信阳市丙型病毒性肝炎病例报告数据质量核查分析

发布时间：2018-02-02 18:28

本文关键词： 丙型病毒性肝炎病例报告数据质量　出处：《现代预防医学》2015年19期 　论文类型：期刊论文

【摘要】：目的了解信阳市丙肝病例报告中存在的问题,掌握实际的病例分类情况,提高病例报告质量。方法对全市7县2区9家医院的2014年第1季度丙肝病例报告数据展开质量抽查、核查。结果本次核查的9家综合医院中只有1家具有核酸检测能力。9家实验室检出的抗-HCV及HCV-RNA阳性者的总报告率为37.66%。其中,抗-HCV阳性者的报告率为41.54%,HCV-RNA核酸阳性者报告率为28.37%。核查9家医院病例的诊断分类(分为疑似病例、临床病例及实验室确证病例)正确率为67.07%,其中市级医院分类正确率为97.50%,县级医院分类正确率为38.10%,两者差异有统计学意义(χ2=32.74,P0.05)。结论信阳市核查的丙肝病例报告质量较差,丙肝病例的报告率和分类诊断正确率较低,建议有关部门加大疫情报告人员和临床医生的培训力度和培训面,提高他们的报告水平和诊疗水平。
[Abstract]:Objective to understand the problems existing in the report of hepatitis C cases in Xinyang City and to know the actual classification of cases. Methods to improve the quality of case report. Methods the data of in the first quarter of 2014 case report of hepatitis C in 9 hospitals in 7 counties and 2 districts of the city were randomly checked. Results only 1 of the 9 general hospitals examined had the ability to detect nucleic acid. The total reporting rate of anti-HCV and HCV-RNA positive patients was 37.66. among them. The reported rate of anti-HCV positive patients was 41.54 and that of HCV-RNA positive patients was 28.37. The diagnostic classification of 9 hospital cases was checked (classified as suspected cases). The correct rate of clinical cases and laboratory confirmed cases was 67.07, including 97.50 in municipal hospitals and 38.10% in county-level hospitals. There was significant difference between the two groups (蠂 2, 32.74, P 0.05). Conclusion the quality of the reported cases of hepatitis C in Xinyang City is poor, and the reporting rate and the correct rate of classification diagnosis of the cases of hepatitis C are lower. It is suggested that the departments concerned should strengthen the training and training of the epidemic report staff and clinicians to improve their reporting level and diagnosis and treatment level.
【作者单位】：河南省信阳市疾病预防控制中心;
【分类号】：R512.63
【正文快照】： 近5年来,我国法定传染病报告信息管理系统中丙型病毒性肝炎(简称“丙肝”)的病例报告数以平均每年13.6%的速度增长。同时,现行《丙型病毒性肝炎诊断标准(ws213-2008)》(简称“丙肝诊断标准”)实施五年来,各地区,各医疗机构对临床医生的培训及执行标准的情况不明[1]。为了解我

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