广州市梅毒网络直报病例实验室诊断依据核查结果分析
发布时间：2018-07-13 11:49
【摘要】：目的核查并分析梅毒报告病例的实验室检查结果,为客观分析广州市梅毒疫情并制定下一步的梅毒防治措施提供依据。方法设制统一的核查表,从大疫情网下载广州市2012年报告的梅毒病例,根据历年梅毒流行特征,按隐性∶一期∶二期∶其他=5∶2∶2∶1的比例抽样,通过现场调查进行核查,资料统一录入数据库,用SPSS19.0软件分析。结果共核查2 402例梅毒,报告率为31.47%,其中RPR和TPPA双阳性者占58.49%,TPPA单阳性者占8.12%,RPR单阳性者占16.28%,仅TP-ELISA等筛查单阳性者占4.58%,4.50%病例为临床报告。在RPR和TPPA双阳性的报告病例中,未行RPR定量检测的占12.95%;已检测的RPR滴度中,二期梅毒RPR≥1:16者占61.07%,而隐性梅毒和胎传梅毒RPR≤1∶8者分别占82.21%和78.79%。结论广州市网络直报梅毒存在不合理诊断和报告,要加强梅毒网络疫情报告质量管理,加强临床医生对梅毒诊断,尤其是实验室检查项目规范利用的培训,提高梅毒报告质量。
[Abstract]:Objective to verify and analyze the results of laboratory examination of syphilis reported cases in order to provide the basis for the objective analysis of syphilis epidemic situation in Guangzhou and the establishment of the next syphilis prevention and treatment measures. Methods A unified check table was set up to download the syphilis cases reported from Guangzhou in 2012. According to the epidemic characteristics of syphilis in the past years, according to the recessive: 1: 2: 2: other 5: 2: 2: 1 proportional sampling, The data were recorded into the database through field investigation and analyzed by SPSS 19.0 software. Results A total of 2 402 cases of syphilis were examined and the reported rate was 31.47. The positive rate of RPR and TPPA was 58.499.The positive rate of RPR and TPPA was 8.12 and RPR was 16.28, and only 4.58% of the patients were positive by TP-ELISA and 4.50% of the cases were clinical reports. Among the reported cases with both positive RPR and TPPA, 12.95% did not undergo RPR quantification, and 61.07% had secondary syphilis RPR 鈮，
本文编号：2119274
[Abstract]:Objective to verify and analyze the results of laboratory examination of syphilis reported cases in order to provide the basis for the objective analysis of syphilis epidemic situation in Guangzhou and the establishment of the next syphilis prevention and treatment measures. Methods A unified check table was set up to download the syphilis cases reported from Guangzhou in 2012. According to the epidemic characteristics of syphilis in the past years, according to the recessive: 1: 2: 2: other 5: 2: 2: 1 proportional sampling, The data were recorded into the database through field investigation and analyzed by SPSS 19.0 software. Results A total of 2 402 cases of syphilis were examined and the reported rate was 31.47. The positive rate of RPR and TPPA was 58.499.The positive rate of RPR and TPPA was 8.12 and RPR was 16.28, and only 4.58% of the patients were positive by TP-ELISA and 4.50% of the cases were clinical reports. Among the reported cases with both positive RPR and TPPA, 12.95% did not undergo RPR quantification, and 61.07% had secondary syphilis RPR 鈮，
本文编号：2119274
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