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目的分析评价2013年黔西南州县级以上医疗机构梅毒诊断准确性和诊断符合程度,为提高黔西南州法定传染病监测数据质量提供依据。方法抽取9家县级以上综合医疗机构住院病例,根据国家卫生行业标准进行病例核实。结果从9家医疗机构报告的梅毒病例388例病例中抽取所有住院病例202例进行调查,符合诊断标准64例,诊断符合率为31.68%。结论调查医疗机构梅毒诊断符合率较低,需加强对医疗机构临床医生传染病诊疗水平培训和考核。
Objective To analyze and evaluate the diagnostic accuracy and diagnostic compliance degree of syphilis in medical institutions above the county level in southwestern Guizhou Province in 2013 and provide the basis for improving the quality of legal infectious disease surveillance data in Qianxinan Prefecture. Methods Nine inpatient cases of general medical institutions above the county level were drawn and verified according to the national health industry standards. Results A total of 202 hospitalized cases were collected from 388 cases of syphilis reported by 9 medical institutions. 64 cases met the diagnostic criteria, and the diagnostic coincidence rate was 31.68%. Conclusion The investigation of syphilis in the medical institutions with a low coincidence rate of diagnosis and treatment needs to be strengthened to clinicians in medical institutions, diagnosis and treatment of infectious diseases training and assessment.