江苏省菌痢和伤寒/副伤寒实验室诊断病例符合率分析  

Analysis of the consistency of clinical and laboratorial diagnoses for bacillary dysentery and typhoid/paratyphoid in Jiangsu Province

作　　者：李媛[1] 吴莹[1] 戴启刚[1] 刘文东[1] 艾静[1] 戴蔚明[1] 梁祁[1] 

机构地区：[1]江苏省疾病预防控制中心急性传染病防制所,江苏南京210009

出　　处：《现代预防医学》2014年第4期727-731,共5页Modern Preventive Medicine

基　　金：江苏省传染病自动预警平台建设及应用研究(YZ201020);江苏省感染性腹泻综合监测体系的建立;应用和评价(Y2012077)

摘　　要：目的调查分析2012年江苏省菌痢和伤寒／副伤寒等肠道传染病实验室诊断病例诊断符合情况。方法江苏省南、中、北地区各抽2～3地市，再抽取省、市、县级医疗机构。结果本次调查抽取菌痢有效调查病例124例，符合率为13．71％；伤寒／副伤寒有效调查病例53例，符合率为50．94％，伤寒／副伤寒符合率高于菌痢。菌痢实验室诊断符合率省级高于其他级别医院。结论江苏省菌痢和伤寒／副伤寒符合率均较低，临床医生实验室诊断标准知晓率亟待提高，培训、交流和调研是发现问题、提高质量的有效途径。Objective The study was conducted to investigate and analyze the consistency of clinical and laboratorial diagnoses for bacillary dysentery and typhoid/paratyphoid in Jiangsu Province in 2012. Methods Two to three prefecture-level cities each were chosen from south, central, and north of Jiangsu Province, and medical institutions of provincial, municipal, or prefectural levels were selected from each of the chosen city. Results Consistencies of the 124 surveyed cases of bacillary dysentery and 53 cases of typhoid/paratyphoid were 13.71%, and 50.94%, respectively; consistency for typhoid/paratyphoid was higher than that for bacillary dysentery. Consistency of provincial-level hospitals in laboratorial diagnosis for bacillary dysentery was higher than that of hospitals of other administrative levels. Conclusion Consistencies of diagnoses for both bacillary dysentery and typhoid/paratyphoid were poor in Jiangsu Province, suggesting the necessity of improving the awareness rate of clinicians on laboratorial diagnosis standards. Training, communication, and investigation are the effective routes to identification of problems and improvement in the quality of disease diagnosis.

关 键 词：细菌性痢疾 伤寒 诊断符合率 

分 类 号：R446[医药卫生—诊断学]