医疗机构传染病漏报调查

Analysis of the miss-reported cases of notifiable infectious diseases of medical institutions

目的调查法定传染病的报告情况,探讨漏报原因,为制定传染病防治策略提供理论依据。方法对某市具有网络直报权限的44家不同级别医疗机构2012年传染病上报情况进行调查,内容包括传染病漏报率、报告及时率等,传染病例来自各医疗机构门诊部、住院部和检验科登记薄上的传染病个案。结果 2012年传染病平均漏报率为1.42%(26/1830);市区级医疗机构传染病漏报率最低,为0.54%(4/743);省级以上医疗机构漏报率为2.15%(19/885)。漏报病种主要是病毒性肝炎、肺结核和麻疹。报告及时率为99.33%(1792/1804)。结论严格执行传染病报告制度,完善自查、监督及奖惩制度,是防止医疗机构传染病漏报的有效手段。

Objective To investigate the cause of miss-reported infectious diseases and establish the strategy for the control of infection. Methods 44 medical institutions in Hubei were investigated. The investigation included out-patient record, out/ in-patient registration, number of reported and miss-reported cases. Results The average miss-reported rate was 1.42% （26/1 830）. The miss-reported rate in the district （0.54%） was lower than the provinces （2.15%）. Most of the miss-reported cases were viral hepatitis, tuberculosis and measles. 99.3% of the cases were properly reported. Conclusion Strengthening of the disease notification, self assessment, and the rewarding system are the effective measures to prevent the missreporting of infectious diseases in the medical institutions.