摘要
目的分析《北京市AFP病例追踪管理软件》应用前后的系统关键指标的质量变化,为提高急性弛缓性麻痹(AFP)病例监测质量提供科学建议。方法利用2015-2016年北京市AFP病例监测资料,采用构成比和中位数来描述分析本地和异地AFP病例调查、采便、送检、结果反馈和随访等环节的特异性和及时性。结果 2015年和2016年北京市分别报告AFP确诊病例202例和209例,其中本地病例分别为30例和44例,异地病例分别为172例和165例。两年间,本地病例报告后24 h调查率均为100%,异地病例由99.42%提高至100%;本地病例麻痹14 d内双份粪便标本采集率分别为96.67%和93.18%、异地病例由72.73%下降至65.38%;每份粪便标本采集后7 d内送检率本地病例由93.33%提高至100%、异地病例由70.45%提高至96.15%;本地病例送检后14 d检测结果反馈率和麻痹后60~70 d随访率均为100%,异地病例分别为98.48%和97.69%。结论《北京市AFP病例追踪管理软件》的启用大大提高了本地和异地病例粪便标本采集后7 d内的送检率,对提高麻痹后14 d内双份粪便标本采集率无促进作用。
Objective To analyze the changes of critical indicators of acute flaccid paralysis(AFP)surveillance before and after the application of case tracking management software in Beijing during2015-2016,and provide scientific evidence for the improvement of the surveillance for AFP. Methods The specificity and timeliness of case investigation,stool sample collection and detection,result feedback,case follow in AFP surveillance in local and floating populations in Beijing during2015 and2016 were evaluated. Results A total of202 and209 AFP cases were confirmed,including30 and44 cases in local population and172 and165 cases in floating population,in2015 and2016 respectively. The investigation rate within24 hours after case reporting were all100% for local cases,while the rate increased from99.42% to100% for non-local cases.The double stool sample collection rate within14 days after paralysis was96.67% and93.18%,respectively,for local cases,while it was72.73% and65.38%,respectively,for non-local cases. The detection rate of each stool sample within7 days after collection increased from93.33% to100% for local cases and from70.45% to96.15% for non-local cases. The result feedback rate within14 days after sample detection and follow-up rate at60-70 days after paralysis onset were all100% for local cases,but they were98.48% and97.69%,respectively,for non-local cases. Conclusion The application of AFP case tracking management software greatly facilitated the increase of stool sample detection rate within7 days after collection in both local and non-local AFP cases in Beijing. However,it had no effect to increase the collection rate of double stool samples within14 days after paralysis onset.
作者
李娟
赵丹
张朱佳子
李晓梅
杨帆
周涛
张合润
罗明
龚成
李仁清
李爱华
李茂中
吴疆
Li Juan;Zhao Dan;Zhang Zhujiazi;Li Xiaomei;Yang Fan;Zhou Tao;Zhang Herun;Luo Ming;Gong Cheng;Li Renqing;Li Aihua;Li Maozhong;Wu Jiang.(Beijing Municipal Center for Disease Control and Prevention, Beijing Research Center for Preventive Medicine, Beijing 100013, China)
出处
《疾病监测》
CAS
2018年第4期329-332,共4页
Disease Surveillance
关键词
急性弛缓性麻痹
监测
特异性
及时性
Acute flaccid paralysis
Surveillance
Specificity
Timeliness