Abstract:
Objective To understand the reporting of hepatitis C cases in some hospitals in Shanxi province, find out the existing problems and improve the quality of the reported data.
Methods The data of hepatitis C cases were collected from 51 hospitals in 11 cities in Shanxi from July 1, 2019 to June 30, 2020. According to the diagnostic criteria of hepatitis C (WS 213-2018), the correct reporting rate of acute hepatitis C cases, the correct reporting rate of hepatitis C cases in children, the correct reporting rate of confirmed hepatitis C cases, the underreporting rate of HCV RNA positive cases and the correct reporting rate of HCVRNA positive cases were used to analyze the quality of hepatitis C reporting in some hospitals of Shanxi.
Results For the 17 acute hepatitis C cases, the correct reporting rate was 35.29%; For the 24 hepatitis C cases in children, the correct reporting rate was 54.17%. For the 1324 confirmed hepatitis C cases, the correct reporting rate was 61.78%. For the 1037 HCV RNA positive cases, the underreporting rate was 6.36%, the correct reporting rate was 72.81%. The correct reporting rate of hepatitis C in children in class Ⅲ hospitals was higher than that in class Ⅱ hospitals, the difference was significant (χ2=10.752, P =0.002); The correct reporting rate of confirmed hepatitis C cases in class Ⅲ hospitals was higher than that in the class Ⅱ hospitals, the difference was significant (χ2=136.953, P<0.001). The underreporting rate of HCV RNA positive cases in class Ⅲ hospitals was lower than that in class Ⅱ hospitals, The difference was significant (χ2=13.484, P<0.001); Suspected hepatitis C cases were still reported in some hospitals.
Conclusion The quality of hepatitis C case reporting in some hospitals in Shanxi was low, especially in class Ⅱ hospitals. It is suggested to standardize the reporting of hepatitis C in health supervision, medical treatment and disease control by the training at different levels.