宝鸡市法定传染病诊断符合率现况分析

目的进一步加强医疗机构、疾控机构的传染病管理,提高疫情报告工作质量。方法采用随机抽样法对全市二级以上的医疗机构、12个区、县疾控机构的传染病疫情报告管理和传染病诊断符合情况进行调查。结果各级疾控机构、医疗机构对疫情报告管理制度落实情况存在差异。核实569例乙肝病例,诊断符合率为64.32%;核实328例菌痢病例,诊断符合率为65.55%。结论传染病诊断准确性已经成为影响传染病报告质量的主要因素。各级疾控机构、医疗机构应加强法定传染病诊断标准的培训和传染病的核实诊断工作,提高传染病报告质量,为政府决策提供科学依据。

Objective To further strengthen the infectious disease management, improve the epidemic situation report work quality in medical, disease control organization. Methods The stochastic sampling method was used to investigate the infectious disease epidemic situation of report management and the situation of infectious disease diagnose conform on Baoji city two levels of medical and disease control establishment, in 12 areas. Results In all levels of disease control and medical organization, the epidemic situation report control system realization degree existence difference. 569 examples second grades toxic hepatitis cases were verified, the diagnosis coincidence rate is 64.32 %. 328 examples bacillary dysentery cases were verified, the diagnosis coincidence rate is 65.55 %. Conclusion The accuracy of infectious disease diagnosed already become the influence factor of infectious disease report quality. The medical establishment should strengthen the legal infectious disease diagnose standard training and infectious disease diagnosis work, enhance the infectious disease report quality, provide the scientific basis for government＇ s decision-making.