2018-2022年淄博市丙型肝炎病例重复报告及影响因素分析  

Analysis on repetitive reporting and influencing factors of Hepatitis C cases in Zibo city from 2018 to 2022

作　　者：张斯娜 韩美辰 巩翠华 ZHANG Si-na;HAN Mei-chen;GONG Cui-hua(Institute for STD and AIDS Prevention and Control,Zibo City Center for Disease Control and Prevention,Shandong 255026,China)

机构地区：[1]淄博市疾病预防控制中心性病艾滋病防制所,山东255026

出　　处：《预防医学论坛》2024年第4期301-305,共5页Preventive Medicine Tribune

摘　　要：目的探讨2018-2022年淄博市丙型肝炎(丙肝)报告病例中的重复报告情况,并对相关影响因素进行分析,为加强疫情监测管理提供依据。方法收集中国疾病预防控制信息系统的丙肝防治信息系统中2018-2022年淄博市丙肝病例,剔除删除卡片为报告错误或核酸检测为阴性的病例卡片,保留删除卡片为重卡的病例卡片,计算丙肝病例重报率,对病例年龄、职业、患者类别、病例类型、报告单位分级和报告单位类型进行统计分析。结果2018-2022年度淄博市丙肝病例的重复报告率为24.86%;2020年重报率(17.05%)最低,2022年重报率(28.45%)最高;报告单位所属地重报率最低和最高的区县分别为高新区(13.64%)和博山区(40.22%)。多因素分析结果显示,年龄31~60岁(OR=1.646,95%CI:1.035~2.618)、职业是离职人员(OR=1.534,95%CI:1.001~2.350)、患者类别为本地病例(OR=2.217,95%CI:1.154~4.258)、报告病例类型为临床诊断病例(OR=1.890,95%CI:1.434~2.490)、报告单位分级为二级及以上医院(二级医院OR=2.659,95%CI:1.479~4.783;三级医院OR=2.623,95%CI:1.451~4.742)与重复报告相关。结论2018-2022年淄博市各年、各地区丙肝报告病例均存在重报情况,丙肝病例反复就诊是造成重复报告的主要原因。本地病例、31~60岁、离职人员和二级及以上医院报告的丙肝病例需要传染病管理人员查重时格外关注。Objective To explarg the occurrence of duplicate reports and influencing factors among the reported cases of hepatitis C in the case card management module of the Hepatitis C Prevention and Treatment Information Systemin Zibo city from 2018to 2022,so as to provide a basis for strengthening epidemic monitoring and management.Methods Hepatitis C cases in Zibo city from 2018to 2022were collected from the Hepatitis C Prevention and Control Information Systemof China Disease Control and Prevention Information System,case cards with deleted cards as reporting errors or negative nucleic acid tests were excluded,cases with reporting errors or negative nucleic acid testing results were excluded,while cases with duplicate records were retained.The re-report rate of hepatitis C cases were calculated,and a casecontrol analysis was conducted on variables such as age,occupation,patient category,case type,reporting unit classification,and reporting unit type.Results The repeated reporting rate of hepatitis C cases in Zibo city for the period 2018-2022was 24.86%.The lowest repeated reporting rate in 2020was 17.05%,and the highest in 2022was 28.45%.The districts with the lowest and highest repeated reporting rates among reporting units were Gaoxin district(13.64%)and Boshan district(40.22%),respectively.The results of the multi-factor analysis showed that age between 31-60years(OR=1.646,95%CI:1.035-2.618),occupation as unemployed(OR=1.534,95%CI:1.001-2.350),patient category as local cases(OR=2.217,95%CI=1.154-4.258),reporting case type as clinical diagnosis cases(OR=1.890,95%CI:1.434-2.490),and reporting unit classification as secondary or higher(secondary OR=2.659,95%CI:1.479-4.783;tertiary OR=2.623,95%CI:1.451-4.742)were associated with repeated reporting.Conclusion From 2018to 2022,instances of duplicate reporting of Hepatitis C were observed across different years and regions within Zibo city,with repeated visits being the main cause.Infectious disease management personnel should pay special attention to local cases,individua

关 键 词：丙型肝炎 传染病报告 重复报告 病例对照研究 

分 类 号：R512.63[医药卫生—内科学] R195.4[医药卫生—临床医学]