2017-2019年云南省疟疾病例删除及订正情况分析  

Deletion and revision of reported malaria cases in Yunnan Province from 2017 to 2019

作　　者：丁春丽 周耀武[2] 卢娜 林祖锐[2] 杨亚明 DING Chun-li;ZHOU Yao-wu;LU Na;LIN Zu-rui;YANG Ya-ming(School of Public Health,Kunming medical University,Kunming 650500,China;Yunnan Institute of Parastic Diseases,Yunnan Provincial Center of Malaria Research,Yunnan Provincial Key Laboratory of Vector-borne Diseases Control and Research,Yunnan Institute of Parasitic Diseases Innovative Team of Key Techniques for Vector Borne Disease Control and Prevention,Training Base of International Scientific Exchange and Education in Tropical Diseases for South and Southeast Asia,Pu’er 665000,China)

机构地区：[1]昆明医科大学公共卫生学院,昆明650500 [2]云南省寄生虫病防治所,云南省疟疾研究中心,云南省虫媒传染病防控研究重点实验室,云南省寄生虫病防治所虫媒传染病防控关键技术省创新团队,面向南亚东南亚热带病国际科技人员交流与教育培训基地,普洱665000

出　　处：《中国人兽共患病学报》2023年第3期263-267,共5页Chinese Journal of Zoonoses

基　　金：国家重点研发计划(No.2020YFC1200105);国家自然科学基金项目-云南联合基金(No.1U1902211)联合资助。

摘　　要：目的分析2017-2019年云南省疟疾病例删除订正的原因,为提高我省疟疾病例填报的准确性和规范性提供依据。方法收集中国疾病预防控制信息系统中2017-2019年云南省疟疾删除病例资料,使用Microsoft Excel 2016和SPSS 22.0软件进行数据整理和分析,计数资料比较采用χ^(2)检验,检验水准α=0.05。结果云南省2017年1月1日-2019年12月31日共报告疟疾病例726例,删除177例,3年的删除率分别为18.75%、17.76%、22.95%,3年的删除率之间没有统计学差异(χ^(2)=2.478,P>0.05)。删除原因有4类(“重卡”、“省级参比实验室镜检PCR复核阴性”、“县州CDC病例核实复核阴性”和“填报错误”),其中“重卡”最多。结论重卡是2017-2019年云南省疟疾病例删除的主要原因,增加全网搜索和关键信息自动对比功能,可减少重复报告疟疾病例的发生。消除疟疾后阶段,监测尤为重要,注重填报疟疾病例信息的准确性和规范性,特别是疟疾的删除病例和重复报告管理,是提高疟疾疫情报告管理质量和防止疟疾输入再传播的重要环节。This study analyzed the reasons for the deletion and revision of reported malaria cases in Yunnan Province from 2017 to 2019,to provide a basis for improving the accuracy and standardization of malaria case reporting,and consolidate the achievements of malaria elimination in Yunnan Province.A total of 726 malaria cases and 177 deleted cases were collected from China’s information system for disease control and prevention during this period.Microsoft Excel 2016 and SPSS 22.0 software were used for data sorting and analysis.Count data were compared withχ^(2) test with a significance levelαof 0.5.Deletion rates in the three years were 18.75%,17.76%and 22.95%respectively.No statistical difference was observed in deletion rates among the three years(χ^(2)=2.478,P>0.05).Among the four reasons for deletion("reduplicated card,""negative PCR review of microscopic examination in provincial reference laboratory,""negative review of CDC case verification in county and prefecture,"and"filling error"),"reduplicated card"was the main rea son for the deletion of malaria cases in Yunnan Province from 2017 to 2019.The addition of a search of the entire network and automatic comparison of key information can decrease the occurrence of repeated malaria cases.In the post malaria elimination stage,monitoring is particularly important.Attention should be paid to the accuracy and standardization of malaria case information,particularly the deletion of malaria cases and the management of duplicate reports,to improve the quality of malaria epidemic report management and prevent the re-transmission of malaria.

关 键 词：疟疾病例 中国疾病预防控制信息系统 删除订正 重卡 

分 类 号：R531.3[医药卫生—内科学]