2014年-2018年苏州市乙肝网络直报病例诊断符合率调查分析  

Investigation and analysis of laboratory diagnosis coincidence rate of hepatitis-B confirmed cases reported in Suzhou City from 2014 to 2018

作　　者：杨洋 胡洋 覃江纯[3] 刘成[3] 陈立凌[3] YANG Yang;HU Yang;QIN Jiangchun;LIU Cheng;CHEN Liling(Disinfection and Vector Control Department,Suzhou Center for Disease Control and Prevention,Suzhou,Jiangsu,215004,China;Department of Acute Infectious Disease Control,Nanjing Center for Disease Control and Prevention,Nanjing,Jiangsu,215000,China;Department of Acute Infectious Disease Control,Suzhou Center for Disease Control and Prevention,Suzhou,Jiangsu,215004,China)

机构地区：[1]苏州市疾病预防控制中心消杀与媒介生物防制科,江苏苏州215004 [2]南京市疾病预防控制中心急性传染病防制科,江苏南京215000 [3]苏州市疾病预防控制中心急性传染病防制科,江苏苏州215004

出　　处：《医药前沿》2022年第25期50-52,共3页Journal of Frontiers of Medicine

基　　金：苏州市科技发展计划(民生科技)项目《基于医疗健康大数据的传染病监测与预警关键技术研究》(SS202073)。

摘　　要：目的:了解2014年—2018年苏州市医疗机构网络直报乙肝病例诊断符合情况。方法:从传染病网络直报系统中导出2014年1月—2018年12月现住址与报卡机构均在苏州市的乙肝病例,采用PPS法在报告过5例以上乙肝病例的医疗机构中抽取26家医疗机构,从中抽取网络直报乙肝病例489例。结果:经对网络直报的489例乙肝病例进行复诊,符合乙肝实验室诊断的病例有325例,诊断符合率为66.46%;不符合乙肝实验室诊断的病例164例,其中乙肝病原携带者判定为确诊的有96例(19.63%);无法判断病例38例(7.77%);假阳性病例16例(3.27%),疑似病例14例(2.86%)。结论:苏州市医疗机构网络直报的乙肝病例诊断符合率较低,主要原因是将病原携带者及无法判断病例作为乙肝确诊病例进行报告,提示要进一步加强医务人员乙肝诊断标准的培训,确保乙肝病例诊断准确性是今后工作的重点。Objective To investigate the coincidence of laboratory diagnosis of hepatitis-B cases in all levels of network direct reporting medical institutions in Suzhou from January 2014 to December 2018.Methods Simple random sampling was used to carry out the survey according to the“2014~2018 Suzhou city hepatitis-B diagnosis coincidence rate survey plan”.Results A total of 26 medical institutions and 489 hepatitis-B report laboratory diagnosis cases were investigated,325 cases were consistent with the laboratory diagnosis of hepatitis-B,the coincidence rate was 66.46%;164 cases were not consistent with the diagnosis,including 96 cases of hepatitis-B virus carriers,the misjudgment rate was 19.63%;38 cases could not be judged,the misjudgment rate was 7.77%;16 cases of false positive cases,14 cases of suspected cases,the misjudgment rate was 3.27%,2.86%.Conclusion The main reason for the high rate of misdiagnosis of hepatitis-B in Suzhou is that the pathogen carriers and the cases with insufficient evidence are reported as confirmed cases of hepatitis-B.It is suggested that the training of medical staff on the diagnostic criteria of hepatitis-B should be further strengthened to ensure the accuracy of diagnosis of hepatitis-B cases.

关 键 词：医疗机构 传染病报告 乙型病毒性肝炎 诊断符合率 

分 类 号：R575.1[医药卫生—消化系统]