2011～2014年黔南州丙肝流行现状及病例报告质量分析

Analysis on the prevalence and case report quality of hepatitis C,Qiannan prefecture,2011-2014

目的 掌握黔南州丙型病毒性肝炎（丙肝）流行现状,了解医疗机构丙肝病例报告存在的问题,提高数据质量。方法从法定传染病网络直报系统中获得2011~2014年全州丙肝疫情数据,共报告丙肝患者1 237例。抽查黔南州丙肝病例报告数较多的4县（市）医疗机构,对其2014年一季度丙肝相关病例数据质量进行核查。结果 2011~2014年黔南州丙肝发病情况呈逐年上升趋势,从2011年的8.76/10万上升到2014年的10.38/10万;抽查2014年第一季度丙肝病例报告质量,27例实验室检出抗-HCV阳性者中,报告27例,报告率为100%;17例住院病人HCV-RNA检测率为29.41%（5/17）,1例报告为临床诊断病例,0例分类正确;16例为实验室确诊病例,仅有2例报告正确;急慢性分类情况：分类正确率为13.33%。急慢性分类中,2例为急性,其中1例分类正确,15例为慢性,2例分类正确。结论 黔南州丙肝发病情况呈逐年上升趋势,医疗机构丙肝病例报告质量普遍存在较大问题,表现为分类正确率低和HCV-RNA检测率低。

Objective To master the prevalence of viral hepatitis C （HCV） in Qiannan prefecture,understand the problems of viral hepatitis C （HCV） ease report,so as to improve the quality of data. Methods Data were obtained from the notifiable infectious disease network report system on the epidemics of hepatitis C in Qiannan prefecture,2011-2014,a total of 1 237 cases of hepatitis C were reported. Medical institutions were sampled in 4 counties（cities） with more number of hepatitis C cases reported,and check was conducted on the quality of data of hepatitis C related cases in the first quarter of 2014. Results During 2011-2014, there was an upward trend in HCV prevalence in Qiannan prefecture, rose from 8.76/l0s in 2011 to 10：38/102 in 2014, samples were conducted on the quality of hepatitis C case report in the first quarter of 2014,in 27 laboratory detected anti-HCV positive cases,27 cases were reported,the report rate was 100%;in 17 cases of hospitalized patients,the HCV-RNA detection rate was 29.41% （5/17）, 1 ease was report as clinically diagnosed case, 0 case was classified correctly;in 16 cases of laboratory-confirmed cases,only 2 cases were reported correctly;in classification of acute or chronic conditions：the classification accuracy rate was 13.33 %. In acute or chronic categories,2 cases were acute,including 1 case of accurate classification, 15 cases were chronic,2 cases were classified correctly. Conclusion There is an upward trend in the prevalence of hepatitis C year by year in Qiannan prefecture, there were many big problems in the quality of case report of hepatitis C in medical institutions,characterized by low classification accuracy and low HCV-RNA detection rate.