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目的了解柳州市法定报告传染病诊断准确率水平,为提高传染病报告质量提供依据。方法对柳州市医疗机构报告的法定报告传染病病例进行随机抽查,按传染病诊断标准判断其诊断是否准确。结果共调查30家医院,抽查349例病例,总诊断符合率为64.11%。淋病、细菌性痢疾、伤寒/副伤寒、梅毒和病毒性肝炎诊断准确率分别为92.86%、87.50%、73.68%、67.95%和58.06%。三级医疗机构诊断准确率为72.73%,高于二级医疗机构(64.11%),二者差异有统计学意义(χ2=9.27,P<0.01)。结论柳州市法定报告传染病诊断准确率较低,应加强传染病诊断质量控制。
Objective To understand the diagnostic accuracy of statutory reporting of infectious diseases in Liuzhou and provide the basis for improving the quality of infectious disease reports. Methods A random sample of statutory reported communicable diseases reported by medical institutions in Liuzhou was randomly selected to determine whether the diagnosis was accurate according to the diagnostic criteria of infectious diseases. Results A total of 30 hospitals were surveyed and 349 cases were randomly selected. The overall diagnostic coincidence rate was 64.11%. The diagnostic accuracy rates of gonorrhea, bacillary dysentery, typhoid / paratyphoid, syphilis and viral hepatitis were 92.86%, 87.50%, 73.68%, 67.95% and 58.06%, respectively. The diagnostic accuracy rate of the tertiary medical institutions was 72.73%, higher than that of the secondary medical institutions (64.11%), the difference was statistically significant (χ2 = 9.27, P <0.01). Conclusion Liuzhou statutory report infectious disease diagnosis accuracy is low, should strengthen the quality control of infectious disease diagnosis.