细菌性痢疾临床诊断与病原学诊断符合率研究

目的研究医生临床诊断细菌性痢疾患者和实验室确诊的志贺菌病人感染的符合率,探索影响符合率的因素,分析提高菌痢诊断准确性的临床症状。方法对连续4a的监测点上报的7～8月监测数据进行分析。结果河南省省监测点细菌性痢疾临床诊断符合率为25.49%,漏诊率5.81%,睢县诊断符合率和漏诊率均高于郑州市;痢疾病人有轻型化特征,分析病人的大便性状,对提高临床诊断的准确性有较高意义;病原菌分类福氏菌为优势菌群,占95.37%。结论以临床和实验室相结合的菌痢主动监测体系是"疾病监测信息报告管理系统"的必要补充,对判断菌痢的实际发病水平具有重要意义。

Objective Research the Coincidence rate of the doctors＇ clinical diagnosis of bacillary dysentery patients and laboratory diagnosis of patients with Shigella infection,explore the factors affecting coincidence rate,analyze the clinical symptoms of dysentery to improve the bacterial dysentery diagnostic accuracy.Methods Analyze the monitoring data for four consecutive years of monitoring points reported from July to August.Results Monitoring points in our province bacillary dysentery clinical diagnosis Coincidence rate was 25.49%,the rate of misdiagnosis was 5.81%,the diagnosis and missed diagnosis coincidence rate in SuiXian were higher than in ZhengZhou;dysentery patients with light characteristics,analysis of the patients＇ stool has a higher significance for Improving the accuracy of clinical diagnosis;pathogen classification flexneri bacteria as the dominant flora accounts for 95.37%.Conclusion Bacillary dysentery to a combination of clinical and laboratory active surveillance system is a necessary complement of the ＂disease surveillance information management system＂,it has important significance to judge the actual incidence of bacillary dysentery level.