目的 了解广西柳州市辖区内医院主要法定传染病诊断与报告的准确性,为提高和规范法定传染病疫情报告管理水平提供参考.方法 采用分层抽样的方法,按国家传染病诊断标准判断诊断准确性.结果 调查了9种1349例法定报告传染病,诊断准确966例,准确率71.61%.分类符合710例,分类符合率73.50%;诊断准确率最低的病种为甲型病毒性肝炎(甲肝),较高的为肺结核和淋病;分类符合率最低的为伤寒与副伤寒,较高的为甲肝和肺结核.市区医院诊断准确率87.92%,分类符合率67.71%;郊县医院诊断准确率62.82%,分类符合率77.86%.郊县医院诊断准确率明显低于市区医院,而分类符合率则高于市区.结论 虚假信息导致了近年来柳州市传染病报告发病率居高不下,影响了传染病预防控制策略和措施的制定.
Objective The investigation and analysis were made to better understand the accuracy of diagnoses and reports of major notifiable infectious diseases in administrative districts of Liuzhou Municipality for providing references for further improvement and standardization of epidemic situation report management. Methods Stratified sampling was applied and the accuracy of diagnoses was evaluated according to the National Criterion for the Diagnosis of Notifiable Infectious Diseases. Results A total of 1349 cases(9 classes) of notifiable infectious diseases were investigated, of whom 966 cases were diagnosed correctly with the rate of accurate diagnosis being 71.61%. A total of 710 cases were classified correctly with a classification accordance rate of 73.50%. The lowest accuracy rate of diagnosis was obtained for hepatitis A, with TB and gonorrhea having a higher rate. The accordance rate of classification was the lowest for typhoid and paratyphoid, with hepatitis A and TB having a higher rate. The accuracy rate and the accordance rate of diagnosis of the diseases in urban hospitals were 87.92% and 67.71%, respectively, and in suburb and county hospitals were 62.82% and 77.86%, respectively, being lower in the accuracy rate but higher in the accordance rate in the suburb and county hospitals than in the urban hospitals. Conclusion The diagnostic accuracy of notifiable infectious diseases in medical facilities of Liuzhou City was low with wrong and over reports being common occurrences, which led to the sustained high incidence rate of notifiable infectious diseases in the whole city in recent years, negatively influencing the making of strategies for the prevention and control of the notifiable infectious diseases