邢台市医疗机构梅毒病例报告诊断质量调查

发布时间：2018-01-15 16:10

本文关键词：邢台市医疗机构梅毒病例报告诊断质量调查　出处：《现代预防医学》2016年06期 　论文类型：期刊论文

【摘要】：目的调查邢台市医疗机构梅毒报告诊断情况,为有效防治梅毒提供依据。方法下载邢台市医疗机构2013年7月至2014年6月期间报告的梅毒病例,现场核对性病诊疗机构的门诊日志、实验室检测记录,根据梅毒诊断标准和梅毒报告要求,分析梅毒的报告和诊断准确率。结果核查30家医疗机构报告的530例梅毒病例,报告准确的病例为328例,报告准确率为61.89%。其中一期梅毒、二期梅毒、隐形梅毒、胎传梅毒的报告准确率分别为59.72%,50.00%,62.70%,60.00%,三期梅毒没有报告。各期梅毒报告准确率(=1.23,P=0.75)差异无统计学意义。性病相关科室和非性病相关科室报告准确率(=8.95,P=0.0028)差异有统计学意义。结论梅毒的报告准确率偏低,有待提高。需进一步扩大梅毒规范化培训覆盖范围,强化意识,行政部门应加强对医疗机构督导管理,以提高梅毒病例报告质量。
[Abstract]:Objective to investigate the diagnosis report of syphilis in medical institutions of Xingtai City, and provide basis for effective prevention and treatment of syphilis. Syphilis cases during the period from July 2013 to June 2014 to download the report in medical institutions of Xingtai City, the site to check the STD outpatient institutions log, laboratory test records, according to the report of syphilis diagnosis standard and accuracy analysis of syphilis, syphilis and diagnosis report. Results 530 cases of syphilis cases checked 30 medical institutions report, accurate reports were 328 cases, the accurate rate is reported as 61.89%. one syphilis, two period syphilis, recessive syphilis, congenital syphilis report accuracy rate were 59.72%, 50%, 62.70%, 60%, three period syphilis syphilis did not report. Report the accuracy rate (=1.23, P=0.75). There was no significant difference in STD related departments and relevant departments to report the accuracy of Nonvenereal (=8.95, P=0.0028) the difference was statistically significant. The accuracy rate of syphilis reporting is low and needs to be improved. We should further expand the coverage of syphilis standardized training and strengthen awareness. The administrative department should strengthen the supervision and management of medical institutions, so as to improve the quality of syphilis case reports.

【作者单位】：邢台市疾病预防控制中心;
【分类号】：R759.1
【正文快照】： 梅毒属于法定乙类传染病,是一种慢性性传播疾病,是性病防治的重点。邢台市梅毒报告病例2013年、2014年均居全市甲乙类传染病报告的第4位。我国梅毒疫情报告是基于医疗机构病例诊断的报告,医疗机构对梅毒病例的诊断和报告质量直接影响梅毒疫情报告数据的质量,从而影响疫情趋势

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