龙岩市1783例梅毒病例诊断报告质量分析  

The Diagnosis Report Quality of Syphilis in Longyan

作　　者：郑禄祥[1] 阙金财[1] 阎建平[1] 江沅峰[1] 

机构地区：[1]龙岩市疾病预防控制中心,福建龙岩364000

出　　处：《预防医学情报杂志》2013年第12期1055-1057,共3页Journal of Preventive Medicine Information

摘　　要：目的分析梅毒病例诊断报告质量,为制定梅毒疫情管理提供科学依据。方法对2011年度龙岩市网络报告的梅毒病例个案逐个进行现场实验室检测结果、网络报告准确性等进行核对。结果共核查26家性病监测单位网络报告梅毒病例1 783例,复核率为89.91%;现场核查有实验室梅毒检测登记结果 1 418例,判定符合国家梅毒诊断标准(WS273-2007)报告873例,符合率为61.5%;其中Ⅰ期、Ⅱ期、Ⅲ期、隐性、胎传梅毒的诊断报告准确率分别为71.3%、71.6%、80.0%、58.3%和20.0%。网络报告选择实验室诊断占90.6%、选择疑似病例占8.9%、选择临床诊断占0.5%。皮肤病性病防治机构对梅毒的诊断报告符合率最高为85.4%,中医院最低为30.2%。结论龙岩市隐性梅毒与胎传梅毒病例诊断报告准确性较低,须加强医务人员培训。Objective To analyze the quality of diagnosis of syphilis in Longyan,so as to provide a scientific basis for epidemic management of the disease. Methods Syphilis cases reported in 2011 on the network were verified one by one with aspect of accuracy. Results Totally 1 783 cases were checked from 26 STD surveillance units,with a review rate of 89. 91%,and 873 cases were determined to be accord with the WS273-2007 standard,with a coincidence of 61. 5%; the accuracy of the primary,secondary,tertiary,latent and congenital syphilis were respectively 71. 3%,71. 6%,80. 0%,58. 3% and 20. 0%. The cases reported with lab test accounted for 90. 6%,suspected cases 8. 9% and clinical 0. 5%. The highest accuracy was in skin disease control and prevention institutions（ 85. 4%）,the lowest were in Chinese medicine hospitals（ 30. 2%）. Conclusion The accuracy of congenital and latent syphilis is comparatively low,calling for more intensified training on medical workers and unified diagnose standard.

关 键 词：梅毒 诊断 病例报告 准确性 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]