2020-2022年芜湖市梅毒重复报告情况分析  

Analysis of repeated reports of syphilis in Wuhu City from 2020 to 2022

作　　者：张敏[1] 成国明[1] 方艳姣[1] ZHANG Min;CHENG Guoming;FANG Yanjiao(Wuhu Center for Disease Control and Prevention,Wuhu 241000,Anhui,China)

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖241000

出　　处：《中国艾滋病性病》2023年第10期1135-1138,共4页Chinese Journal of Aids & STD

摘　　要：目的了解2020-2022年芜湖市梅毒重复报告情况,为评估真实疫情状况提供依据。方法从国家传染病报告管理信息系统中下载梅毒个案数据库,按重报调查方案进行年度内及跨年度查重处理,利用Excel及SPSS21.0软件对数据进行统计分析。结果2020-2022年芜湖市共报告6746例梅毒病例,重复报告399例,总重复报告率5.91%。仅存在1次重报和2次重报,重报1次占92.98%,2次占7.02%。2020-2022年重报率分别为5.40%、6.60%及5.70%。2020-2021跨年度重报率4.09%;2021-2022跨年度重报率4.36%。除胎传梅毒外,各期梅毒均有重复报告病例,80.45%(321/399)的重报病例为隐性梅毒重复报告。各年度的隐性梅毒重报率均最低,三期梅毒重报率最高,不同分期梅毒重报率差异有统计学意义(χ^(2)值依次为12.153、19.506、32.666,P<0.01)。三级医疗机构重报率最高,其次是二级医疗机构,二级以下医疗机构重报率最低,仅2021年不同等级的医疗机构重复报告率差异有统计学意义(χ^(2)=7.386,P<0.05)。各年度皮肤科的重报率均高于非皮肤科重报率,差异有统计学意义(χ^(2)值依次为20.039、16.085、36.007,P<0.01)。各年度民营医疗机构的重报率均低于公立医疗机构。结论芜湖市梅毒重复报告以年度内、隐性梅毒、1次重报为主,要有针对性地加强对三级医疗机构、皮肤科上报的梅毒病例的审核工作,降低重报率。Objective To investigate the repeated reports of syphilis in Wuhu City from 2020 to 2022,and to provide evidence for the assessment of the actual epidemic situation.Methods The syphilis case database downloaded from the National Infectious Disease Report Management Information System were subjected to within-or across-year duplication checking according to the repeated report survey scheme,and the data were statistically analyzed using Excel and SPSS 21.0 software.Results From 2020 to 2022,a total of 6746 syphilis cases were reported in Wuhu City,of which 399 were repeatedly reported,with a total repeated report rate of 5.91%.Once and twice repeat were accounting for the all,with percentages of 92.98%and 7.02%out of the total repeated report,respectively.From 2020 to 2022,the repeated report rates were 5.40%,6.60%and 5.70%,respectively.The across-year repeated report rate were 4.09%from 2020 to 2021,while 4.36%from 2021 to 2022.Except for fetal syphilis,repeated report cases of syphilis were found out all stages,and 80.45%(321/399)of the repeated report cases were latent syphilis.The repeated report rate of latent syphilis was the lowest,while that of tertiary syphilis was the highest in each year.The repeated report rates of syphilis in different stages were statistically different(χ^(2)=12.153,χ^(2)=19.506,χ^(2)=32.666,P<0.01).The repeated report rate in tertiary medical institutions was the highest,followed by secondary medical institutions,and that in sub-secondary medical institutions was the lowest.Only in 2021,there was a statistically significant difference in the repeated report rate of different medical institutions(χ^(2)=7.386,P<0.05).The repeated report rate of dermatology department was higher than that of non-dermatology department in each year,and the difference was statistically significant(χ^(2)=20.039,χ^(2)=16.085,χ^(2)=36.007,P<0.01).The repeated report rate of private medical institutions was lower than that of public medical institutions in each year.Conclusions The main types of syphi

关 键 词：梅毒 重复报告 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]