张国平, 魏兆飞, 何海艳, 赵莹, 吴伟慎. 2013-2018年天津市乙型肝炎疫情报告删卡情况分析[J]. 疾病监测, 2020, 35(1): 65-69. DOI: 10.3784/j.issn.1003-9961.2020.01.015
引用本文: 张国平, 魏兆飞, 何海艳, 赵莹, 吴伟慎. 2013-2018年天津市乙型肝炎疫情报告删卡情况分析[J]. 疾病监测, 2020, 35(1): 65-69. DOI: 10.3784/j.issn.1003-9961.2020.01.015
Guoping Zhang, Zhaofei Wei, Haiyan He, Ying Zhao, Weishen Wu. Deletion of reporting cards for viral hepatitis B in Tianjin, 2013–2018[J]. Disease Surveillance, 2020, 35(1): 65-69. DOI: 10.3784/j.issn.1003-9961.2020.01.015
Citation: Guoping Zhang, Zhaofei Wei, Haiyan He, Ying Zhao, Weishen Wu. Deletion of reporting cards for viral hepatitis B in Tianjin, 2013–2018[J]. Disease Surveillance, 2020, 35(1): 65-69. DOI: 10.3784/j.issn.1003-9961.2020.01.015

2013-2018年天津市乙型肝炎疫情报告删卡情况分析

Deletion of reporting cards for viral hepatitis B in Tianjin, 2013–2018

  • 摘要:
    目的了解2013 — 2018年天津市乙型肝炎(乙肝)报告卡删除原因填写情况,发现存在的问题,为规范乙肝病例报告工作提供参考依据。
    方法按报告地区天津、终审时间为2013年1月1日至2018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。 通过描述性流行病学统计分析乙肝报告卡的删卡率、删卡原因以及删卡原因在不同医院、乙肝分类和删卡单位中的分布情况。
    结果2013 — 2018年天津市共报告卡17 983例,删卡2 429例,删卡率为13.51%;删卡原因中重卡的占比最高(47.06%),其次依次为不符合诊断标准(30.34%)、不符合报告标准(15.31%)和其他原因(7.29%);未分类乙肝报告卡中重卡率、不符合报告标准率和不符合报告标准率均明显高于急性和慢性乙肝(P<0.05);报告卡医院删卡原因中不符合报告标准率和其他原因填写率,均明显高于3种疾控相关删卡单位(P<0.001)。
    结论天津市乙肝疫情报告卡删卡主要原因为重卡、不符合报告标准和不符合诊断标准,但也存在少量删卡原因填写不规范的情况,应进一步规范乙肝的诊断报告和删卡原因填写,提高监测质量。

     

    Abstract:
    ObjectiveTo understand the reasons for the deletion of reporting cards for viral hepatitis B in Tianjin during 2013–2018, find out the existing problems and provide evidence for the standardized reporting of hepatitis B in the future.
    MethodsThe information about all hepatitis cases reported in Tianjin from January 1, 2013 to December 31, 2018 were collected from “Communicable Disease Information Reporting and Management System" for descriptive epidemiological analysis to understand the deletion rate of reporting cards for hepatitis B and the reasons and the deleted reasons’ distribution in different type hospitals, hepatitis B type classifications and institutions.
    ResultsThere were 17 983 reporting cards for hepatitis B, including 2 429 deleted reporting cards, in Tianjin during 2013–2018, the deletion rate was 13.51%. The repeated reporting was responsible for 47.06% in deleted reporting cards, followed by non-conformance with diagnostic criteria (30.34%), non-conformance with reporting standards (15.31%) and others (7.29%); The rates of repeated cards, non-conformance with reporting standard and non-conformance with the diagnostic criteria were significantly higher in unclassified hepatitis B cases than those in acute hepatitis B and chronic hepatitis B cases (P<0.05); The rates of non-conformance with reporting standards and other reasons in hospitals were significantly higher than those in three types of Centers for Disease Control related institutions.
    ConclusionThe main reasons for the deletion of reporting cards for hepatitis B in Tianjin mainly included repeated reporting, non-conformance with reporting standards and non-conformance with diagnostic criteria. However there were a few reporting cards with unspecific deletion reasons. It is necessary to further standardize hepatitis B diagnosis reporting and the deletion reason filling to improve the quality of surveillance.

     

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