博兴县梅毒网络直报病例梅毒诊断和报告准确性分析

发布时间：2018-02-08 11:06

本文关键词： 梅毒报告病例诊断核查　出处：《中国皮肤性病学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的核查并分析梅毒报告病例的实验室检查结果,为客观分析博兴县梅毒疫情并制定下一步的梅毒防治措施提供依据。方法设置统一的核查表,从大疫情网下载博兴县2014年1月1日-2016年6月30日报告的全部梅毒病例,通过现场调查进行核查,资料统一录入数据库,再进行统计学分析。结果共核查104例梅毒病例,通过查重后最终100例列入统计处理,特异性抗体和非特异性抗体双阳性者占85.00%,其中未进行非特异性抗体定量检测者占10.59%,仅特异性抗体单阳者占15.00%,仅非特异性抗体单阳者为0,所有报告病例均有实验室诊断结果。一期、二期、隐性梅毒正确分期分类率分别为21.62%,77.78%和33.33%,胎传梅毒均不符合诊断标准。结论博兴县网络直报梅毒存在一定不合理诊断和报告,需要加强临床医生对梅毒诊断分期分类培训并加强梅毒网络疫情报告质量管理,提高梅毒报告质量。
[Abstract]:Objective to verify and analyze the results of laboratory examination of syphilis reported cases so as to provide a basis for objective analysis of syphilis epidemic situation in Boxing County and to formulate the next syphilis prevention and treatment measures. All the syphilis cases reported from January 1st 2014 to June 30th 2016 in Boxing County were downloaded from the Great epidemic situation Network, and verified by field investigation, the data were recorded in the database, and then statistically analyzed. Results A total of 104 syphilis cases were verified. Finally, 100 cases were included in the statistical treatment after heavy check. The positive rate of specific antibody and non-specific antibody was 85.00, of which 10.59 were not detected quantitatively, 15.00 were specific antibody positive and 0 were non-specific antibody single positive. All reported cases had laboratory. Diagnostic results. One stage, In the second stage, the correct classification rates of recessive syphilis were 77.78% and 33.33%, respectively. Both fetal syphilis did not meet the diagnostic criteria. Conclusion there is some unreasonable diagnosis and report of syphilis in Boxing County. It is necessary to strengthen the training of clinicians in the classification of syphilis diagnosis by stages, strengthen the quality management of syphilis network epidemic report, and improve the quality of syphilis report.
【作者单位】：山东省博兴县疾病预防控制中心;
【分类号】：R759.1

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