U.K.

3 HPA

How does NRIC fit in?

NeLI (National electronic Library of Infection) www.neli.org.uk

NRIC

(National Resource for Infection Control) www.nric.org.uk

TII

(Training In Infection) www.trainingininfection.org.uk

AR

(Antibiotic Resistance – Bugs & Drugs) www.antibioticresistance.org.uk

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Navigation Tree - Ongoing

 Comprehensive A – Z  Conferences  Settings  Clinical Practice  Modes of Transmission  Diseases / Organisms  Policy / Guidance  FAQs 4/9

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User feedback on NRIC

"Looks as if it might be a useful resource and I have sent a link to my local colleagues." - Theresa Holmes, 1st November 2005  "I've just had a quick look at your site for the first time and I'm very impressed! I can certainly see that it will be of great help to me and I look forward to seeing its continued development." - Pat Billups, 29th September 2005  "Just found this site and it is fabulous. Many thanks" – Anonymous Hospital Antibiotic Pharmacist, 1st September 2005  "Million thanks for developing this site, what a wonderful idea ! and what a great layout too. This is marvellous." - Anonymous, 20th August 2005  "Just to say I am very impressed with your web-site. It is much appreciated to be able to access relevant literature with ease. Thank you and well done" Jeff Scott, Nurse Consultant in Health Protection, HPA, 4th August 2005  "I think this site is a great idea as it will prove so useful." - Kirstine Brooker, Infection Control Nurse, 4th June 2005  “Many thanks for these newsletters – I find them to be useful in my everyday work.

” Tim Durell, Norfolk, 3 rd November 2006 9/9

New features – New services

      Monthly eNewsletter – site updates sent by email to over 1200 professionals – SUBSCRIBE NOW    New graphical look – Feb 07 issue Survey of the content & alert service – Feb 07 issue Conferences/Grants/Meetings  promote your events through NRIC  subscribe to alerts relevant to your profession (launch March 07) Online submission of new resources  is your paper on NRIC? Submit it in 1 minute Earn CPD points by online submission of Reviewers Assessments – Automated system to be piloted Personalised Content Alerts to your interest/profession – launch March 07 Weblog evaluation – keyword searches – gaps analysis - ongoing 10/9

Access to NRIC

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Time spent & pages viewed

Average time spent per session Average no. pages viewed per session

01:39 2.25

NeLI NRIC Bugs & Drugs

02:32 01:22 3.44

2.75

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Do we know what users want?

• Starting from the home page a user would have to access at least three pages to view any of the documents held in the library.

• bookmarking pages or entering further into the site via search engines OR • Having NeLI set as the Home Page OR …. ???

Access Logs of the NeLI August 2003 to April 2004 13/9

NRIC Access by Region

Country Unknown 28% UK 32% Middle East 2% South America 1% Africa 1% Aisa 4% Australia & New Zealand 2% US & Canada 19% Other Europe 11% 14/9

Results : Most common topics viewed (All users) All Users Top 10 topic pages Meningitis HIV Tuberculosis

Tinea

Staphylococcus aureus Chlamydia

Parvovirus Helicobacter Salmonella

% Users

2.82% 2.72% 2.68% 2.55% 1.93% 1.85% 1.83% 1.73% 1.69% 1.68% 15/9

Searching/browsing behaviour

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Other results

Use of NeLI may be linked to Infectious diseases in the news e.g. hits to legionella pages increased during an outbreak in August 2002  Average no. pages accessed per visit = 2.11

 Entry page is home page for only 37% sessions so users may be bookmarking or entering via search engines directly to topic pages 18/9

Referrers - NRIC

No referrer NRIC Google NeLI Other Search Engine DH HIS NHS website Email OMNI HPA Other No. visitors

2484 1878 1595 482 397 173 152 50 39 25 6 220

% visitors

33.1% 25.0% 21.3% 6.4% 5.3% 2.3% 2.0% 0.7% 0.5% 0.3% 0.1% 2.9% 19/9

Google, msn searches that led to the AR site between

1 Sep & 31st Jan

Some users have an addiction problem:         7161 included the word alcohol 12949 antibiotic 6515 chest 3467 bacteria 2085 virus 1852 acne 1149 flu …. And 250 included "cat" • • • Quit antibiotics • Quit working Many users are concerned about animal welfare: • Antibiotics in disadvantaged animals • information on cat colds Others have an international approach: • swedish acne remedy • mrsa chinese formula 20/9

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Google, msn searches that led to the AR site between

1 Sep & 31st Jan

how to get rid of my acne for free easy money from web survey Some are quite clear on what they think: • i dont want to take antibiotics • health information makes us ill Some have seemingly unrelated concerns: • do i need therapy • • does male agree to take drugs will it be cold • how can i get rid of my junk • students attitude towards drugs 21/9

New EU Project: SeaLife

 Conception and realisation of a Semantic Grid Browser, which links the current Web to the emerging eScience infrastructure  Many grids, few users: make Web servers and services accessible to end users Semantic Hyperlinks: use ontologies and background knowledge to map web contents to services Shopping cart: service composition and enactment module 

Applications: from cells via tissue to patients

Evidence-based medicine Patent and literature mining Molecuar biology 22/9

SeaLife Example: News Article linked to Medical Resources

BBC News page that shows an article about an outbreak of Polio in Namibia 23/9

SeaLife highlights terms from underlying ontology 24/9

SeaLife provides links to NELI, Wikipedia and NaTHNac services.

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SeaLife highlights terms from underlying ontology 26/9

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Users can now access the NaTHNaC pages from NELI site and vice versa 28/9

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New EU Project: eBug

DG Sanco grant application no. 790589 ‘Development and dissemination of a school antibiotic and hygiene education pack and website across Europe (EBug)’ 30/9

Ebug Details

      Funded by DG SANCO contributed by member states, 60% EC contribution = 1.119 mil euro) Budget : 1.889 mil euro (40% Coordinated by HPA (Cliodna McNulty) Based on the HPA Bug Investigator Project Associate Partners:  Belgium, UK, France, Spain, Czech Republic, Italy, Greece, Poland, Portugal, Denmark Collaborating Partners:  Croatia, Finland, Hungary, Latvia, Lithuania, Luxembourg, Slovakia, Slovenia External Audit Committee (Belgium) chaired by Herman Goossens 31/9

CeRC (& ex)– Acknowledgements

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Steve D’Souza

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Gemma Madle

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Jane Mani-Saada Anjana Roy Sue Wiseman Julius Weinberg Mike Catchpole Faiza Hansraj David Farrell Gawesh Jawaheer

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Contact Details

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NeLI: www.neli.org.uk

NRIC: www.nric.org.uk

Bugs and Drugs: www.antibioticresistance.org.uk

TII: www.trainingininfection.org.uk

SeaLife: http://www.biotec.tu-dresden.de/sealife/ E-bug: www.e-bug.eu

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EMAIL: Content Info: [email protected]

Strategic Info : [email protected]

Technical Info : [email protected]

General Info : [email protected]

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