山东省2013年乙型病毒性肝炎病例监测点监测信息质量评价

发布时间：2018-04-29 12:57

本文选题：乙型病毒性肝炎 + 监测试点　；参考：《中国疫苗和免疫》2015年03期

【摘要】：目的评价山东省乙型病毒性肝炎(乙肝)病例监测点监测信息质量,为完善乙肝病例监测系统提供参考。方法随机抽取部分山东省2013年8个乙肝病例监测点(县、市、区,下同)报告病例,计算关键信息报告完整率;通过电话回访和现场调查对监测报告的关键信息进行复核,计算信息一致率;比较复核前后急、慢性乙肝分类情况,评价报告信息质量对临床分类的影响。结果是否首次被诊断为乙肝、首次检出乙肝病毒表面抗原(Hepatitis B Virus Surface Antigen,HBs Ag)阳性时间、肝炎相关临床症状与体征、丙氨酸氨基转移酶(Alanine Aminotransferase,ALT)四项关键变量报告完整率分别为99.70%、78.71%、99.35%和86.16%,其中首次检出HBs Ag阳性时间和肝炎相关临床症状与体征的完整率随时间逐渐升高,各季度差异有统计学意义(P0.01、P=0.03);电话复核各关键变量的一致率分别为73.91%(187/253)、77.08%(195/253)、58.50%(148/253)、88.14%(223/253),现场复核各关键变量一致率分别为93.18%(41/44)、90.91%(40/44)、75%(33/44)和77.27%(34/44);电话复核前后急性和慢性乙肝分类一致率分别为54.54%(6/11)和96.49%(165/171),各型分类总体一致率为93.10%(216/232),总体一致性最佳(Kappa值=0.83);现场复核前后急性和慢性乙肝分类一致率分别为85.71%(6/7)和81.25%(26/32),各型分类总体一致率为84.09%(37/44),总体一致性显著(Kappa值=0.69)。结论山东省乙肝病例监测点部分监测信息质量有待提高,监测信息的真实性影响了急性乙肝的正确分类。
[Abstract]:Objective to evaluate the quality of surveillance information of hepatitis B cases in Shandong Province, and to provide reference for improving the surveillance system of hepatitis B cases. Methods eight hepatitis B surveillance points (county, city, district, the same below) in Shandong Province were randomly selected in 2013, and the complete rate of key information was calculated, and the key information of the monitoring report was reviewed by telephone return visit and field investigation. To calculate the rate of information consistency, to compare the classification of acute and chronic hepatitis B before and after review, and to evaluate the effect of information quality on clinical classification. Results whether or not hepatitis B Virus Surface antigen-HBs were first diagnosed, hepatitis B Virus Surface antigen-positive time, clinical symptoms and signs related to hepatitis were detected for the first time. The complete reporting rate of the four key variables of Alanine aminotransferase was 99.70% and 86.16%, respectively. The positive time of HBs Ag for the first time and the complete rate of clinical symptoms and signs related to hepatitis increased gradually with time. There were statistically significant differences between quarters (P 0.01 / P 0.03); telephone review of key variables was 73.91 / 77.0875 / 77.0875 / 253.05 / 253.05 / 253.05 / 253.05 / 258.50 / 254 / 88 / 225 / 253respectively, and the consensus rate of key variables for field review was 93.1818414444.75 / 77.2734 / 44 / 44) and 77.2734 / 44 / 44, respectively; the classification rates of acute and chronic hepatitis B before and after telephone review were 54.54 / 611 / 54.54 / 611 and 54.5440 / 44.75 / 44 / 44) and 77.2734 / 44 / 44, respectively, and the accuracy of the key variables in the field review was 93. 1841% and 77.2734% 44 / 44, respectively, and 54.54% 611% and 77.2734% 44 / 44 respectively before and after the telephone review of acute and chronic hepatitis B, respectively. 96.499,165 / 171%, the overall consistency rate of each classification was 93.1010 / 216 / 232, the best overall consistency was 0.83%; the classification consistency rates of acute hepatitis B and chronic hepatitis B before and after field review were 85.71% and 81.25% 26 / 32, respectively. The overall consistency rate of each type of classification was 84.09% 3744%, and the overall consistency was significantly higher than that of Kappa value (0.69%). Conclusion the quality of monitoring information of hepatitis B cases in Shandong Province needs to be improved, and the authenticity of monitoring information affects the correct classification of acute hepatitis B.
【作者单位】：山东大学预防医学研究院;山东省疾病预防控制中心山东省传染病预防控制重点实验室;
【基金】：国家科学技术艾滋病和病毒性肝炎等重大传染病防治重大专项乙型肝炎病毒免疫预防新策略的研究(编号:2012ZX10002001) 山东省医药卫生科学技术发展计划重点项目(编号:2011HD006)
【分类号】：R512.62;R181.8

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