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目的了解玉溪市伤寒副伤寒高发地区医院报告病例诊断的准确性,为伤寒副伤寒诊断及报告质量的提高提供参考。方法采用回顾性调查方法对全市2012-2014年报告的伤寒、副伤寒病例的诊断结果进行调查。结果本次收集病例510例,诊断符合率80.98%;伤寒诊断符合率55.00%,副伤寒诊断符合率66.06%;临床诊断病例符合率48.66%,实验室确诊病例符合率96.69%;临床病例中伤寒与副伤寒的构成为6∶1,确诊病例中伤寒与副伤寒的构成为1∶15;诊断符合率为100%的是玉溪市人民医院和中医院、新平县、元江县、峨山县,最低的是通海县(33.90%);各级医院的伤寒副伤寒临床诊断病例符合率为市级明显高于县乡两级,确诊病例符合率市、县和乡三级比较接近。结论玉溪市伤寒副伤寒诊断符合率偏低,影响了网络报告的真实性,影响了预防控制策略和措施的实施。
Objective To understand the accuracy of the reported case diagnosis of typhoid and paratyphoid fever in Yuxi and to provide reference for the diagnosis and the improvement of the quality of typhoid and paratyphoid fever. Methods A retrospective survey was conducted to investigate the diagnosis results of typhoid fever and paratyphoid fever cases reported from 2012 to 2014 in the city. Results The collected cases were 510 cases, the diagnostic coincidence rate was 80.98%, the coincidence rate of typhoid fever was 55.00%, and that of paratyphoid fever was 66.06%. The coincidence rate of clinical diagnosis was 48.66% and the coincidence rate of laboratory confirmed cases was 96.69% And paratyphoid fever is 6: 1, the composition of typhoid fever and paratyphoid in the confirmed cases is 1:15, and the diagnostic coincidence rate of 100% is the lowest in Yuxi People’s Hospital, Chinese Medicine Hospital, Xinping County, Yuanjiang County and Eshan County (33.90%) in Tonghai County. The coincidence rates of clinical diagnosis of typhoid and paratyphoid fever at all levels of hospitals were significantly higher than those at county and township levels. The confirmed cases were in line with the municipal, county and township levels. Conclusions The coincidence rate of typhoid and paratyphoid diagnosis in Yuxi is low, which affects the authenticity of the network report and affects the implementation of prevention and control strategies and measures.