2005—2014年肇庆市三期梅毒病例流行病学特征和诊断准确率分析

Analysis of epidemiological characteristics and diagnostic accuracy of phase Ⅲ syphilis cases in Zhaoqing city from 2005 to 2014

目的了解肇庆市三期梅毒流行情况,为制定防治措施提供参考。方法对2005-2014年肇庆市报告的三期梅毒病例进行流行病学调查分析。结果 2005-2014年,全市共报告三期梅毒病例247例,年均报告发病率为0.638 5/10万;病例主要分布在市城区,占26.32%,发病年龄集中在41岁以上,共报告180例,占72.87%,报告的174例符合梅毒诊断,准确率为70.45%,符合三期梅毒诊断标准的准确率为37.25%(92/247);调查显示神经梅毒(三期梅毒)病例占78.26%(72/92)。结论肇庆市三期梅毒病例呈散发,报告准确性较低且神经梅毒病例占比较大,应加强医疗机构医务人员特别是精神科和神经科的诊疗及报告管理培训。

Objective To learn Zhaoqing tertiary syphilis epidemic situation and provide evidence for developing controlmeasures. Method The epidemiology of tertiary syphilis cases reported in Zhaoqing city 2005-2014 were analyzed.Results 2005- 2014,247 cases of tertiary syphilis were reported,with the average annual incidence reported rate of0.6385/100 000;occurred mainly in City,accounting for 26.32%;concentrated in the age group over 41 years old,with180 cases,accounting for 72.87%. 174 cases of reported syphilis matched with diagnosis,with an accuracy of 70.45%,inline with tertiary syphilis diagnostic criteria of 37.25%. Based on the neurosyphilis syphilis staging,tertiary syphilis caseswere accounted for 78.26%. Conclusion The tertiary syphilis in Zhaoqing city were sporadic cases. Neurosyphilis had alow reporting accuracy and was the main syphilis stage in the city. Treatment should be strengthened and medical personnel,particularly in the psychiatric department and neurological department,should be strengthened in the management of diagnosisand reporting of this disease.