2018—2022年天津市急性乙型病毒性肝炎相关报卡的重复报告和删除情况分析

Analysis on duplicate report and deletion of acute hepatitis B related report cards in Tianjin City from 2018 to 2022

目的分析2018—2022年天津市急性乙型病毒性肝炎(急性乙肝)相关报卡的重复报告和删除情况,为后续规范乙肝报告提供建议和参考。方法按报告地区天津、终审时间为2018年1月1日—2022年12月31日,从传染病报告信息管理系统中导出全部乙肝报告病例信息。根据病例姓名和有效证件号对导出的乙肝报卡进行独立和组合查重,并从中筛选出与急性乙肝相关的重复报卡,分析重复报告和删除情况。结果2018—2022年天津市急性乙肝相关的重复报卡215份,涉及105例病例,93.33%的病例首末次就诊间隔小于6个月;2次就诊医院相同,诊断一致的比例为31.03%,高于诊断不一致的比例(9.21%),差异有统计学意义(P<0.05);诊断一致的病例中回访HBsAg转阴的比例为79.32%,高于诊断不一致的病例(55.26%),差异有统计学意义(P<0.05);96例重复报告病例至少删除1张重复报卡,76.04%(73/96)删卡正确,23.96%(23/96)的删卡错误,针对105例急性乙肝相关重复报告情况,对2018—2022年急性乙肝调整后的报告发病率分别为0.82/10万、0.59/10万、0.38/10万、0.45/10万和0.39/10万。结论天津市急性乙肝网络报告方面存在急性乙肝相关重复报卡未删、错删的情况,但目前对报告发病率影响较低。应进一步做好重复报卡的管理,并加强其审核和删除情况的复核跟踪。

Objective To analyze the duplicate report and deletion of acute hepatitis B related report cards in Tianjin City from 2018 to 2022,and provide suggestions and references for standardizing hepatitis B report in the future.Methods The information about all hepatitis B cases reported in Tianjin City from January 1,2018 to December 31,2022 were derived from the"National Notifiable Disease Report System".According to the cases'name and ID number,the exported hepatitis B report cards were checked independently and combined,and the duplicate report cards related to acute hepatitis B were screened out,then to analyze the duplicate report and deletion situation.Results There were 215 duplicate reports of acute hepatitis B in Tianjin City from 2018 to 2022,involving 105 cases,and 93.33%of the cases had the interval of less than 6 months.The proportion of consistent diagnosis in two different hospitals was 31.03%,which was higher than the proportion with inconsistent diagnosis(9.21%),and the difference was statistically significant(P<0.05).The proportion of follow-up HBsAg turned negative in the patients with consistent diagnosis was 79.32%,which was higher than that in the patients with inconsistent diagnosis(55.26%),and the difference was statistically significant(P<0.05).At least one duplicate report card was deleted in 96 cases,76.04%(73/96)deleted correctly,23.96%(23/96)deleted incorrectly.According to 105 duplicated cases of acute hepatitis B,the adjusted incidence rate of acute hepatitis B from 2018 to 2022 was 0.82/100000,0.59/100000,0.38/100000,0.45/100000,and 0.39/100000,respectively.Conclusion In the network reporting of acute hepatitis B in Tianjin City,there are undeleted and incorrectly deleted duplicate report cards,but the impact on the reported incidence rate is low at present,but the impact of this situation on reported incidence rates is currently low.Further efforts should be made to manage duplicate cards,and strengthen the review of duplicate cards and track its deletion.