邢台市医疗机构性病防治相关科室梅毒报告情况调查

发布时间：2018-07-24 09:21

【摘要】：目的通过调查邢台市医疗机构性病防治相关科室的梅毒报告情况,分析影响梅毒诊断报告准确的因素。方法根据2014年7月-2015年6月期间网络报告的梅毒病例,查阅医疗机构的门诊日志、实验室检测记录,根据梅毒诊断标准和梅毒报告要求,分析相关科室梅毒的报告质量。结果核查37家医疗机构报告的605例梅毒病例,报告准确率为79.34%,各期梅毒报告准确率差异无统计学意义(χ~2=9.17,P0.05)。性病相关科室和非性病相关科室梅毒报告的准确率分别为86.21%,77.17%,报告准确率差异有统计学意义(χ~2=5.49,P0.05,OR=1.16,95% CI=1.04~1.31)。两类科室双阳性报告率差异无统计学意义(χ~2=0.30,P0.05)。皮肤性病科报告以二期梅毒为主,内科和外科报告以隐性梅毒为主。结论发挥皮肤性病专业医生专长,针对非性病相关科室医生的培训需适应科室医生报病特点,规范相关科室梅毒的归口管理,以提高梅毒报告的准确性。
[Abstract]:Objective to investigate the syphilis report in the departments of STD prevention and treatment in Xingtai City, and to analyze the factors influencing the accuracy of syphilis diagnosis report. Methods according to the cases of syphilis reported by network from July 2014 to June 2015, the log of outpatient service, the records of laboratory examination, and the quality of syphilis report in relevant departments were analyzed according to the criteria of syphilis diagnosis and the requirement of syphilis report. Results among 605 cases of syphilis reported by 37 medical institutions, the reporting accuracy was 79.34, and there was no significant difference in the reporting accuracy of syphilis in each stage (蠂 2 / 9.17 P 0.05). The accuracy of syphilis report in STD related departments and non-venereal diseases related departments was 86.21 and 77.17 respectively, and the difference in reporting accuracy was statistically significant (蠂 ~ 2 / 25.49 / P 0.05 / 0. 05 CI=1.04~1.31). There was no significant difference in the double positive reporting rate between the two departments (蠂 2: 0.30 P 0.05). Dermatology and venereal diseases report mainly secondary syphilis, internal and surgical reports mainly recessive syphilis. Conclusion the training of doctors in non-venereal diseases departments should adapt to the characteristics of reporting diseases and standardize the management of syphilis in related departments so as to improve the accuracy of syphilis reports.
【作者单位】：邢台市疾病预防控制中心;
【分类号】：R759.1

【相似文献】