阜阳市传染病医院不明原因肺炎网报状况调查及原因分析

Report on the situation of unexplained pneumonia in Fuyang infectious disease hospital investigation and cause analysis

目的通过对阜阳市传染病医院不明原因肺炎网报状况调查,以期发现网报存在的问题及原因。方法对2016年2月29日-2016年5月10日在阜阳市传染病医院住院诊断为PUE 125例患者的相关资料和网报信息进行调查与分析。结果对入院诊断为肺炎1176例患者的临床资料进行初筛,判断符合PUE病例定义125例(10.63%),采集咽拭子110例(88%),阳性数15例(13.63%),6例甲型H1N1流感,9例乙型流感,只有1例通过网络系统进行上报。未网报原因:不了解PUE监测系统63例(50.81%),认为不符合PUE病例定义57例(45.97%),住院时间短影响判断4例(3.22%)。结论为做好呼吸道传染病防控工作,进一步完善PUE网报系统方便上报,并提高医护人员对PUE的重视程度,做到及时上报,以免引起重大公共卫生事件。

Objective To find out the problems and reasons of the net report of unexplained pneumonia based on the investigation of the status in Fuyang infectious diseases hospital. Methods Investigation and analysis were made on the data of 125 PUE patients diagnosed in Fuyang infectious diseases hospital from February 29, 2016 to May 10, 2016. Results The admission diagnosis of the clinical data of 1176 pneumonia patients were screened, and 125 cases of PUE were confirmed （10. 63% ） . 125 cases of throat swabs collected in 110 cases （ 88% ） , the positive number was 15 cases （13. 63% ） , including 6 cases of H1N1 and 9 cases of B influenza, and only 1 case re-ported through the network system. The reasons without reporting included 63 cases of unknown on PUE monitoring system （50. 81% ） , 57 cases of inconsistent with the definition of PUE （45.91%） , and 4 cases of short hospital stay affecting the judgment （3. 22% ）. Conclusion For the new respiratory infectious disease prevention and control work, report should be convenient to further improving PUE network system, and improve the degree of attention of medical staff of PUE. The report should be timely, in order to avoid major public health events.