2018年江西省一期梅毒病例报告质量调查分析

Investigation and analysis of quality of reported data of primary syphilis cases in Jiangxi province in 2018

目的了解江西省一期梅毒报告质量及相关影响因素,为质量管理提供基础数据。方法选定2018年1-8月一期梅毒报告数前5位的设区市,分析2015-2018年一期和二期梅毒报告数比值数据,同时对2018年1-8月所有报告的一期梅毒病例信息进行调查,核实与更正。结果5个设区市一期和二期梅毒年度报告数比值,由2015、2016、2017、2018年上半年的1.60∶1、1.34∶1、1.48∶1、1.83∶1,下降到2018年的0.58∶1;调查的637例一期梅毒病例,分期报告正确率为38.3%,南昌市、赣州市、宜春市、抚州市、上饶市一期梅毒病例分期报告正确率分别为39.7%、41.4%、29.2%、34.4%和39.9%;报错情况主要有隐性梅毒错报(49.3%)和过度报告或复诊报告(11.6%)。医院级别、报告科室对分期报告正确率的差异有统计学意义。结论江西省一期梅毒病例分期报告正确率偏低,需加强相关医务人员能力培训,强化病例报告质量管理工作,落实梅毒转诊会诊制度,以提高一期梅毒报告质量。

Objective To know the quality of reported data of primary syphilis cases and related influencing factors in Jiangxi province,and provide basic evidence for quality management.Methods The first 5 cities with the highest number of primary syphilis reported from Jan.to Aug.2018 were selected to analyze the rates of primary and secondary syphilis during 2015-2018,and simultaneously all the reported primary syphilis cases during Jan.-Aug.2018 were verified and revised.Results The annual report ratio of the primary and secondary syphilis in the 5 cities dropped from 1.60∶1,1.34∶1,1.48∶1,1.83∶1 in 2015,2016,2017 and to 0.58∶1 in the first half of2018.637 reported primary syphilis cases were investigated.Overall,the report accuracy was 38.3%.The primary syphilis report accuracy in Nanchang,Ganzhou,Yichun,Fuzhou and Shangrao were 39.7%,41.4%,29.2%,34.4%,and 39.9%,respectively.The misreport was mainly due to latent syphilis(49.3%),repeated reports and return visits(11.6%).The difference of hospital level and reporting department in the report accuracy was statistically significant.Conclusion Primary syphilis cases report accuracy is low in Jiangxi province.To promote the quality of primary syphilis case reporting,medical staff training needs to be strengthened,case report quality management needs to be intensified,and referral system for syphilis needs to be implemented.