重庆市医疗机构不明原因肺炎病例监测系统运行质量调查

Operational Quality Investigation of Unknown Cause Pneumonia Case Surveillance System in Medical Institutions of Chongqing

目的通过回顾性调查重庆医疗机构不明原因肺炎病例的监测情况,了解监测运行质量,为监测手段的改进提供依据方法按照《全国不明原因肺炎病例监测实施方案(试行)》中"不明原因肺炎病例"监测定义要求,对2006年重庆市某2所医疗机构进行住院肺炎病例调查,以筛查符合病例定义要求的病例数。结果 2006年,2所医疗机构共调查567例住院肺炎病例,其中8例符合不明原因肺炎监测病例定义,8例病例均为城市综合性医院住院病例,男∶女=1.7∶1。5例为60岁以上人群,2例为25～40岁年龄组,1例为5岁以下年龄组。2006年,重庆市265家县级及其以上医疗机构共报告8例不明原因肺炎病例,但均与该次调查的8例病例不重复。结论重庆市以症状监测为手段,在医疗机构开展的不明原因肺炎病例监测在医院运行质量不高,建议改变监测方式,如开展住院严重呼吸道发热病例哨点医院监测,从而提高监测质量。

To investigate the monitoring situation of unknown cause pneumonia in medical institutions of Chongqing retrospectively, understand the operational quality of surveillance, and provide evidence for the promotion of monitoring measures. Methods According to the definition of ＇unknown cause pneumonia＇ de fined in the ＂National monitor and implementation program of unknown cause pneumonia （Trial）＂, hospital ized pneumonia cases at two hospitals in Chongqin in 2006 were investigated to screen the cases align with the definition. Results Totally 567 hospitalized pneumonia cases were investigated, in which 8 patients met the definition of unknown cause pneumonia. All of the 8 patients were inpatients from urban comprehensive hospi tals, with male to female ratio was 1.7 ： 1 ; in which 5 cases were over 60 years old, accounting for 62. 5% ; and 2 cases were aged between 25 to 40 ; 1 case was blow 5. In 2006, 265 medical institutions on and above the county level in Chongqing reported totally 8 cases of unknown cause pneumonia cases, but none of the ca- ses in this survey were repeated. Conclusion Symptom monitoring in the medical institutions as a measure to monitor unknown cause pneumonia in Chongqing does not run well. The proposal is to alter the monitoring method, such as launching sentinel hospital surveillance for the hospitalized severe respiratory infection patients with fever, to improve the monitoring quality.