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[目的]分析连州市法定传染病漏报率和及时率,为进一步完善传染病管理措施提供科学信息。[方法]参照《全国疾病预防控制机构工作规范(2001版)》和《全国法定传染病漏报调查方案》,每年对不同级别医疗机构法定传染病报告情况进行调查和分析。[结果]2008～2009年共查出医疗机构报告法定传染病种1175例,漏报210例,平均漏报率为17.87%。2008年、2009年的漏报率分别为16.09%、19.15%。县级、乡镇级和其他(民营和卫生站)医疗机构平均漏报率分别为13.30%、19.74%、25.00%,医疗机构级别越高漏报率越低。乙、丙类传染病的漏报率分别为22.37%、12.16%,乙类传染病漏报率明显高于丙类。2008～2009年未及时报告率分别为5.81%、3.08%,总未及时报告率为4.20%,其中县级医院、乡镇卫生院、其他(民营医院)未及时报告率分别为3.61%、10.31%、0%,乡镇卫生院未及时报告率明显高于县级医院。[结论]连州市传染病漏报率和未及时报告率仍然较高,建立健全传染病疫情报告相关管理制度并贯彻落实,加强传染病防治知识培训,提高医务人员传染病报告意识,加大监督力度,是提高连州市传染病疫情报告质量的重要措施。
[Objective] To analyze the false negative rate and prompt rate of notifiable infectious diseases in Lianzhou and provide scientific information for further improving the management of infectious diseases. [Method] With reference to the “Work Regulations of the National Disease Prevention and Control Institutions (2001 Edition)” and the “National Investigation Plan of Missing Reporting of Notifiable Infectious Diseases”, the report on statutory infectious diseases in different levels of medical institutions is investigated and analyzed annually. [Results] A total of 1175 cases of notifiable infectious diseases were reported in medical institutions from 2008 to 2009, 210 cases were missed while the average false negative rate was 17.87%. In 2008 and 2009, the omission rates were 16.09% and 19.15% respectively. The average omission rates at county level, township level and other medical institutions (private and public health stations) were 13.30%, 19.74% and 25.00% respectively. The higher the level of medical institutions, the lower the false negative rate. The undeclared rates of Category A and B infectious diseases were 22.37% and 12.16% respectively, and the omission rate of Type B infectious diseases was significantly higher than that of Category C ones. The untimely reporting rates from 2008 to 2009 were 5.81% and 3.08%, respectively, and the total unposted reporting rate was 4.20%. The untimely reporting rates of county-level hospitals, township hospitals and other (private hospitals) were 3.61% and 10.31% respectively, , 0%, township hospitals did not report the rate was significantly higher than the county hospital. [Conclusion] The rate of undeclared and timely reporting of communicable diseases in Lianzhou City was still high. The relevant management system of infectious disease outbreak report was established and perfected, the training of knowledge on prevention and treatment of infectious diseases was strengthened, the awareness of infectious diseases reporting among medical staffs was increased, Supervision is an important measure to improve the quality of infectious disease outbreak reports in Lianzhou.