2012年乌鲁木齐市国家级性病监测点梅毒报告病例现场核查准确率分析

Analysis of accurate rate of onsite verification on reported cases at national STD surveillance sites in Urumqi in 2012

目的准确评估乌鲁木齐市梅毒流行情况，充分发挥国家级性病监测点作用，进一步全面落实性病诊断标准，加强病例报告质量监管，确保疫情报告真实可靠。方法将2012年1月1日至6月30日乌鲁木齐市医疗机构通过《中国疾病预防控制信息系统》网报的梅毒病例与医疗机构梅毒报告病例记录进行核对，根据国家梅毒诊断标准《WS273．2007中华人民共和国卫生行业标准》与报告要求确定梅毒报告病例准确性。结果核查了2012年1～6月乌鲁木齐市53家医疗机构网报的1225例梅毒病例，正确报告896例，核查准确率73．14％（一期梅毒17．53％，二期梅毒55．10％，隐性梅毒79．94％，胎传梅毒18．75％），低于国家级性病监测点梅毒报告病例现场核查准确率考核标准。结论乌鲁木齐市少数医疗机构缺乏对性病病例的有效管理，部分医务人员未完全掌握梅毒的诊断和报告标准以及个别医疗机构实验室检测方法不正规等因素造成梅毒病例报告不准确现象。

Objective To estimate prevalence of syphilis accurately and play full role of national STD surveillance sites in Urumqi, carry out diagnostic criteria of venereal disease and enhance supervision of quality of case reports, ensure reliability of infectious disease reported. Methods The cases with syphilis reported from medical institutions in Control Information System Network were verified with the data of medical institutions in Urumqi from January 1 to June 30, 2012. The accuracy of reported cases with syphilis was determined according to the national syphilis diagnostic criteria （WS273-2007, Health Profession Standard of the People＇s Republic of China）. Results There were 1 225 cases checked from 53 medical institu- tions in Urumqi. The correct reports were 896 cases with the rate of accuracy of 73.14% （17.53% of primary syphilis, 55.1% of secondary syphilis, 79.94% of latent syphilis and congenital syphilis of 18.75%）. Conclusions Effective management is short in few medical institutions in Urumqi. The message of diagnosis standards and criteria got by different administrative institutions and different levels of medical institutions lead to inaccurate reported syphilis cases.