浙江省平湖市法定传染病诊断符合率调查结果分析
Diagnostic accordance rate of notifiable communicable diseases in Pinghu, Zhejiang
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摘要: 目的 了解浙江省平湖市传染病诊断准确程度。 方法 选取4家医疗单位开展诊断符合率调查,按照《法定传染病诊断标准手册(2008版)》核实诊断。 结果 调查9种法定传染病,共251例患者,诊断符合率为82.07%,其中其他感染性腹泻病、布鲁氏菌病、伤寒、流行性腮腺炎诊断符合率达到100%,手足口病、淋病、细菌性痢疾诊断符合率分别为96.67%、88.89%和92.31%,而风疹、病毒性肝炎诊断符合较低,分别为33.33%和69.60%,且市级医院诊断符合率显著低于乡镇医院;诊断标准考核合格率为57.50%。 结论 平湖市法定传染病诊断符合率较低,医务人员对诊断标准知识掌握水平亟待提高。Abstract: Objective To understand the accuracy of notifiable communicable disease reporting in Pinghu, Zhejiang province. Methods Survey of diagnostic accordance rate of communicable diseases was conducted in 4 medical institutions in Pinghu according to the "Manual of diagnostic criteria of notifiable communicable diseases" (2008 edition). Results A total 251 patients suffering 9 communicable diseases were surveyed. The overall diagnostic accordance rate was 82.07%. The diagnostic accordance rate of other infectious diarrheal diseases, brucellosis, typhoid and mumps reached 100%, the diagnostic accordance rate of hand foot and mouth disease, gonorrhea and bacterial dysentery were 96.67%, 88.89% and 92.31% respectively, but the diagnostic accordance rate of rubella and viral hepatitis were lower (33.33% and 69.60% respectively). The diagnostic accordance rate in city hospitals was significantly lower than that in township health centers. The pass rate of the diagnostic criteria examination was 57.50%. Conclusion The diagnostic accordance rate was low in Pinghu and medical staff should receive more training on diagnostic criteria of notifiable communicable diseases.
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