李娟, 赵丹, 张朱佳子, 李晓梅, 杨帆, 周涛, 张合润, 罗明, 龚成, 李仁清, 李爱华, 李茂中, 吴疆. 北京市急性弛缓性麻痹病例追踪管理软件应用前后关键指标质量变化[J]. 疾病监测, 2018, 33(4): 329-332. DOI: 10.3784/j.issn.1003-9961.2018.04.016
引用本文: 李娟, 赵丹, 张朱佳子, 李晓梅, 杨帆, 周涛, 张合润, 罗明, 龚成, 李仁清, 李爱华, 李茂中, 吴疆. 北京市急性弛缓性麻痹病例追踪管理软件应用前后关键指标质量变化[J]. 疾病监测, 2018, 33(4): 329-332. DOI: 10.3784/j.issn.1003-9961.2018.04.016
Li Juan, Zhao Dan, Zhang Zhujiazi, Li Xiaomei, Yang Fan, Zhou Tao, Zhang Herun, Luo Ming, Gong Cheng, Li Renqing, Li Aihua, Li Maozhong, Wu Jiang. Analysis on change of critical indicators of acute flaccid paralysis cases surveillance before and after application of case tracking management software in Beijing[J]. Disease Surveillance, 2018, 33(4): 329-332. DOI: 10.3784/j.issn.1003-9961.2018.04.016
Citation: Li Juan, Zhao Dan, Zhang Zhujiazi, Li Xiaomei, Yang Fan, Zhou Tao, Zhang Herun, Luo Ming, Gong Cheng, Li Renqing, Li Aihua, Li Maozhong, Wu Jiang. Analysis on change of critical indicators of acute flaccid paralysis cases surveillance before and after application of case tracking management software in Beijing[J]. Disease Surveillance, 2018, 33(4): 329-332. DOI: 10.3784/j.issn.1003-9961.2018.04.016

北京市急性弛缓性麻痹病例追踪管理软件应用前后关键指标质量变化

Analysis on change of critical indicators of acute flaccid paralysis cases surveillance before and after application of case tracking management software in Beijing

  • 摘要: 目的 分析《北京市AFP病例追踪管理软件》应用前后的系统关键指标的质量变化,为提高急性弛缓性麻痹(AFP)病例监测质量提供科学建议。方法 利用2015-2016年北京市AFP病例监测资料,采用构成比和中位数来描述分析本地和异地AFP病例调查、采便、送检、结果反馈和随访等环节的特异性和及时性。结果 2015年和2016年北京市分别报告AFP确诊病例202例和209例,其中本地病例分别为30例和44例,异地病例分别为172例和165例。两年间,本地病例报告后24 h调查率均为100%,异地病例由99.42%提高至100%;本地病例麻痹14 d内双份粪便标本采集率分别为96.67%和93.18%、异地病例由72.73%下降至65.38%;每份粪便标本采集后7 d内送检率分别由93.33%提高至100%、由70.45%提高至96.15%;本地病例送检后14 d检测结果反馈率和麻痹后60~70 d随访率均为100%,异地病例分别为98.48%和97.69%。结论 《北京市AFP病例追踪管理软件》的启用大大提高了本地和异地病例粪便标本采集后7 d内的送检率,对提高麻痹后14 d内双份粪便标本采集率无促进作用。

     

    Abstract: Objective To analyze the changes of critical indicators of acute flaccid paralysis(AFP)surveillance before and after the application of case tracking management software in Beijing during 2015-2016,and provide scientific evidence for the improvement of the surveillance for AFP. Methods The specificity and timeliness of case investigation,stool sample collection and detection,result feedback,case follow in AFP surveillance in local and floating populations in Beijing during 2015 and 2016 were evaluated. Results A total of 202 and 209 AFP cases were confirmed,including 30 and 44 cases in local population and 172 and 165 cases in floating population,in 2015 and 2016 respectively. The investigation rate within 24 hours after case reporting were all 100% for local cases,while the rate increased from 99.42% to 100% for non-local cases. The double stool sample collection rate within 14 days after paralysis was 96.67% and 93.18%,respectively,for local cases, while it was 72.73% and 65.38%,respectively,for non-local cases. The detection rate of each stool sample within 7 days after collection increased from 93.33% to 100% for local cases and from 70.45% to 96.15% for non-local cases. The result feedback rate within 14 days after sample detection and follow-up rate at 60-70 days after paralysis onset were all 100% for local cases, but they were 98.48% and 97.69%,respectively,for non-local cases. Conclusion The application of AFP case tracking management software greatly facilitated the increase of stool sample detection rate within 7 days after collection in both local and non-local AFP cases in Beijing. However,it had no effect to increase the collection rate of double stool samples within 14 days after paralysis onset.

     

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