2006年广西医疗机构法定传染病漏报情况调查分析

Investigation on the missing reports of communicable diseases in medical institutions in Guangxi in 2006

目的以传染病漏报调查的方法对疫情网络直报系统的运行效率和质量进行评估,为进一步完善传染病管理措施提供科学信息。方法依据《传染病防治法》,制定了《广西医疗机构法定传染病报告管理及质量调查方案》,对全区乡镇级以上的87家医疗机构2006年1～9月法定传染病报告进行漏报调查分析。结果调查法定传染病报告21种4637例,漏报612例,平均漏报率为13.20%,北海市漏报率最低为0%,河池市最高达29.37%;乙、丙类传染病的漏报率分别为12.39%,17.15%;省、市、县、乡镇四级医疗机构的漏报率分别为:13.85%、11.16%、14.74%、21.70%;病种漏报率较高的有急性出血性结膜炎、疟疾、艾滋病、淋病、风疹、百日咳等。结论各级各类医疗机构应重视传染病疫情报告工作,加强医疗机构传染病疫情报告工作的规范化管理。

Objective To evaluate the operating efficiency and quality of direct network reporting of legal communicable diseases by missing reports investigation.To provide scientific basis for further perfecting management of communicable diseases.Methods In accordance with the＂Communicable Diseases Prevention＂ and ＂Guangxi communicable diseases in medical institutions investigating and quality management program＂,the survey of missing reports of legal communicable diseases was carried out in 87 institutions at three levels in the period of Jan to Sep,2006.Results A total of 4 637 infections were surveyed,612 of them without being reported,with an average rate of 13.20% missing.The missing report rates varied in different areas,Beihai City being the lowest：0%,Hechi City being the highest：29.37%.The missing report rates of type B and C communicable diseases were 17.85% and 30.48%;the missing report rates in medical institutions of four levels（provinces,cities,counties and rural areas）were 13.85%,11.16%,14.74% and 21.70%.The relatively high rate of disease report missing was acute hemorrhagic conjunctivitis,malaria,AIDS,gonorrhea,rubella,and pertussis.Conclusions Various medical institutions at all levels should pay medical attention to communicable diseases,and strengthen the management of communicable diseases.