论文部分内容阅读
目的了解贵州省伤寒、副伤寒高发地区医院诊断能力,为全省伤寒、副伤寒诊断及报告质量的提高提供参考。方法利用2009-2013年报告的伤寒、副伤寒病例资料,确定发病率前5位的地区。在每个高发地区随机抽取医院,然后在每个医院抽取医护人员、实验室。对医护人员伤寒、副伤寒诊断标准掌握情况及医院实验室诊断条件展开调查。结果共抽取医护人员215人,最高分85分,最低分30分,平均(66.67±12.54)分,不同学历(F=24.06,P<0.01)、不同卫生技术职称(F=12.14,P<0.01)、不同医院等级(F=66.56,P<0.01)得分差异有统计学意义。调查28家医院实验室,其中有11家没有开展检验工作,占39.29%;在17家开展检验的实验室中,不能进行伤寒、副伤寒病原培养的有7家(占41.18%),不能开展肥达氏反应的有6家(占35.29%)。结论高发地区医院医护人员伤寒、副伤寒诊断标准得分偏低,实验室伤寒、副伤寒检验工作不完善,两个方面的不足影响了医护人员的诊断能力。
Objective To understand the diagnostic ability of hospitals in typhoid fever and paratyphoid fever in Guizhou Province and to provide reference for the diagnosis of typhoid and paratyphoid fever and the improvement of reporting quality in the province. Methods Using the data of typhoid and paratyphoid reported in 2009-2013, the top 5 regions were identified. In each high-risk areas randomly selected hospitals, and then in each hospital for medical staff, laboratories. On the medical staff typhoid, paratyphoid diagnosis criteria and hospital laboratory conditions to investigate. Results A total of 215 medical staff were enrolled in this study. The highest score was 85, the lowest score was 30, the average score was 66.67 ± 12.54, different qualifications (F = 24.06, P <0.01) ), And different hospitals (F = 66.56, P <0.01) showed statistically significant differences. Survey of 28 hospital laboratories, of which 11 did not carry out inspection work, accounting for 39.29%; in 17 laboratories to carry out testing, can not be typhoid, paratyphoid pathogen culture of 7 (41.18%), can not carry out There were 6 Widal reactions (35.29%). Conclusions The diagnostic criteria of typhoid fever and paratyphoid in medical staff in high incidence areas are low, the laboratory tests of typhoid fever and paratyphoid fever are not perfect, and the deficiency of two aspects affects the diagnosis ability of medical staff.