2004-2007年福建省病毒性乙型肝炎重复报告情况分析

目的分析福建省2004-2007年病毒性乙型肝炎（乙肝）重复报告情况并提出控制建议。 方法对《疾病监测信息报告管理系统》的乙肝报告卡运用 SAS 9.0软件进行分析。 结果查重时应以患者姓名、性别、病种、现住地址国标编码信息且重卡间年龄相差2岁为重卡判定条件；福建省2004-2007年各年度分别有重卡70张（占该年度总报告卡数的0.18％），149张（占0.45％），515张（占1.22％），716张（占1.24％）；2007年有3513张（占6.07％），2006年有2300张（占5.43％），2005年有868张（占2.64％）跨年度重复报告。 结论福建省乙肝各年度内重复报告卡逐年增多，跨年度重复报告严重影响了报告发病率。应优化查重功能，修订重卡判断标准，建立跨年度个案化管理制度，并强化报告卡信息的填写培训。

Analysis on repeated reporting of viral hepatitis B in Fujian province, 2004-2007

Objective To analyze the repeated reporting of viral hepatitis B in Fujian province, 2004-2007, and suggest the control measure. Methods The report cards from Disease Information Reporting System were analyzed by SAS 9.0. Results The repeated cards were judged by the international codes of patient name, sex, disease and current address, and the difference on age which was ~2 years old. There were 70, 149,515 and 716 repeated cards found in each year during 2004- 2007, which accounted for 0. 18%, 0.45%, 1.22% and 1.21% of the total cards respectively. There were 3513, 2300 and 868 cards which had been reported in other year（s） respectively in 2（D7, 2006 and 2005, theses cards accounted for 6. 07%, 5.43% and 2. 64% of the total repeated cards respectively. Conclusion The annual repeated report cards increased year by year, and the repeated reporting for more than 1 year influenced the truth of the reported incidence rate. It is necessary to optimize the function of checking repeated reporting, revise the standard of judging repeated cards, establish management system of the cases reported for more than 1 year and conduct the training on the filling of the report card.