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目的了解2012年新疆伊宁市居民法定传染病的漏报情况,为决策者制定控制策略提供科学依据。方法采取随机整群分层抽样方法选取调查样本,根据《2012年伊宁市回顾性居民法定传染病漏报调查工作方案》,调查居民2012年1月1日至12月31日传染病发病和漏报情况,并对数据统计分析。结果 2012年1─12月伊宁市法定传染病报告12种112例,发病率2 209.5/10万;漏报37例,漏报率33.04%;漏报率最高的病种为麻疹100.00%,漏报病例中男性21例,女性16例;漏报最高的职业为儿童,包括散居及幼托儿童;112例患者,到医疗机构就诊91例,漏报16例,漏报率17.60%;未就诊21例,漏报21例,漏报率100.00%。结论伊宁市传染病漏报现象较为严重,应加强传染病的报告管理,加大对临床医师的培训力度,以提高传染病的发现、诊断和报告水平,减少漏报。
Objective To understand the omission of notifiable infectious diseases among residents in Yining, Xinjiang in 2012, and provide a scientific basis for decision makers to make control strategies. Methods A random cluster stratified sampling method was used to select the survey samples. According to the “Work Plan of Investigation on Lack of Notifiable Infectious Diseases in Yining City in 2012”, residents were investigated for the incidence of infectious diseases from January 1 to December 31, 2012 Omission reported, and statistical analysis of the data. Results From January to December in 2012, 112 cases of 12 kinds of notifiable infectious diseases were reported in Yining City, with a prevalence of 2 209.5 / 100 000; 37 cases were underreported, the false negative rate was 33.04%; the highest false negative rate was measles 100.00% Mistakes were reported in 21 males and 16 females. The highest reported omissions were children, including diaspora and kindergarten children. Of 112 cases, 91 cases were referred to medical institutions, 16 cases were missed and the omission rate was 17.60%. 21 cases were treated, 21 cases were missed, and the false negative rate was 100.00%. Conclusion The phenomenon of underreporting of infectious diseases in Yining City is more serious. It is necessary to strengthen the reporting management of infectious diseases and increase the training of clinicians in order to improve the detection, diagnosis and reporting of infectious diseases and reduce the omission of reports.