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目的掌握珠海市居民法定传染病的漏报情况。方法采用多阶段分层整群抽样和单纯随机抽样的方法,抽取珠海市3个区6个镇(街道)15个社区(村)的居民进行调查,调查居民在2010年1月1日至9月30日的传染病发病情况和漏报情况,采用描述性流行病学方法进行分析。结果珠海市2010年1—9月的传染病漏报率为48.9%(46/94),漏报率最高为流行性腮腺炎,漏报率为100.0%(6/6)。漏报病例中男、女性各23例,不同年龄组间传染病漏报率差别没有统计学意义(P>0.05);不同职业间传染病漏报率差别有统计学意义(P<0.01),以学生的漏报率最高为70.0%(14/20)。不同级别医疗机构传染病漏报率差别有统计学意义(P<0.05),以社区卫生服务中心(站)的漏报率最高为90.9%(30/33)。结论珠海市2010年传染病漏报现象较为严重,应加强传染病报告管理,加强临床医生的传染病诊断、报告培训,提高传染病发现、诊断、报告水平,减少漏报。
Objective To grasp the omission of statutory infectious diseases in Zhuhai City. Methods The residents of 15 communities (villages) in 6 towns (streets) in 3 districts of Zhuhai were sampled by multistage stratified cluster sampling and simple random sampling to investigate the residents’ On the 30th of the infectious disease incidence and omissions reported by descriptive epidemiological methods for analysis. Results The omission rate of infectious diseases in Zhuhai from January to September in 2010 was 48.9% (46/94), the highest false negative rate was mumps, with a false negative rate of 100.0% (6/6). There were 23 cases of omission in each case, there was no significant difference (P> 0.05) in the incidence of infectious diseases among different age groups. There was a significant difference between the different occupational infectious diseases (P <0.01) The highest false negative rate for students is 70.0% (14/20). There was a significant difference in the rate of underreporting of infectious diseases in different levels of medical institutions (P <0.05), and the highest false negative rate of community health service centers (stations) was 90.9% (30/33). Conclusion Zhuhai City in 2010 the phenomenon of underreporting of infectious diseases is more serious, we should strengthen the reporting of infectious disease management, clinicians to strengthen the diagnosis and reporting of infectious diseases, improve the detection of infectious diseases, diagnosis, reporting, reduce omissions.