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湖南省 1993～ 2 0 0 1年共报告急性弛缓性麻痹 (AFP)病例 172 4例 ,其中不合格粪便标本病例 40 4例 ,占2 3 43 %。对此类病例的统计分析显示 ,单份粪便标本病例和无粪便标本病例集中于 1993～ 1996年 ,1997～ 2 0 0 1年以不合格双份粪便标本病例为主。造成不合格粪便标本病例的原因主要是报告不及时和首诊漏报 ,采集粪便标本不及时和不规范 ,就诊不及时 ,其中首诊漏报率占 6 1 5 4%。为保持无脊髓灰质炎状态 ,应采取措施加强宣传 ,尤其是加强县级临床医生和计划免疫工作人员的培训 ,以做到早就诊、早报告和规范采集、运送粪便标本 ,提高合格粪便标本采集率 ,确保AFP病例监测质量。
A total of 172 4 acute flaccid paralysis (AFP) cases were reported in Hunan province from 1993 to 2001, of which 40 4 cases (2343%) were unqualified stool specimens. The statistical analysis of such cases shows that the cases of single stool specimen and non-stool specimens are concentrated in 1993-1996 and the cases of unqualified double stool specimens are mainly from 1997 to 2001. The causes of unqualified stool specimens were mainly due to the inaccurate reporting and omission of the first report. The collection of stool specimens was not timely and irregular, and the treatment was not timely. Among them, the first report omission rate was 61.4%. In order to maintain a poliomyelitis-free status, measures should be taken to step up publicity, especially training of county-level clinicians and program immunization workers so as to facilitate early diagnosis and early reporting and standardize the collection and delivery of stool specimens to enhance the collection of qualified stool specimens Rate, to ensure the quality of AFP case monitoring.