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目的分析流感监测哨点医院监测工作的质量和存在的问题,为提高监测效率奠定基础。方法通过现场调查的方法,对17个市25家哨点医院进行问卷调查,并从流感监测系统下载数据,了解哨点医院监测诊室设置情况,分析哨点医院流感样病例的报告、标本的采取送检情况。结果 2010年安徽省的ILI%为2.77%,儿童专科医院的ILI%高于综合性医院;2010年报告ILI最多为儿内科门诊,ILI年龄集中在0～4岁和5～14岁年龄组;25家哨点医院平均每周采样超过5例共有16家,占64.00%,48h内送样的标本占总标本数的80.82%,48h内、48h后送检的标本检测阳性率分别为15.25%、8.70%,差异有统计学意义(χ2=56.07,P<0.01)。结论流感监测系统已初步构建,但也存在一定的问题,要加强督导,提高监测效率。
Objective To analyze the quality and existing problems of influenza surveillance post-hospital surveillance and lay the foundation for the improvement of monitoring efficiency. Methods A questionnaire survey was conducted on 25 sentinel hospitals in 17 cities by field survey. Data were downloaded from the influenza surveillance system to understand the setting of monitoring clinics in sentinel hospitals, and the reports of influenza-like illness in sentinel hospitals were analyzed. The specimens were taken Submit the case. Results The ILI% in Anhui Province was 2.77% in 2010, and the ILI% in pediatric specialty hospitals was higher than that in general hospitals. In 2010, most ILIs were reported as pediatric outpatients, and the ILIs were concentrated in 0 ~ 4 years old and 5 ~ 14 years old groups. In 25 sentinel hospitals, there were 16 samples (64.00%) sampled weekly in an average of more than 5 cases, 80.82% of samples sent within 48 hours, and 48.8% , 8.70%, the difference was statistically significant (χ2 = 56.07, P <0.01). Conclusion Influenza surveillance system has been initially constructed, but there are also some problems, we must strengthen supervision and improve monitoring efficiency.