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目的核查并分析梅毒报告病例的实验室检查结果,为客观分析博兴县梅毒疫情并制定下一步的梅毒防治措施提供依据。方法设置统一的核查表,从大疫情网下载博兴县2014年1月1日-2016年6月30日报告的全部梅毒病例,通过现场调查进行核查,资料统一录入数据库,再进行统计学分析。结果共核查104例梅毒病例,通过查重后最终100例列入统计处理,特异性抗体和非特异性抗体双阳性者占85.00%,其中未进行非特异性抗体定量检测者占10.59%,仅特异性抗体单阳者占15.00%,仅非特异性抗体单阳者为0,所有报告病例均有实验室诊断结果。一期、二期、隐性梅毒正确分期分类率分别为21.62%,77.78%和33.33%,胎传梅毒均不符合诊断标准。结论博兴县网络直报梅毒存在一定不合理诊断和报告,需要加强临床医生对梅毒诊断分期分类培训并加强梅毒网络疫情报告质量管理,提高梅毒报告质量。
Objective To verify and analyze the laboratory test results of syphilis cases so as to provide the basis for objective analysis of the epidemic situation of syphilis in Boxing County and to formulate the next syphilis prevention and control measures. Methods A unified checklist was set up to download all the cases of syphilis reported by Boxing County from January 1, 2014 to June 30, 2016. The cases were verified through on-site investigation. Data were entered into the database for statistical analysis . Results A total of 104 cases of syphilis were checked. The final 100 cases were included in the statistical analysis. The positive rate of specific antibodies and nonspecific antibodies was 85.00%, of which 10.59% was non-specific non-specific antibodies. Only the specificity Antibody single positive accounted for 15.00%, non-specific antibody single positive for 0, all reported cases have laboratory diagnostic results. The correct staging classification rates of stage I, stage II, and latent syphilis were 21.62%, 77.78% and 33.33%, respectively, and all fetal syphilis did not meet the diagnostic criteria. Conclusion There is some unreasonable diagnosis and report on syphilis directly reported in Boxing County. It is necessary to strengthen clinicians’ training on staging classification of syphilis diagnosis and to strengthen the quality management of syphilis network epidemic reporting so as to improve the quality of syphilis report.