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目的调查了解深圳市性病疫情监测报告机构梅毒重报情况,分析梅毒疫情重报影响因素。方法通过分层随机抽取20家性病疫情报告机构皮肤性病科、妇产科和泌尿外科门诊就诊的梅毒患者进行个案调查,获得患者社会人口学特征、联系方式、既往就诊情况等信息。分别建立本次调查获得的患者个案信息数据库及2004~2009年网络报告中梅毒疫情报告数据库,用SAS 9.1软件筛选出两个数据库中患者姓名一致或姓名相似(同音不同字)的卡片,将其姓名及其他信息整合成分析用的数据库。根据本次调查拟定的重卡判断标准对上述数据库中每一例调查个案信息进行人工核对和确认重卡。结果本次调查患者770例,主诉为复诊的梅毒患者占59.22%。本次调查发现被重复报告个案95例,确定重卡率12.58%,被重复报告111次,其中当年重复报告个案占62.11%,跨年占37.89%。影响梅毒疫情重报的因素主要是患者进行多次、跨地区、跨年度就诊,以及在重复就诊时填报的病种、职业、现住址、年龄等不一致。经调整后梅毒发病率为65.65/10万,比调整前下降10.63%。结论本次调查结果显示,梅毒重报情况不容忽视,应对目前常规查重方法进行改进和完善,同时应加强各级医疗机构梅毒疫情报告质量的督导力度。
Objective To investigate the situation of syphilis re-reporting in STD surveillance institutions in Shenzhen and analyze the influencing factors of syphilis re-reporting. Methods Twenty cases of syphilis from dermatology department, obstetrics and gynecology department and urology clinic were randomly selected from stratified stratified case-by-case reports to get the social demographic characteristics, contact information and previous medical treatment information. The patient case information database and the syphilis epidemic report database in the network report from 2004 to 2009 were set up respectively. The SAS 9.1 software was used to screen the cards with the same patient names or similar names (with different homophones) in two databases, Name and other information into a database for analysis. According to the survey of heavy truck to determine the standard for each case of the above-mentioned investigation of the case information check manual and confirm the heavy truck. Results The survey of 770 patients, the main complaint of syphilis for referral patients accounted for 59.22%. The survey found that 95 cases were repeatedly reported, and the rate of heavy-duty trucks was 12.58%. 111 cases were repeatedly reported, of which 62.11% were reported repeatedly and 37.89% over New Year’s Eve. Symptoms of syphilis outbreak reported mainly due to multiple, inter-regional and inter-annual visits to patients, as well as reported in the repeat treatment of disease, occupation, current address, age and other inconsistencies. The adjusted incidence of syphilis was 65.65 / 10 million, down 10.63% from the previous adjustment. Conclusion The survey results show that the situation of syphilis re-reported can not be ignored, the current routine check-up methods should be improved and perfected, and at the same time should strengthen the supervision of syphilis epidemic reporting quality of medical institutions at all levels.