目的 了解广西壮族自治区(广西)柳州市病毒性肝炎的诊断是否与国家传染病诊断标准相符合,提高病毒性肝炎的诊断质量,确保疫情信息准确。 方法 对县级和二级以上医疗单位收治的病例进行随机抽样,按国家传染病诊断标准判断诊断的准确性。 结果 病毒性肝炎的甲型、乙型、丙型、丁型、戊型和未分型肝炎准确率分别为50%(5/10)、44.59%(33/74)、16.36%(9/55)、0.00%(0/2)、90.91%(10/11)和17.65%(3/17)。辖区县级医疗单位明显低于市区二级以上医疗单位。 结论 医疗单位应加强诊断标准的培训,增添必要的检测设备,按标准进行诊断和报告,减少误诊误报。
Objective To understand whether the diagnosis of viral hepatitis met the national diagnostic criteria of communicable diseases in Liuzhou, Guangxi. Methods The viral hepatitis cases were selected randomly in hospitals at county level and at or above grade Ⅱ to evaluate the accuracy of the diagnosis according to the national criteria. Results The accurate rates of diagnoses of hepatitis A, B, C, D, E and unspecified were 50%(5/10), 44.59%(33/74), 16.36%(9/55), 0.00%(0/2), 90.91%(10/11) and 17.65%(3/17) respectively. The accurate rate of viral hepatitis diagnosis in county hospitals was significantly lower than that in hospitals at or above grade Ⅱ. Conclusion It is necessary to strengthen the training about disease diagnostic criteria, add needed equipments and diagnose and report diseases according to the national criteria in local hospitals.