摘要
目的评价现有丙型病毒性肝炎(丙肝)报告病例的重复报告和诊断报告情况,为进一步规范和提高丙肝疫情监测工作提供参考依据。方法下载《疾病监测信息报告管理系统》网络直报中2009—2011年中国丙肝报告卡,计算中国及部分省份2009—2011年年度内和年度间重复报告率。收集天津、吉林、浙江、河南和广东5省(直辖市)2011年诊断并报告过丙肝实验室诊断病例的医疗机构的核酸检测资质情况,以及上述5省部分"有丙肝核酸检测资质"医疗机构的丙肝实验室诊断病例的医学信息,了解实验室诊断病例诊断报告情况。使用SPSS18.0和Excel 2010软件对数据进行统计分析。χ2检验中检验水准α取0.05。结果 2009—2011年年度内重复报告率全国平均3.8%,天津1.2%、吉林2.7%、浙江1.4%、河南4.4%、广东2.9%;剔除各年年度内重复报告病例后,该3年年度间重复报告率全国6.9%,天津2.9%、吉林6.1%、浙江4.5%、河南7.7%、广东5.6%。2011年全国报告154 122例实验室诊断病例共来自8680家报告单位,在5省份调查的517家医疗机构中,48.4%"无丙肝核酸检测资质";核查的857例实验室诊断病例中,32.8%符合报告标准。结论重复报告对于丙肝疫情的准确判断有一定影响。应加强网络直报的实名制管理,提高病例的可查重性。强化丙肝临床诊断和报告管理规范,提高实验室诊断能力。加强培训督导,提高丙肝疫情监测和管理能力。加强健康宣教,提高公众对丙肝的预防、就诊意识。
Objective To evaluate quality of hepatitis C reporting and diagnosis of hepatitis C in China and provide evidence for the further improvement of hepatitis C surveillance, Methods The reported incidence data of hepatitis C in China during 2009 -2011 were collected from national disease surveillance information system to calculate the overall and annual rereporting rate of hepatitis C. Results The overall re-reporting rate of hepatitis C in China during 2009 - 2011 was 3.8%, and the rate was 1.2% in Tianjin, 2. 7% in Jilin, 1.4% in Zhejiang, 4. 4% in Henan, and 2. 9% in Guangdong. The average annual re-reporting rate of hepatitis C in China during this period was 6.9%, and the rate was 2.9% in Tianjin, 6. 1% in Jilin, 4.5% in Zhejiang, 7.7% in Henan, and 5.6% in Guangdong. A total of 154 122 laboratory diagnosed hepatitis C cases were reported from 8680 medical institutions. Among 517 medical institutions surveyed in five provinces, 48.4% had no qualified laboratory capability for HCV RNA testing. Among the 857 laboratory diagnosed hepatitis C cases, 32. 8% met the reporting standard of hepatitis C. Conclusion The real-name management of network direct reporting should be strengthened to reduce the re-reporting of hepatitis C. It is also necessary to strengthen the clinical diagnosis and reporting management of hepatitis C, improve laboratory diagnostic capability, strengthen the supervision, surveillance and health education
出处
《疾病监测》
CAS
2014年第7期578-582,共5页
Disease Surveillance
作者简介
陈方方，女，河南省禹州市人，助理研究员，主要从事艾滋病监测工作
通信作者：崔岩，Tel：010—58900954，Email：ycui@chinaaids．cn
