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目的评价我国布鲁氏菌病(布病)的网络直报报告质量,分析诊断情况。方法合并2004-2012年通过疾病监测信息管理系统报告的布病年报数据库,采用自定义指标,对报告质量和诊断情况进行分析,并比较不同地区、不同年份间的差异。结果 2004-2012年,全国累计网络直报布病个案报告卡244 369张,9年平均增长速度为16.68%。病例错误分类率为0.03%,逻辑错误率为0.02%,及时报告率为94.76%,及时审核率为100%。报告病例中,89.81%为实验室诊断,发病-诊断间隔中位数为21 d,异地就诊率为38.00%。99.62%的病例来自北方省份,南方省份报告病例逐年增多。与北方省份相比,南方省份的病例错误分类率较高、发病-诊断时间间隔较长、异地就诊率较高。结论我国布病网络直报报告质量总体较好,但存在一定的诊断不及时现象,报告质量和诊断情况存在南北差异。现有的病例分类方式和按发病日期统计的统计规则不符合布病实际,有待改进。
Objective To evaluate the quality of direct reports of brucellosis (brucellosis) in our country and analyze the diagnosis. Methods Combined with the annual report of brucellosis reported from the disease surveillance information management system from 2004 to 2012, the author used the self-defined indicators to analyze the quality and diagnosis of the reports and compared the differences between different regions and years. Results From 2004 to 2012, a total of 244 369 reports of brucellosis cases were reported online in the country, the average growth rate in 9 years was 16.68%. The case error classification rate was 0.03%, the logic error rate was 0.02%, the timely reporting rate was 94.76%, and the timely approval rate was 100%. Of the reported cases, 89.81% were laboratory diagnosed, with a median onset-to-diagnosis interval of 21 days and a remote visiting rate of 38.00%. 99.62% of the cases came from northern provinces, and the reported cases of southern provinces increased year by year. Compared with the northern provinces, the southern provinces have a higher case-misclassification rate, longer onset-diagnosis intervals and higher rates of outpatient visits. Conclusion The quality of direct reporting of brucellosis in our country is generally good, but there is a certain phenomenon of not timely diagnosis. The quality of the report and the diagnosis are different in the north and south. The existing classification methods of cases and statistical rules according to the date of onset do not meet the actual situation of brucellosis to be improved.