目的 了解2008-2010年湖北省乙型病毒性肝炎(乙肝)病例报告现状,探索改进乙肝病例报告质量的措施。 方法 对2008-2010年疾病监测信息报告管理系统网络直报的湖北省乙肝病例进行描述性分析。 结果 乙肝报告病例数中县级医疗机构报告最多,占40%左右,并有逐年上升趋势;按医疗机构类型分析,综合医院报告最多,超过50%,其次是乡卫生院,占12%~14%。乙肝报告病例在全部病毒性肝炎病例中的比例最高,占86.66%。其中实验室诊断占80.68%,并有逐年上升趋势。乙肝报告病例以慢性乙肝为主,占56.54%,急性乙肝病例占3.91%。 结论 乙肝病例分类报告和确诊病例报告方面有很大改进,但需进一步提高乙肝病例的报告质量,增强乙肝病例报告的科学性和真实性。
Objective To analyze the internet-based reporting of viral hepatitis B in Hubei from 2008 to 2010. Methods Descriptive epidemiological analysis was conducted on the cases of viral hepatitis B reported in Hubei through internet-based reporting system from 2008 to 2010. Results The case number reported by county level medical institutions accounted for the largest proportion (about 40%). Among the different types of medical institutions, the cases reported by general hospitals accounted for the highest proportion (over 50%), followed by township health centers (12%-14%). Hepatitis B cases accounted for the highest proportion (86.66%) compared with other types of viral hepatitis cases. Among the hepatitis B cases, 80.68% were laboratory confirmed. The majority of the hepatitis B cases were chronic ones (56.54%), the acute cases accounted for 3.91%. Conclusion Great improvement had been made in the classified reporting of hepatitis B cases and in the reporting of laboratory confirmed cases, but it is necessary to further improve the quality of reporting to increase its reliability.