广州市2010-2012年登革热临床诊断报告现况分析

目的分析广州市2010-2012年登革热病例诊断报告情况,探讨登革热病人发病后到疫情报告的影响因素,为进一步加强疾病监测,避免登革热疫情扩散蔓延提供参考。方法对广州市2O10-2012年网络直报病例、部分现场调查病例的发病后就诊、诊断、报告等时间间隔特点进行分析,探讨登革热病人从发病至报告中各环节时间问隔的影响因素。结果 311例网络直报病例中,发病至诊断的时间为发病至报告的主要时间段(中位数7 d),原始报告为确诊病例(临床诊断病例及实验室诊断病例)的发病至诊断时间较原始报告为疑似病例的发病至诊断时间长(中位数相差1 d),其差异有统计学意义(P0.05)。259例现场调查病例中,影响登革热病例从发病至报告的时间最主要的是发病至诊断的时间(中位数8 d)。结论广州市登革热疫情报告及时性的主要影响因素为病例诊断的及时性,各相关单位应提高及早发现病例、及早报告,及早处理的能力。

Analysis on the dengue fever clinical diagnosis and report in Guangzhou from 2010 to 2012

Objective To explores the affecting factors of dengue fever cases onset to be reported by analyzing the clinical diagnosis and report of dengue fever cases in Guangzhou from 2010 to 2012, and provide reference for the prevention and control of dengue fever. Methods Data of dengue fever was collected from the direct reported in network and field investigation. The time interval of consuhinga doctor, clinical diagnosis, and report from dengue fever cases onset were analyzed. Results The time from onset to diagnosis of 311 cases direct report in network was the main time from onset to report of the cases, with the median of 7 days.The diagnosis time of confirmed cases original report （laboratory-confirmed and clinically diagnosed cases）was longer than that of suspected cases （median difference was 1 day）. The difference was statistically significant.The main affecting factor of the time interval from onset to report of 259 field investigation cases is that from onset to diagnosis （median is 8 days）. Conclusions The main affecting factor of the prompt report of dengue fever cases was the time for diagnosis. The government departments should improve in the prompt detection, report and treatment of dengue fever cases.