2014～2016年福建省麻疹监测信息报告管理系统运转情况分析

Analysis on performance of measles surveillance system,Fujian province,2014-2016

目的分析福建省2014~2016年麻疹监测信息报告管理系统运转情况,为加强麻疹监测提供参考。方法采用描述性流行病学的方法,分析反映监测系统敏感性、及时性及特异性的指标,如排除麻疹病例报告发病率>1/10万县区比例、48小时内完整调查率等。结果 2014~2016年,福建省排除麻疹风疹病例报告发病率>1/10万县区比例分别为97.73%、95.45%和94.32%;48小时内完整调查率分别为48.30%、97.87%和98.90%;标本采集后3日内送达率分别为99.30%、99.93%、99.33%;血清实验室4日内完成检测比例分别为89.10%、95.79%、95.30%;监测病例血标本采集率分别为90.33%、97.54%和97.81%。9个设区市各监测指标完成均较好。结论全省麻疹监测信息报告管理系统运转质量逐年提高,主要监测指标达到监测方案要求,但个别监测指标的不尽人意。

Objective To analyze the performance of the measles surveillance information reporting management system （MSIRMS） in Fujian province,2014-2016. Methods Descriptive epidemiological method was used to determine the indicators,which reflected the sensitivity,timeliness and specificity of MSIRMS,such as the incidence of discarded cases 1/10^5 county proportion,cases investigated within 48 hours and so on. Results During 2014-2016,the incidence of dis- carded cases 〉1/10^t county proportion was 97.73% ,95.45% ,and 94.32% ,the incidence of cases investigated within 48 hours was 48.30% ,97.87% and 98.90% ,the incidence of shipment within 3 days were 99.30% ,99.93% and 99.33%, the incidence of serological testing within 4 days was 89.10%, 95.79% and 95.30%, the proportion of cases with blood collection was 90.33%, 97.54% and 97.81%. Conclusion The performance indicators of MSIRMS increase steadily year by year. Although most of the monitoring indicators meet the requirement of measles surveillance program,it＇s still not adequate to support measles elimination program.