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目的了解象山县法定传染病诊断符合率及其影响因素,为提高象山县传染病疫情监测和报告质量提供参考依据。方法采用单纯随机抽样法抽取5家医疗单位2006—2012年4—6月份一定数量的传染病卡片,进行传染病诊断符合率调查,并对相关科室医务人员进行传染病知识考核。结果 5家医疗单位传染病诊断符合率为88.38%(776/878);乙类传染病中麻疹、甲肝和丙肝诊断符合率最高;2006—2012年不同年份传染病诊断符合率间差异无统计学意义(P=0.713);县级医院医师传染病知识考试合格率86.35%(129/161),高于乡镇医院医师合格率50.00%(30/60),两者比较差异有统计学意义(P<0.05)。结论传染病诊断符合率的高低与医务人员对传染病知识的掌握程度有关,应督促其及时进行学习并掌握37种法定传染病的实验室诊断标准及新发传染病的相关知识,以进一步提高提高象山县传染病疫情监测和报告质量。
Objective To understand the coincidence rate of legal infectious diseases in Xiangshan County and its influential factors, and to provide reference for improving the monitoring and reporting of infectious diseases in Xiangshan County. Methods A simple random sampling method was used to extract a certain number of infectious disease cards from 5 medical units from April to June in 2006-2012 to investigate the coincidence rate of the diagnosis of infectious diseases and evaluate the knowledge of infectious diseases among medical staff in relevant departments. Results The coincidence rate of infectious diseases in the five medical units was 88.38% (776/878). The highest coincidence rate of measles, hepatitis A and C was found in type B infectious diseases. There was no significant difference between the coincidence rates of infectious diseases in different years of 2006-2012 (P = 0.713). The pass rate of infectious disease knowledge examination of county hospital physicians was 86.35% (129/161), which was higher than that of township hospital doctors (50.00%, 30/60) (P <0.05). Conclusions The coincidence rate of infectious disease diagnosis is related to medical staff’s mastery of knowledge of infectious diseases. It should urge them to learn in time and acquire laboratory diagnostic criteria of 37 kinds of notifiable infectious diseases and related knowledge of new infectious diseases so as to further improve Improve the monitoring and reporting of infectious disease outbreaks in Xiangshan County.