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目的了解上海市嘉定区医疗机构梅毒病例报告现状和准确程度,为梅毒疫情管理和疫情估计提供参考依据。方法用Excel对2012—2014年三年网络报告梅毒进行报卡查重,并到性病门诊抽查性病实验室梅毒检测结果、性病门诊日志,评价2014年网络报告梅毒病例的准确性。结果近三年网络报告1 931例梅毒病例,其中有62例发生重复报病,共重复报病67次,重复率为3.5%;现场抽查246例梅毒病例,1例错报,错报率为0.4%,无漏报现象。在246例梅毒病例中RPR/TRUST滴度≤1:8有124例(50.4%)。结论上海市嘉定区梅毒病例报告准确率较高,但是既往梅毒重复报病率较高,疫情管理单位应予以重视,同时临床医生应注意询问患者是否既往曾被诊断患过梅毒,复诊病例不要再进行网络报病。
Objective To understand the status and accuracy of syphilis cases reported by medical institutions in Jiading District of Shanghai, and to provide reference for the management of syphilis epidemic and epidemic situation. Methods Excel was used to check the syphilis in the three years from 2012 to 2014. The syphilis results from STD clinics and STD clinics were also checked out by STD clinics to evaluate the accuracy of syphilis cases reported by internet in 2014. Results In the recent three years, 1 931 cases of syphilis were reported by the internet, of which 62 cases reported repeated disease, 67 cases were repeated and the repetition rate was 3.5%. 246 syphilis cases were spot-checked and 1 case was misstated, 0.4%, no omission reported phenomenon. Among 246 cases of syphilis, 124 (50.4%) had RPR / TRUST titers ≤1: 8. Conclusion The reporting rate of syphilis cases in Jiading District of Shanghai is high, but the prevalence of previous repeat syphilis cases is high, and the epidemic management unit should pay attention to it. At the same time, clinicians should pay attention to whether the patients have ever been diagnosed with syphilis or not. Network reported illness.