2012~2018年阳江市急性弛缓性麻痹监测信息报告管理系统运转状况分析

Operation Status Analysis of Acute Flaccid Paralysis Monitoring Information Report Management System in Yangjiang City From 2012 To 2018

目的通过对2012至2018年阳江市的急性弛缓性麻痹(AFP)进行监测,分析AFP信息报告管理系统的运转状况和运转过程中存在的问题,总结经验,提高我市AFP监测质量,防止脊灰野病毒的入侵。方法从中国疾病预防控制信息系统中AFP监测信息报告管理系统导出2012至2018年阳江市AFP监测数据,采用描述性流行病学方法进行统计分析。结果2012至2018年阳江市报告AFP74例,发病率在1.43/10万至2.92/10万之间;报告后2天内调查率为100%,14天内双份便采集率97.30%,合格便采集率95.95%;粪便标本7天内送达率97.30%;麻痹75天内随访及时率94.59%。结论2012至2018年阳江市AFP监测信息报告管理系统运转状况正常,各项监测指标达到世界卫生组织和卫生部的要求。但个别病例报告及时率偏低、存在采集不合格粪便的现象,通过加强对临床医生的业务培训,可以提高诊断能力与系统的敏感性,保证监测质量。

Objective to monitor acute flaccid paralysis(AFP)in Yangjiang City from 2012 to 2018,analyze operation status of AFP information reporting management system and problems existing in operation process,summarize experience,improve quality of AFP monitoring in Yangjiang City,and prevent invasion of wild poliovirus.Methods derive AFP monitoring data of Yangjiang city from 2012 to 2018 from AFP monitoring information report management system of China disease control and prevention information system,carry on statistical analysis with descriptive epidemiological method.Results from 2012 to 2018,Yangjiang city reported 74 cases of AFP,with incidence rate between 1.43/10100 and^2.92/100 thousand.Survey rate was 100%within 2 days after report,dual feces collecting rate was 97.30%in 14 days,with eligible rate of 95.95%,fecal specimens delivery rate was 97.30%within 7 days,and followup timely rate was 94.59%within 75 days after paralysis.Conclusion AFP monitoring information report management system in Yangjiang city from 2012 to 2018 was in normal operation,and monitoring indicators met requirements of WHO and Ministry of Health.However,timely reporting rate of individual cases was low and there was phenomenon of collecting unqualified feces.Strengthening professional training of clinicians can improve diagnostic ability and sensitivity of system,and ensure monitoring quality.