广州市不同医疗机构梅毒病例报告质量调查研究  

Assessment on the quality of syphilis case reporting in medical institutions in Guangzhou

作　　者：何婉苹[1] 汤少开[1] 叶兴东[1] 刘颖[1] 许端倪[1] 谢尚仁[1] 高可羡[1] 

机构地区：[1]广州市皮肤病防治所,广东广州510095

出　　处：《中国预防医学杂志》2014年第4期336-339,共4页Chinese Preventive Medicine

基　　金：广东省科技计划项目(2012B031800014);广州市医药卫生科技重大项目(20121A031001)

摘　　要：目的调查分析广州市不同医疗机构梅毒疫情报告质量,为完善制定有效的梅毒防治措施提供科学依据。方法由广州市12个区(县市)性病防治管理机构现场抽查全市不同性质的性病诊疗机构2012年1月1日0时至11月30日24时期间所报告的梅毒病例,通过现场核对门诊日志、性病专科病历或电子病历以及实验室检测结果,并与报病医生访谈进行病史回顾确认,对梅毒病例报告准确性进行评价。使用SPSS 13.0软件进行χ2检验,以P<0.01为差异有统计学意义。结果全市共抽查93家医疗机构(三甲哨点24家、二甲哨点24家、性病专科哨点4家、非哨点41家),核查梅毒报告病例2 402例(I期梅毒466例、II期梅毒392例、III期梅毒82例、隐性梅毒1 352例、胎传梅毒110例),梅毒总体报告准确率为31.47%,不同医疗机构梅毒报告准确率由高到低依次为性病专科哨点69.00%、三甲哨点33.50%、二甲哨点29.79%及非哨点24.38%,差异有统计学意义(χ2=80.28,P<0.01),哨点机构梅毒报告质量优于非哨点机构(χ2=15.54,P<0.01)、性病专科哨点优于非性病专科哨点(χ2=60.00,P<0.01),差异有统计学意义。结论广州市不同医疗机构梅毒疫情报告质量参差不齐,亟待提高。应加强梅毒防治专业知识培训,提高梅毒检测和应用能力,进一步加强性病防治归口管理,完善梅毒疫情报告管理制度。Objective To assess the quality of syphilis case reporting in a variety of medical institutions in Guangzhou,and to provide scientific evidence for effective disease control. Methods Syphilis case reporting data reported from a variety of medical institutions from January 1to November 30,2012were collected randomly and compared with clinical records and STD laboratory test results.Interview with physicians was also conducted to assess the accuracy of syphilis case reported.Chi-square test was used for statistical analysis.Results A total of 2 402syphilis cases reported from 93medical institutions were analyzed with the overall reporting accuracy of 31.47%,which varied from different institution levels.The highest of 69.00% was found in venereology sentinels,followed by 33.50%in upper first-class sentinels,29.79%in second level of firstclass sentinels and 24.38%in other institutions,the difference was significant（χ2=80.28,P＆lt;0.01）.The qualities of case reporting were higher in sentinel institutions and in venereology sentinels compared to non-sentinel ones and non venereology ones（χ2=15.54,P＆lt;0.01;χ2=60.00,P＆lt;0.01）. Conclusions The quality of syphilis case reporting varies dramatically among medical institutions in Guangzhou and needs to be further improved.Professional training as well as centralized management of STD and syphilis reporting system should be strengthened and standardized.

关 键 词：梅毒 病例报告 医疗机构 调查分析 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]