2009-2014年广州市三期梅毒病例报告情况与分析

目的:了解广州市三期梅毒病例报告准确率,为今后对三期梅毒病例报告质量考核提供依据。方法:调查收集广州市2009-2014年三期梅毒报告病例资料,对其报告结果的准确率及相关因素进行分析,运用SPSS软件进行统计学处理。结果:本次调查三期梅毒病例1 099例,准确率为28.57%(314/1099)。经Logistic回归分析显示,人群性别、有无性病史和报病医疗机构的类型和报病的科室与三期梅毒病例报告准确率有关。以其它科室为参照,骨科、心血管科、皮肤科对三期梅毒报告准确率更高,OR(95%CI)=0.912(0.841,0.988);以其它医院为参照,三甲综合医院对三期梅毒的报告准确率高于其它医院,OR(95%CI)=1.894(1.465,2.449);有性病史的病例三期梅毒的报告准确率更高,OR(95%CI)=1.830(1.091,3.072)。结论:广州市三期梅毒疫情报告准确率不高,不能很好地反馈三期梅毒疫情情况。

Analysis on the Reports of the Tertiary Syphilis in Guangzhou during 2009 to 2014

Objective:To understand the epidemiological characteristics of the tertiary syphilis reported in Guangzhou , and to provide the basis for the quality evaluation of the tertiary syphilis in the future .Methods:The data of the tertiary syphilis reported in Guangzhou since 2009 to 2014 was collected , then the results were examined and verified .SPSS was used for statistical analysis . Results:In this survey , 1 099 cases of tertiary syphilis were enrolled , the accuracy rate was 28.57%( 314/1099 ) .The Logistic regression analysis showed that the gender , venereal history , the types of medical institutions and department were correlated to the accuracy of the tertiary of syphilis.Comparing with other departments for reference , department of orthopedics , dermatology and cardiovascular have a higher accuracy , OR (95%CI) =0.912 (0.841,0.988).Compared with other hospitals for reference , general hospital has a higher accuracy , OR (95%CI) =1.894 (1.465,2.449).Patient with venereal history got higher accuracy , OR (95%CI) =1.830 (1.091,3.072).Conclusion:The accuracy of the report of the tertiary syphilis in Guangzhou is low, and it may not present the real tertiary syphilis situation in Guangzhou .