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目的分析清远市法定传染病报告信息质量情况,为进一步完善传染病管理措施提供科学信息。方法参照《全国疾病预防控制机构工作规范(2001版)》和《全国法定传染病漏报调查方案》,每年通过自查和抽查相结合的方法对清远市法定传染病漏报及及时报告情况进行调查和分析。结果2006-2007年共查出医疗机构报告法定传染病种5622例,漏报1114例,平均漏报率为19.82%。其中,不同年份、不同地区之间漏报率差异均有统计学意义(P<0.001);乙、丙类传染病的漏报率分别为15.51%、31.93%,丙类传染病漏报率明显高于乙类(P<0.001);医疗机构级别越高漏报率越低;2007年报告和审核及时率均高于2006年。结论清远市传染病漏报率仍然较高,建立健全传染病疫情报告相关管理制度并贯彻落实,加强传染病防治知识培训,提高医务人员传染病报告意识,加大监督力度,是提高清远市传染病疫情报告质量的重要措施。
Objective To analyze the quality of the reported information on notifiable infectious diseases in Qingyuan and to provide scientific information for further improving the management of infectious diseases. Methods According to the “National Disease Prevention and Control Agency Code of Practice (2001 Edition)” and “National Survey of Infectious Diseases under the Law”, each year through a combination of self-examination and random sampling of notifiable and timely reporting of infectious diseases in Qingyuan Investigate and analyze. Results A total of 5622 cases of legal infectious diseases were reported from medical institutions in 2006-2007, 1114 cases were missed and the average false negative rate was 19.82%. Among them, the differences between different years and regions were not statistically significant (P <0.001). The omission rates of B and C infections were 15.51% and 31.93% Higher than those in group B (P <0.001). The higher the level of medical institutions, the lower the false negative rate was. The average rate of reporting and examination in 2007 was higher than that in 2006. Conclusions The omission rate of infectious diseases in Qingyuan City is still high. The establishment of a sound management system for infectious disease outbreak reports and its implementation, strengthening knowledge training on prevention and treatment of infectious diseases, raising awareness of infectious diseases reporting among medical workers and increasing supervision are necessary measures to raise the level of infectious An important measure to report the quality of the disease outbreak.