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目的分析潮州市医疗机构法定报告传染病的漏报情况,了解潮州市传染病疫情报告工作质量。方法采用分层抽样方法抽取潮州市21家医疗机构,查阅医院门诊(内、儿、急诊科)2012年1—6月份门诊日志和出入院登记中的法定传染病个案信息。结果潮州市2012年法定传染病总漏报率为14.71%(35/238),其中乙类传染病漏报率为12.58%(20/159),丙类传染病漏报率为18.99%(15/79),差异无统计学意义(P>0.05)。门诊部漏报率为26.42%(28/106),住院部漏报率为5.30%(7/132),差异有统计学意义(P<0.01);县级医疗机构漏报率为31.52%(29/92),市级医疗机构漏报率为5.88%(4/68),乡镇级医疗机构漏报率为2.56%(2/78),差异有统计学意义(P<0.01)。漏报率较高的病种为急性出血性结膜炎100.00%(1/1)、流行性感冒50.00%(1/2)、流行性腮腺炎36.67%(11/30)等。结论潮州市医疗机构法定报告传染病漏报情况不容忽视,传染病报告工作质量有待进一步提高。
Objective To analyze the omission of statutory reported communicable diseases in medical institutions in Chaozhou City and to understand the quality of the epidemic report of communicable diseases in Chaozhou City. Methods Twenty-one medical institutions in Chaozhou City were drawn by stratified sampling method, and the outpatient diaries and outpatient registration cases of legal infectious diseases in January-June 2012 in the outpatient department (internal, pediatric and emergency department) were consulted. Results The total omission rate of legal notifiable diseases in Chaozhou was 14.71% (35/238) in 2012, of which 12.58% (20/159) was omitted from Category B infectious diseases and 18.99% / 79), the difference was not statistically significant (P> 0.05). The false negative rate in outpatient department was 26.42% (28/106) and that in inpatient department was 5.30% (7/132), the difference was statistically significant (P <0.01); the false negative rate in county medical institutions was 31.52% 29/92). The false negative rate of municipal medical institutions was 5.88% (4/68) and that of township medical institutions was 2.56% (2/78) (P <0.01). The diseases with higher false negative rate were acute hemorrhagic conjunctivitis 100.00% (1/1), epidemic influenza 50.00% (1/2), mumps 36.67% (11/30) and so on. Conclusion The omission of statutory reporting of infectious diseases in medical institutions in Chaozhou can not be ignored. The quality of infectious disease reporting needs to be further improved.