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目的比较2011—2014年乙肝监测试点开展前后乙肝报告质量,评价监测效果。方法对监测前后晋江市乙肝报告发病率、病例分类、病例分布、医疗单位报告进行对比,以及监测后报告卡附卡填写、急性乙肝核实情况。结果开展监测后,乙肝报告发病数较监测前减少11.1%,报告发病率减少7.85/10万;急慢性乙肝报告比例监测前后分别为1.38∶1和0.04∶1。0~85岁组均有病例报告,以26~30岁组为高峰呈两端递减。监测前有5.6%病例报告为非实验室诊断,监测后均为实验室诊断。结论监测工作开展后有3个变化:错误报告减少,急慢性乙肝分类有依据,重卡有所改善。
Objective To compare the quality of hepatitis B reporting before and after the pilot program of hepatitis B monitoring during 2011-2014 to evaluate the monitoring effect. Methods Before and after the monitoring of the incidence of hepatitis B in Jinjiang City, case classification, case distribution, comparison of medical units and reports, as well as monitoring report card attached to fill in, the situation of acute hepatitis B verification. Results After monitoring, the incidence of hepatitis B was 11.1% lower than that before monitoring, and the incidence of hepatitis B was reduced by 7.85 / 100 000. The rates of acute and chronic hepatitis B were 1.38:1 and 0.04:1.0 ~ 85 respectively before and after monitoring The report, with 26 to 30-year-old group was declining at both ends. Before the monitoring, 5.6% of cases were reported as non-laboratory diagnosis, and all were laboratory diagnosis after monitoring. Conclusion There are three changes after the monitoring work has been carried out: the reduction of false reports, the classification of acute and chronic hepatitis B, and the improvement of heavy-duty trucks.