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目的:探讨法定传染病网络直报删除情况,揭示病例重报对传染病报告管理质量的影响意义,以进一步完善报告质量。方法:对“大疫情系统”中2004-2008年现住址为定海区的法定传染病个案数据及已删除卡片进行分析。结果:2004-2008年定海区共删除法定传染病1 209例,年均删除率为10.13%。乙类传染病年均删除率高于丙类传染病;乙脑、麻疹、流脑等重点监测疾病删除率较高;慢性疾病中梅毒、肺结核删除率较高;删除数以梅毒、肺结核和乙肝为主。结论:注重对乙类传染病特别是重点监测疾病及慢性病重复报告的管理,是提高整个传染病报告管理质量的重要环节。
OBJECTIVE: To explore the direct deletion of notifiable infectious diseases and to reveal the significance of reporting cases on the quality of infectious disease reporting, so as to further improve the quality of the report. Methods: The data of legal case of infectious diseases and the deleted card in Dinghai District from 2004 to 2008 in “Large Epidemic Situation System” were analyzed. Results: A total of 1 209 cases of notifiable infectious diseases were deleted in Dinghai District during 2004-2008, with an average annual removal rate of 10.13%. The annual average deletion rate of type B infectious diseases is higher than that of type C infectious diseases; the deletion rate of key surveillance diseases such as Japanese encephalitis, measles and meningitis is higher; the rate of syphilis and tuberculosis eradication in chronic diseases is higher; and the number of syphilis, tuberculosis and hepatitis B Mainly. Conclusion: Paying attention to the management of Category B infectious diseases, especially the key monitoring and repeated reporting of chronic diseases, is an important part of improving the management of the entire infectious disease report.