2005-2020年陕西省布鲁氏菌病重复报告情况分析

Duplicated reporting of brucellosis in Shaanxi, 2005–2020

  • 摘要:
      目的   了解陕西省布鲁氏菌病(布病)重复报告对发病水平的影响,提高布病监测数据质量。
      方法   收集陕西省2005—2020年布病报告卡,利用R3.5.1软件的sqldf包调用SQL语句分析布病重复报告情况。
      结果   2005—2020年陕西省共报告布病14 282例,重卡333张,跨年重卡(216张)多于年内重卡(117张)。 总重卡率为2.33%,除2010年外,总重卡率呈上升趋势。 重卡病例中94.94%重复报告了1次,疾控部门和医院报告重卡数较多,分别为173张(51.95%)和156张(46.85%)。 榆林市报告重卡数最多(253张),府谷县、榆林市、神木市报告重卡率较高。 2005—2020年陕西省布病年均发病率为2.36/10万,剔除重卡后发病率降幅为2.33%。
      结论   2005—2020年陕西省布病总重卡率总体呈上升趋势,重复报告对陕西省尤其是府谷县、榆林市和神木市发病率影响较大,应进一步加强传染病报告管理工作,完善系统功能,提高监测数据质量。

     

    Abstract:
      Objective  To understand the impact of duplicated reporting of brucellosis on its incidence in Shaanxi province, and improve the quality of brucellosis surveillance data.
      Methods  The reporting cards of brucellosis in Shaanxi from 2005 to 2020 were collected. SQL statements called by sqldf package of software R3.5.1 were used to analyze the duplicated reporting of brucellosis.
      Results  A total of 14 282 brucellosis cases were reported in Shaanxi and the number of duplicated reporting of brucellosis cases was 333. The number of duplicated reporting of brucellosis cards within a year was 216, which was higher than that in multi years (117). The overall duplicated reporting rate was 2.33%, showing an increasing trend from 2005 to 2020 except 2010. Up to 94.94% of brucellosis cases were reported twice. The number of duplicated reporting cards of brucellosis by CDCs and hospitals were higher, which were 173 (51.95%), and 156 (46.85%), respectively. The number of duplicated reporting cards of brucellosis in Yulin (253) was highest. The rates of duplicated reporting of brucellosis in Fugu, Yulin and Shenmu were higher. From 2005 to 2020, the average brucellosis incidence in Shaanxi was 2.36 per 100 000, and it decreased by 2.33% after eliminating the duplicated reporting cards.
      Conclusion  From 2005 to 2020, the overall duplicated reporting rate of brucellosis in Shaanxi showed an increasing trend. The duplicated reporting of brucellosis had some influence on the brucellosis incidence in Shaanxi, especially in Fugu, Yulin and Shenmu. Therefore, it is necessary to strengthen the infectious disease reporting management and complete the system function to improve the quality of surveillance data.

     

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