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目的分析梅毒病例诊断报告质量,为制定梅毒疫情管理提供科学依据。方法对2011年度龙岩市网络报告的梅毒病例个案逐个进行现场实验室检测结果、网络报告准确性等进行核对。结果共核查26家性病监测单位网络报告梅毒病例1 783例,复核率为89.91%;现场核查有实验室梅毒检测登记结果 1 418例,判定符合国家梅毒诊断标准(WS273-2007)报告873例,符合率为61.5%;其中Ⅰ期、Ⅱ期、Ⅲ期、隐性、胎传梅毒的诊断报告准确率分别为71.3%、71.6%、80.0%、58.3%和20.0%。网络报告选择实验室诊断占90.6%、选择疑似病例占8.9%、选择临床诊断占0.5%。皮肤病性病防治机构对梅毒的诊断报告符合率最高为85.4%,中医院最低为30.2%。结论龙岩市隐性梅毒与胎传梅毒病例诊断报告准确性较低,须加强医务人员培训、统一诊断报告标准
Objective To analyze the quality of diagnosis report of syphilis cases and provide a scientific basis for the development of syphilis epidemic management. Methods The case reports of syphilis cases reported by Longyan network in 2011 were checked one by one on-site laboratory results and the accuracy of network reports. Results A total of 1 783 cases of syphilis were reported by the network of 26 STD surveillance units, with a review rate of 89.91%. A total of 1 418 cases of syphilis were registered and verified in the laboratory. 873 cases of syphilis diagnostic criteria (WS273-2007) The coincidence rate was 61.5%. The diagnostic accuracy rates of stage Ⅰ, stage Ⅱ, stage Ⅲ, latent and fetal syphilis were 71.3%, 71.6%, 80.0%, 58.3% and 20.0% respectively. Network reports choose laboratory diagnosis accounted for 90.6%, select the suspected cases accounted for 8.9%, choose clinical diagnosis accounted for 0.5%. Dermatology STD prevention and control of syphilis diagnosis report the highest rate of 85.4%, the lowest hospital for Chinese medicine was 30.2%. Conclusion The accuracy of diagnosis of latent syphilis and syphilis in Longyan City is low, so it is necessary to strengthen the training of medical personnel and standardize the diagnostic report