不同疫情报告系统性病疫情差异对比分析  

Comparative analysis on the differences in epidemic situation of STD by different epidemic situation report systems

作　　者：杨美霞[1] 李申生[1] 宋小莺[1] 张红叶[1] 庄鸣华[2] 潘启超[2] 

机构地区：[1]上海市徐汇区疾病预防控制中心,上海200031 [2]上海市疾病预防控制中心

出　　处：《疾病监测》2006年第11期604-606,共3页Disease Surveillance

基　　金：上海市卫生局优秀青年医学人才培养基金(2005年);上海市疾病预防控制中心科研基金项目(区2004-16)

摘　　要：目的探讨不同疫情报告系统性病疫情的差异及其存在差异的原因。方法选择2004年徐汇区中国疾病监测信息报告管理系统(简称“网络直报”)、国家疾病报告管理信息系统(简称“CAPMs”)、上海市性病疫情管理系统(简称“上海市STDs”)三个系统的性病疫情数据按报告日期进行对比与汇总分析。结果三个疫情报告系统报告的法定甲、乙类性病中,以上海市STDs报告的性病总病例数最多,为1970例,比网络直报系统多84例,比CAPMs多206例;网络直报系统除梅毒病例数高于另外两个系统外,其余病种数均低于这两个系统;艾滋病病例报告数在各系统间亦存在很大差异。此外,在本区发现并报告了的三种监测性病中,网络直报报告的各种性病例数均低于上海市STDs的报告例数。结论徐汇区三个疫情报告系统性病疫情存在明显的统计偏差、可信度较低,可能与未查重卡、漏报或监测性病不报、系统间缺乏信息交流、录入缺项、漏项甚至录入错误有关。Objective This study was made to probe into the differences in epidemic situation of STD reported by different epidemic situation report systems and the reasons for these differences. Methods Comparative and collective analysis was conducted on the data of epidemic situation of STD in 2004 selected from China disease surveillance information report management system in Xuhui District （short for ＂direct report through network＂）, China disease report management informarion system （short for ＂CAMPs＂） and STD Epidemic situation management system in Shanghai （short for STDs in Shanghai）. Results Among three epidemic situation report systems, STDs in Shanghai reported the most cases totaled 1970 with STD in the category of notifiable Type A and B STD, 84 cases more than that of Direct report through network system and 206 cases more than CAPMs. Except for the number of Syphilis cases reported, Direct report through network system reported fewer cases with other types of STD than other two systems. There were significant differences among three systems in the number of AIDS cases reported. In addition, among three surveillance STD detected and reported in this district, Direct report through network system reported fewer cases with all types of STD than cases reported by STDs in Shanghai. Conclusion There were significant statistical variances and low credibility among epidemic situation report systems in Xuliui District, which may be related to not check in repeated cards, failure to report and not report of surveillance STD, lack of information communication among systems, incomplete input, omission or even errors in data entry.

关 键 词：疫情报告系统 性病 对比分析 

分 类 号：R181.8[医药卫生—流行病学]