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目的通过调查邢台市医疗机构性病防治相关科室的梅毒报告情况,分析影响梅毒诊断报告准确的因素。方法根据2014年7月-2015年6月期间网络报告的梅毒病例,查阅医疗机构的门诊日志、实验室检测记录,根据梅毒诊断标准和梅毒报告要求,分析相关科室梅毒的报告质量。结果核查37家医疗机构报告的605例梅毒病例,报告准确率为79.34%,各期梅毒报告准确率差异无统计学意义(χ~2=9.17,P>0.05)。性病相关科室和非性病相关科室梅毒报告的准确率分别为86.21%,77.17%,报告准确率差异有统计学意义(χ~2=5.49,P<0.05,OR=1.16,95% CI=1.04~1.31)。两类科室双阳性报告率差异无统计学意义(χ~2=0.30,P>0.05)。皮肤性病科报告以二期梅毒为主,内科和外科报告以隐性梅毒为主。结论发挥皮肤性病专业医生专长,针对非性病相关科室医生的培训需适应科室医生报病特点,规范相关科室梅毒的归口管理,以提高梅毒报告的准确性。
Objective To investigate the status of syphilis reported in Xingtai Medical Institutions related to STD prevention and control and to analyze the factors affecting the accuracy of syphilis diagnosis. Methods Based on the reported cases of syphilis from July 2014 to June 2015, the outpatient diaries and laboratory test records of medical institutions were reviewed. According to the syphilis diagnostic criteria and syphilis reporting requirements, the reporting quality of syphilis in relevant departments was analyzed. Results The 605 cases of syphilis reported by 37 medical institutions were verified. The accuracy of the report was 79.34%. There was no significant difference in the accuracy of reporting of syphilis in each period (χ ~ 2 = 9.17, P> 0.05). The accuracy rates of syphilis reported by STD-related departments and non-STD-related departments were 86.21% and 77.17%, respectively (χ ~ 2 = 5.49, P <0.05, OR = 1.16, 95% CI = 1.04 ~ 1.31). There was no significant difference in the positive rate of double positive between the two departments (χ ~ 2 = 0.30, P> 0.05). Dermatology report mainly to secondary syphilis, medical and surgical reports mainly of latent syphilis. Conclusion The professional expertise of dermatology and Venereology should be used to train non-STD-related physicians to adapt to the reported features of departmental physicians and regulate the centralized management of syphilis in relevant departments so as to improve the accuracy of syphilis reporting.