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目的分析浙江省温州市医疗机构传染病漏报情况,为规范传染病报告工作提出相应对策。方法对温州市2009-2011年传染病漏报调查数据进行统计分析。结果 2009-2011年共抽查乙丙类传染病24种29 293例,漏报467例,漏报率为1.59%。温州市法定传染病漏报率无上升趋势(χ2=3.37,P>0.05);私营医院及个体诊所的漏报率最高,其次是乡镇卫生院(χ2=761.70,P<0.05);乙类和丙类漏报率分别为1.42%和1.72%(χ2=3.97,P<0.05),其中百日咳和流行性感冒的漏报率最高,分别为28.57%和21.08%。结论温州市2009-2011年各年的传染病漏报率均控制在2%内,但仍需继续加强培训和监管力度,重点是加强私营医院及个体诊所和乡镇卫生院的传染病报告管理工作。
Objective To analyze the omission of infectious diseases in medical institutions in Wenzhou City, Zhejiang Province, and to put forward countermeasures to regulate the reporting of infectious diseases. Methods Statistical analysis was conducted on survey data of underreporting of infectious diseases in Wenzhou City from 2009 to 2011. Results A total of 29 293 cases of 24 categories of B and C infectious diseases were investigated during 2009-2011, 467 cases were missed and the omission rate was 1.59%. The omission rate of legal notifiable diseases in Wenzhou showed no upward trend (χ2 = 3.37, P> 0.05); private hospitals and individual clinics had the highest false negative rate, followed by township hospitals (χ2 = 761.70, P <0.05) The false negative rate of C was 1.42% and 1.72% respectively (χ2 = 3.97, P <0.05), and the false negative rates of pertussis and influenza were the highest (28.57% and 21.08% respectively). Conclusion In 2009-2011, the omission rate of communicable diseases was controlled within 2% in 2009-2011. However, the training and supervision still need to be strengthened. The focus is to strengthen the management of infectious diseases in private hospitals, private clinics and township hospitals .