淮安市部分医疗机构梅毒、淋病病例报告质量调查

Investigation on syphilis and gonorrhea case report quality in partial medical institutions in Huai'an

目的调查分析淮安市部分医疗机构梅毒、淋病疫情报告质量。方法下载被调查医疗机构2011-2013年报告的梅毒、淋病病例与医疗机构门诊日志、实验室检测结果,进行核对并评价准确性。对被调查医疗机构性病相关诊疗科室医生进行问卷调查。结果共核查梅毒和淋病病例1 051例,病例核查准确率:梅毒为61.81%,淋病为82.88%。各期/各类梅毒病例报告中,一期梅毒诊断报告准确性为73.05%,二期梅毒为65.66%,隐性梅毒为59.71%,胎传梅毒仅为6.45%。医生对梅毒诊断分期知晓率为96.0%,胎传梅毒诊断知晓率为40.0%,女性淋病诊断知晓率为64.0%。结论淮安市梅毒报告准确性较低,尤其是胎传梅毒,部分非皮肤性病科医生对病例报告的标准掌握不够准确,建议加强性病疫情管理,强化性病诊疗培训,提高报告质量。

Objective To investigate syphilis and gonorrhea case report quality in partial medical institutions in tfuai＇an. Methods Service logs and laboratory test results of syphilis and gonorrhea cases reported from 2011 to 2013 in investigated medical institutions were downloaded and validated for accuracy assessment. Doctors in STD clinics of investigated institutions were surveyed by questionnaires. Results A total of 1 051 syphilis and gonorrhea cases were investigated, the diagnosis accuracy rate was 61.81% for syphilis and 82. 88% for gonorrhea. Among cases of different syphilis stages, the accuracy rate for the primary, secondary, latent and congenital syphilis was 73.05 % ,65.66 %, 59.71 % and 6.45 %, respectively. The doctors＇ awareness rate on syphilis staging diagnosis, congenital syphilis diagnosis and female gonorrhea diagnosis was 96.0%, 40.0% and 64.0%, respectively. Conclusions The accuracy rate for syphilis （especially the congenital syphilis） case report was relatively low in Huai＇an. Some non-dermatologists were not capable to master case report standard. In order to improve syphilis case report quality, STD management and diagnosis should be enhanced.