| 2013 - 2015年度肇庆市流感监测工作质量评价 |
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| 引用本文： | 陈惠欢,麦炜,邓鸿. 2013 - 2015年度肇庆市流感监测工作质量评价[J]. 现代预防医学, 2016, 0(24): 4516-4518 |
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| 作者姓名： | 陈惠欢 麦炜 邓鸿 |
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| 作者单位： | 肇庆市疾病预防控制中心，广东 肇庆 526060 |
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| 摘 要： | 目的 了解肇庆市流感监测工作开展情况，进一步提高全市流感监测的工作质量。方法 收集肇庆市2013 - 2015年度流感监测管理、暴发疫情监测管理、网络实验室的病原学监测以及哨点医院流感样病例（ILI）报告与采送样工作等资料，根据《全国流感监测工作质量评估方案（2012版）》要求进行评价。 结果 2013 - 2015年度，肇庆市流感监测管理工作质量为满分；暴发疫情中仅有33.33%（7/21）阳性标本开展病毒分离；2013 - 2014年度仅有59.46%（198/333）阳性标本进行了亚型鉴定，2014 - 2015年度在“鸡胚分离株送检及时性”指标中失分最多；市级监测点ILI报告及时率从93.46%下降至84.62%；国家级监测点的ILI报告及时率高于市级（χ2 = 11.47，P＜0.001），有2个周次的标本采样数不符合要求，有6份标本未及时送检。 结论 肇庆市流感监测管理工作质量良好，但在暴发疫情标本的病毒分离和毒株上送以及ILI报告和采样、送检方面存在不足，应及时采取措施进行改进。
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| 关 键 词： | 流感 工作质量 评价 |
Quality evaluate of influenza surveillance in Zhaoqing city from 2013 to 2015 |
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| CHEN Hui-huan,MAI Wei,DENG Hong. Quality evaluate of influenza surveillance in Zhaoqing city from 2013 to 2015[J]. Modern Preventive Medicine, 2016, 0(24): 4516-4518 |
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| Authors: | CHEN Hui-huan MAI Wei DENG Hong |
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| Affiliation: | Zhaoqing Center for Disease Control and Prevention, Zhaoqing, Guangdong 526060, China |
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| Abstract: | Objective The aim of this study was to understand the situation of the influenza surveillance in Zhaoqing, in order to further improve the quality of this work. Methods The data was obtained from a series of management systems included the influenza surveillance, the epidemic outbreak monitoring and the etiology monitoring of the network laboratory and from the reports of the cases of influenza like illness（ILI） as well as the samples of collecting and delivering and so on. The data was used to evaluate the basis of The National Evaluation Schemes of the Quality for the Influenza Surveillance (2012 edition). Results From 2013 to 2015, the index of the quality for influenza surveillance in Zhaoqing was good and only 33% (7/21) positive specimens from the epidemic outbreak monitoring were performed with the viral isolation. There were only 59.46%（198/333） positive specimens were performed with the identification of subtypes from 2013 to 2014. The index of the timeliness of strain inspection from chicken embryos separation was the weakest point from 2014 to 2015. The ratio of timely reporting of ILI in the municipal level fell from 93.46% to 84.62% and was lower than that in the national level（X2=11.469，P<0.001）. There were two weeks' specimens that did not conform to the quantitative requirement and six specimens failed to be timely inspected. Conclusion The quality of the work for influenza surveillance management was good. But the work for the viral isolation and delivery of specimens from the epidemic outbreak monitoring, the report of ILI and the collection and inspection of specimens was insufficient. We should take measures to improve it timely. |
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| Keywords: | Influenza Quality Evaluation |
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