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We describe and evaluate the use of an electronic laboratory data system (WHONET) and a space\u2013time permutation scan statistic for semi-automated disease outbreak detection. In collaboration with WHONET-Argentina, the national network for surveillance of antimicrobial resistance, we applied the system to the detection of local and regional outbreaks of <jats:italic>Shigella<\/jats:italic> spp. We searched for clusters on the basis of genus, species, and resistance phenotype and identified 19 statistical \u2018events\u2019 in a 12-month period. Of the six known outbreaks reported to the Ministry of Health, four had good or suggestive agreement with SaTScan-detected events. The most discriminating analyses were those involving resistance phenotypes. Electronic laboratory-based disease surveillance incorporating statistical cluster detection methods can enhance infectious disease outbreak detection and response.<\/jats:p>","DOI":"10.1017\/s0950268809990884","type":"journal-article","created":{"date-parts":[[2009,10,2]],"date-time":"2009-10-02T11:10:53Z","timestamp":1254481853000},"page":"873-883","source":"Crossref","is-referenced-by-count":53,"title":["Automated use of WHONET and SaTScan to detect outbreaks of <i>Shigella<\/i> spp. using antimicrobial resistance phenotypes"],"prefix":"10.1017","volume":"138","author":[{"given":"J.","family":"STELLING","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. 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Paris, France: Comit\u00e9 de l'Antibiogramme de la Soci\u00e9t\u00e9 Fran\u00e7aise de Microbiologie, 2007."},{"key":"S0950268809990884_ref004","doi-asserted-by":"publisher","DOI":"10.3201\/eid0303.970322"},{"key":"S0950268809990884_ref022","doi-asserted-by":"publisher","DOI":"10.1089\/fpd.2006.3.59"},{"key":"S0950268809990884_ref011","doi-asserted-by":"publisher","DOI":"10.3201\/eid0906.020794"},{"key":"S0950268809990884_ref018","unstructured":"18. WHONET 5.4. Software for the management and analysis of microbiology laboratory results (http:\/\/www.who.int\/drugresistance\/whonetsoftware\/). 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