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目的调查分析广州市不同医疗机构梅毒疫情报告质量,为完善制定有效的梅毒防治措施提供科学依据。方法由广州市12个区(县市)性病防治管理机构现场抽查全市不同性质的性病诊疗机构2012年1月1日0时至11月30日24时期间所报告的梅毒病例,通过现场核对门诊日志、性病专科病历或电子病历以及实验室检测结果,并与报病医生访谈进行病史回顾确认,对梅毒病例报告准确性进行评价。使用SPSS 13.0软件进行χ2检验,以P<0.01为差异有统计学意义。结果全市共抽查93家医疗机构(三甲哨点24家、二甲哨点24家、性病专科哨点4家、非哨点41家),核查梅毒报告病例2 402例(I期梅毒466例、II期梅毒392例、III期梅毒82例、隐性梅毒1 352例、胎传梅毒110例),梅毒总体报告准确率为31.47%,不同医疗机构梅毒报告准确率由高到低依次为性病专科哨点69.00%、三甲哨点33.50%、二甲哨点29.79%及非哨点24.38%,差异有统计学意义(χ2=80.28,P<0.01),哨点机构梅毒报告质量优于非哨点机构(χ2=15.54,P<0.01)、性病专科哨点优于非性病专科哨点(χ2=60.00,P<0.01),差异有统计学意义。结论广州市不同医疗机构梅毒疫情报告质量参差不齐,亟待提高。应加强梅毒防治专业知识培训,提高梅毒检测和应用能力,进一步加强性病防治归口管理,完善梅毒疫情报告管理制度。
Objective To investigate and analyze the quality of syphilis epidemic reporting in different medical institutions in Guangzhou and provide a scientific basis for improving the effective prevention and treatment of syphilis. Methods A total of 12 cases of syphilis cases reported from STD clinics in 12 districts (counties and cities) in Guangzhou on January 1, 2012 and 24:00, November 30, Logs, STD medical records or electronic medical records and laboratory test results, and interview with the doctor reported a review of the history of the review, the report on the accuracy of syphilis cases were evaluated. Using SPSS 13.0 software χ2 test, P <0.01 was considered statistically significant. Results A total of 93 medical institutions (24 top three sentinelly sentinelly, 24 sentinelly sentinelly sentinelly sentinelly sentinelly, 4 sentinelly sentinelly sentinelly and 4 non-sentinelly sentinelly sentinel) were checked in the city. A total of 2 402 cases of syphilis were reported (466 cases of syphilis stage I, 392 cases of stage II syphilis, 82 cases of stage III syphilis, 1 352 cases of latent syphilis and 110 cases of fetal syphilis). The overall accuracy rate of syphilis was 31.47%. The accuracy rate of syphilis reporting from different medical institutions was STD Sentinel 69.00%, sentinel point 33.50%, sentinel 29.79% and non-sentinel 24.38%, the difference was statistically significant (χ2 = 80.28, P <0.01), sentinel institutions syphilis reporting quality is superior to non-sentinel point (Χ2 = 15.54, P <0.01), STS sentinel was better than non STD sentinel (χ2 = 60.00, P <0.01), the difference was statistically significant. Conclusion The reports of syphilis in different medical institutions in Guangzhou are uneven in quality and need to be improved urgently. Syphilis prevention and treatment should strengthen professional knowledge training, improve syphilis detection and application capabilities, and further strengthen the centralized management of STD prevention and control, improve syphilis epidemic reporting management system.