论文部分内容阅读
[目的]通过分析急性弛缓性麻痹(AFP)病例标本不合格发生原因及其特点,为持续保持高质量的AFP病例监测系统提供科学依据。[方法]对周口市2004~2009年AFP病例监测系统资料进行流行病学分析。[结果]周口市2004~2009年共报告AFP不合格标本病例47例,不同年份间AFP报告不合格标本病例的差异有统计学意义(P<0.05)。10个县(市、区)均有不合格标本病例报告,不同县(市、区)间差异无统计学意义(P>0.05)。年龄以3岁以下儿童居多,共25例(占53.19%);超时采便39例,占80.85%;基层医院首诊报告率低,仅为30.56%。[结论]AFP病例不合格标本的原因主要是超时采便。应加强各级工作人员培训,提高AFP病例诊断水平和报告意识;重点关注小年龄组儿童监测,定期开展漏报调查,及时发现工作薄弱的地区,切实提高周口市AFP病例双份粪便标本合格采集率。
[Objective] To provide a scientific basis for continually maintaining high quality AFP case monitoring system by analyzing the causes and characteristics of AFP cases. [Methods] The data of AFP case surveillance system in Zhoukou City from 2004 to 2009 were analyzed by epidemiology. [Results] A total of 47 cases of AFP non-conformities were reported in Zhoukou from 2004 to 2009, and the differences of AFP non-conformities between different years were statistically significant (P <0.05). 10 counties (cities, districts) have failed to report cases of specimens, different counties (cities, districts) was no significant difference (P> 0.05). The majority of children under the age of 3 were aged 25 (53.19%). Out-of-the-way collection was performed in 39 cases (80.85%). The first report rate was only 30.56% in primary hospitals. [Conclusion] The main reason of the unqualified AFP cases is overtime collection. We should strengthen the training of staff at all levels to improve the diagnosis of AFP cases and awareness of the report; focus on the monitoring of children in the younger age groups, carry out regular omissions in the survey, and timely detection of weak areas, and effectively improve the AFP cases Zhoukou double stool specimens eligible acquisition rate.