2004～2013年福建省传染病网络直报重复报告分析

目的分析福建省传染病重复报告情况,以期进一步提高报告质量。方法采用SAS 9.2软件分析福建省2004~2013年传染病报告卡。结果 2004~2013年重复报告12 449张,平均重卡率0.63%,调整发病率546.20/10万（P〈0.01）。各年度间总体呈现递减趋势（P〈0.01）,平均增长速度为-25.20%。地区差异明显（P〈0.01）,福州最多5 163占41.66%,其次漳州11.65%,莆田10.22%;平潭重卡率3.76%是十年平均重卡率的6.01倍。病种重报不同,乙肝占76.30%,手足口4.97%、梅毒4.68%、其他感染性腹泻4.24%、肺结核4.04%、丙肝2.67%6种疾病占96.90%。其中丙肝重卡率2.02%,是十年平均重卡率的3.11倍。调整发病率前后比较福州（P〈0.01）、平潭（P〈0.01）、莆田（P〈0.01）、漳州（P〈0.05）、乙肝（P〈0.01）和2004~2009年存在明显统计学差异。结论优化网络直报系统查重功能,加强报告卡信息规范填报,部分地区和病种重复报告较多在计算发病率时应调整。手足口等急性传染病重报情况还需进一步研究。

Analysis on Repeated Reporting of Infectious Diseases,Fujian Province,2004-2013

Objective To analyze repeated reporting of infectious diseases in Fujian province,2004-2010,so as to improve the reporting quality. Methods SAS 9.2was used to analyze the report cards during 2004-2013 from Disease Information Reporting System. Results The number of the last decade＇s repeated reporting cards was 12 449,which was 0.63%of the total.The adjusted incidence rate of 546.20/105（P〈0.01）was significantly different in statistics.It showed a trend of decreasing by year.The average decline rate was 25.20%（P〈0.01）.The discrepancy of repeating rate was obvious among different regions（P〈0.01）.Fuzhou had 5 163 cases,which accounted for 41.66% of the total.Followed by Zhangzhou（11.65%）,Putian（10.22%）.Pingtan＇s repetition rate（3.76%）was 6.01 times above the average.Diseases differed in repeated reporting：Hepatitis B accounted for 76.30% of repeated reporting.Hand,foot and mouth disease for4.97%;syphilis for 4.68%;other infectious diarrhea for 4.24%,tuberculosis（TB）for 4.04%;and hepatitis C for 2.67%.Those 6diseases taked up to 96.90% of the total.Hepatitis C＇s repetition rate was 3.76%,which was 3.11 times above the average.Other Health Institutions,Specialized Subject Hospital,Institute and Blood services had higher repetition rate than the average.The adjusted incidence rate of Fuzhou（P〈0.01）,Pingtan（P〈0.01）,Putian（P〈0.01）,Zhangzhou（P〈0.05）,Hepatitis B（P〈0.01）,and the years from 2004 to 2009was significantly different in statistics. Conclusion It is necessary to optimize repeated reporting verification,also to formalize the input of reporting card.Some districts and specific diseases＇ incidence rate should be adjusted,owing to their high repetition rate.Acute disease like hand,foot and mouth disease,their exact repetition rates require further investigation.