2010-2012年广州市番禺区医疗机构法定传染病漏报调查分析

Investigation analysis on notifiable diseases underreporting of medical institutions in Panyu district of Guangzhou city during 2010- 2012

目的比较分析广州市番禺区医疗机构传染病漏报情况,为规范传染病报告工作提出对策。方法 2010-2012年分别采用普查的方法对所有医疗机构进行调查,采用方便抽样的方法抽取各医疗机构的门诊、住院部和化验室10~30例传染病病例进行调查,并对漏报数据进行统计分析,采用spss 19.0中文版进行数据统计。结果 2010-2012年共抽查传染病病例2 318例,漏报49例,漏报率为2.11%。2010-2012年传染病漏报率分别为0.44%、3.02%和3.39%,各年漏报率比较差异有统计学意义（χ2=15.538,P〈0.05）;不同级别医院传染病漏报率差异有统计学意义（χ2=17.296,P〈0.05）;乙类、丙类和广州管理法定传染病漏报率分别为3.30%、1.11%和2.25%,不同种类的传染病漏报率差异有统计学意义（χ2=6.903,P〈0.05）。其中,漏报率较高的分别是伤寒和副伤寒（33.33%）,痢疾（12.5%）,感染性腹泻（11.11%）和麻疹（10%）。结论番禺区2010-2012年的传染病漏报率有上升趋势,今后需加强培训和监管,重点是加强私营医疗机构及社区卫生机构的传染病报告管理工作。

Objective To do comparative analysis of the notifiable diseases underreporting by medical institutions in Panyu district of Guangzhou City,develop strategy for the standard communicable disease reporting. Methods To investigate all medical institutions with the method of general survey during 2010- 2012,using convenient sampling method to extract 10 to 30 cases of infectious diseases from the outpatient,inpatient and laboratories of the medical institutions,and to do statistical analysis on the omission of data,using spss19. 0 Chinese version for data statistics. Results During this period,49 cases were underreported in 2,318 cases of communicable diseases,the underreporting rate was 2. 11%. The underreporting rate from 2010 to 2012 were0. 44%,3. 02% and 3. 39% respectively,in each of the underreporting rate compare the difference was statistically significant（ χ2= 15. 538,P ＆lt; 0. 05）; The infectious diseases underreporting rate differences between different grades in hospitals was statistically significant（ χ2= 17. 296,P ＆lt; 0. 05）; The underreporting rate of class B、class C communicable diseases and Guangzhou legal infectious disease management were3. 3%,1. 11% and 2. 25% respectively,the underreporting rate of different types of infectious diseases was statistically significant（ χ2= 6. 903,P ＆lt; 0. 05）. The higher underreporting rate of communicable disease was Typhoid and paratyphoid（ 33. 33%）,diarrhea（ 12. 5%）,infective diarrhea（ 11. 11%） and measles（ 10%） respectively. Conclusions The underreporting rate of Panyu district during 2010-2012 have a rising trend,it is necessary to strengthen the training and supervision,especially the management of notifiable diseases in private medical institutions and community health services.