2014年四川省丙型病毒性肝炎病例报告数据质量核查结果分析
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摘要
目的了解四川省医疗机构丙型病毒(丙肝)病例报告工作中存在的问题,提高病例报告的准确性,提高数据质量。方法抽查四川省10个市(州) 10家医疗机构,对其2014年第一季度丙肝相关病例数据进行核查。结果 10家医疗机构的实验室共检出抗-HCV阳性502人次,报告至传染病信息管理系统334例,粗报告率为66.53%;共检出HCV-RNA阳性134人次中,报告至传染病信息管理系统58例,粗报告率为43.28%。287例已报告至传染病信息管理系统的住院病例中,诊断分类正确的只有66例,正确率为23.00%;急慢性分类正确只有39例,正确率为13.59%。结论目前四川省医疗机构的丙肝病例报告工作的漏报误报情况比较严重,建议加强相关医务人员对丙肝诊断报告标准的培训,提高工作质量,建立健全丙肝会诊和转诊制度,提高医疗机构的丙肝核酸检测能力。
Objective To understand the existing problems of hepatitis C( HCV) case reporting in medical institutions of Sichuan province,to improve the accuracy of case reports and to improve the quality of reporting data.Methods About 10 medical institutions from 10 cities( prefectures) of Sichuan province were selected to check their hepatitis C related case data in the first quarter of 2014.Results Among the 502 laboratory confirmed anti-HCV positive cases from 10 medical institutions,the 334 cases were reported to the Infectious Disease Information Management System,and the rough reporting rate was 66.53%.Among the 134 positive HCV-RNA cases,about 58 cases were reported to the Infectious Disease Information Management System,and the rough reporting rate was 43.28%.Among the 287 inpatients reported to the Infectious Disease Information Management System,only 66 cases were diagnosed correctly,and the correct rate was 23.00%.In acute and chronic classification,only 39 cases were classified correctly,and the correct rate was 13.59%.Conclusion The situation of underreporting and misreporting of hepatitis C case in Sichuan medical institutions is serious.The authors suggest that the relevant medical staff should be trained to improve the quality of diagnostic reporting standards for HCV,medical institutions should establish and improve the system of consultation and referral of hepatitis C,and improve the detection ability of HCV-RNA in medical institutions.
Objective To understand the existing problems of hepatitis C( HCV) case reporting in medical institutions of Sichuan province,to improve the accuracy of case reports and to improve the quality of reporting data.Methods About 10 medical institutions from 10 cities( prefectures) of Sichuan province were selected to check their hepatitis C related case data in the first quarter of 2014.Results Among the 502 laboratory confirmed anti-HCV positive cases from 10 medical institutions,the 334 cases were reported to the Infectious Disease Information Management System,and the rough reporting rate was 66.53%.Among the 134 positive HCV-RNA cases,about 58 cases were reported to the Infectious Disease Information Management System,and the rough reporting rate was 43.28%.Among the 287 inpatients reported to the Infectious Disease Information Management System,only 66 cases were diagnosed correctly,and the correct rate was 23.00%.In acute and chronic classification,only 39 cases were classified correctly,and the correct rate was 13.59%.Conclusion The situation of underreporting and misreporting of hepatitis C case in Sichuan medical institutions is serious.The authors suggest that the relevant medical staff should be trained to improve the quality of diagnostic reporting standards for HCV,medical institutions should establish and improve the system of consultation and referral of hepatitis C,and improve the detection ability of HCV-RNA in medical institutions.
引文
[1]王晓春,张流波,李六亿,等.医疗机构丙型病毒性肝炎防控手册[M].北京:人民卫生出版社,2018:1-3.
[2]WS213-2008丙型病毒性肝炎诊断标准[S].2009.
[3]黑发欣,白广义,李洁,等.2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J].疾病监测,2014,29(7):574-577.
[4]张秀娟,信阳市丙型病毒性肝炎病例报告数据质量核查分析[J].现代预防医学,2015,429(19):3597-3614.
[5]吴韶彬,张明雅,林丽,等.福建省2014年丙肝报告质量分析[J].海峡预防医学杂志,2016,22(5):17-19.
[6]刘润友,许军红,谭柯,等.2007-2008年四川省医疗机构法定传染病漏报情况调查分析[J].现代预防医学,2011,38(9):1653-1655,1657.
[7]刘文武,刘宗林,杨蓉,等.2004-2012年遂宁市丙型病毒性肝炎流行病特征分析[J].预防医学情报杂志,2014,30(7):544-548.
[8]李珏,宋志萍.迎泽区医疗机构丙型病毒性肝炎报告病例准确性现场核查结果分析[J].山西医药杂志,2015,44(15):1753-1755.
[9]施阳,李燕婷,吴寰宇,等.医护人员丙型病毒性肝炎防治知识的知晓情况[J].环境与职业医学,2011,28(6):332-334.
[10]卢欣荣,黄飚,邓立权,等.延边朝鲜族自治州医疗机构医生丙肝知识调查[J].中国卫生工程学,2012,11(2):139-141.
[2]WS213-2008丙型病毒性肝炎诊断标准[S].2009.
[3]黑发欣,白广义,李洁,等.2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J].疾病监测,2014,29(7):574-577.
[4]张秀娟,信阳市丙型病毒性肝炎病例报告数据质量核查分析[J].现代预防医学,2015,429(19):3597-3614.
[5]吴韶彬,张明雅,林丽,等.福建省2014年丙肝报告质量分析[J].海峡预防医学杂志,2016,22(5):17-19.
[6]刘润友,许军红,谭柯,等.2007-2008年四川省医疗机构法定传染病漏报情况调查分析[J].现代预防医学,2011,38(9):1653-1655,1657.
[7]刘文武,刘宗林,杨蓉,等.2004-2012年遂宁市丙型病毒性肝炎流行病特征分析[J].预防医学情报杂志,2014,30(7):544-548.
[8]李珏,宋志萍.迎泽区医疗机构丙型病毒性肝炎报告病例准确性现场核查结果分析[J].山西医药杂志,2015,44(15):1753-1755.
[9]施阳,李燕婷,吴寰宇,等.医护人员丙型病毒性肝炎防治知识的知晓情况[J].环境与职业医学,2011,28(6):332-334.
[10]卢欣荣,黄飚,邓立权,等.延边朝鲜族自治州医疗机构医生丙肝知识调查[J].中国卫生工程学,2012,11(2):139-141.