2012年江苏省戊型肝炎病例实验室诊断符合率调查分析

Analysis on the laboratory diagnosis coincidence of hepatitis E in Jiangsu Province in 2012

目的 调查分析2012年江苏省戊肝病例实验室诊断符合情况.方法 采用分层随机抽样的方法,从江苏省南、中、北部各抽2～3地市,再从中抽取省、市、县级医疗机构,之后对报告的戊肝实验室诊断病例进行复核,分析实验室诊断符合情况.结果 本次共调查23家县级及以上医疗机构,收回有效调查病例490例,实验室诊断符合率为91.84％.省、市、县三级医疗机构戊肝实验室诊断符合率依次为85.07％、93.45％、92.27％；江苏省南、中、北地区戊肝诊断符合率分别为89.34％、94.19％、91.55％.临床医生戊肝实验室诊断标准知晓率为50.38％,戊肝的诊断与报告类型知晓率为33.75％,县级医疗机构知晓率最高.结论 江苏省戊肝实验室诊断符合率相对较高,但临床医生戊肝相关知识知晓率亟待提高.需进一步加强培训与沟通,完善戊肝监测网络,推广切实可行的戊肝诊断标准.

Objective To analyze the laboratory diagnosis coincidence of hepatitis E in Jiangsu Province in 2012. Methods Stratified random method was used to choose 2-3 cities from each of south, middle and north of Jiangsu Province, and to further choose the provincial, municipal and county hospitals from each city. Afterward, the laboratory diagnosis coincidence were analyzed by re-checking the reported cases. Results 490 cases from a total of 23 county-level or above medical institutions were effective investigation cases. The laboratory diagnosis coincidence rate was 91.84%. The diagnostic accordance rate in the provincial, municipal and county hospitals, as well as the south, middle and north of Jiangsu Province was 85.07% , 93.45% , 92. 27% and 89. 34, 94. 19% , 91.55% , respectively. The awareness rates of laboratory diagnostic criteria and report type of HEV for clinicians were 50. 38% and 33.75% , respectively, the highest of which came from country hospitals. Conclusions The laboratory diagnosis coincidence rate of hepatitis E in Jiangsu Province is relatively high. However, the awareness rate about HEV relevant knowledge needs to be improved. Therefore, it is necessary to strengthen the training and communication, and improve the HEV monitoring network as well as propel practical HEV diagnostic criteria.