乙型肝炎病例报告质量调查分析

目的:摸清乙肝疫情报告现状,分析疫情报告质量,为规范乙肝报告工作提供依据。方法:对2005年8月1日~9月30日期间由淮安市各级各类医疗机构,通过国家疾病监测信息报告管理系统报告的,现住址在当地的所有乙肝病例进行流行病学调查,采集病人血清进行检测,并进行核实诊断。结果:共报告乙肝病例289例,流行病学调查260例,经最终判断,其中新发病例165例,占63.46%;复发病例77例,占29.61%;乙肝病毒携带者7例,占2.69%;诊断依据不足10例,占3.85%;1例排除肝炎,占0.38%。结论:在乙肝病例报告中,存在重报、错报以及部分报告卡质量不高等问题,乙肝病例重复报告是导致疫情上升假象的重要因素。

Analysis and investigation on case reporting quality of hepatitis B

Objective:To provide the theoretic basis for standardizing the reporting performance of hepatitis B through making clear about current situation on hepatitis B reports and analyzing the quality of epidemic reports.Methods:Epidemical survey was conducted to all levels or kinds of clinic facilities in Huaian reported finding cases of hepatitis B through national diseases surveillance reporting & management system during 1st August to 30th September 2005.Serum samples from patients were collected for detecting and checking diagnosis.Results: The total 289 cases with hepatitis B were reported,two hundred and sixty of which were investigated with terminal diagnosis.New occurred cases were 165 with 63.46%,recurrence cases were 77 with 29.61%,HBsAg carriers were 7 with 2.69%,suspected cases were 10 with 3.85%,one case was excluded with 0.38%.Conclusion:The issues that focus on case reporting are repeating report,error report and some under-quality reports in cards.Repeating report is a leading factor resulting in false increasing of hepatitis B epidemics.