浙江省平湖市法定传染病诊断符合率调查结果分析

目的 了解浙江省平湖市传染病诊断准确程度。 方法 选取4家医疗单位开展诊断符合率调查,按照《法定传染病诊断标准手册(2008版)》核实诊断。 结果 调查9种法定传染病,共251例患者,诊断符合率为82.07%,其中其他感染性腹泻病、布鲁氏菌病、伤寒、流行性腮腺炎诊断符合率达到100%,手足口病、淋病、细菌性痢疾诊断符合率分别为96.67%、88.89%和92.31%,而风疹、病毒性肝炎诊断符合较低,分别为33.33%和69.60%,且市级医院诊断符合率显著低于乡镇医院;诊断标准考核合格率为57.50%。 结论 平湖市法定传染病诊断符合率较低,医务人员对诊断标准知识掌握水平亟待提高。

Diagnostic accordance rate of notifiable communicable diseases in Pinghu,Zhejiang

Objective To understand the accuracy of notifiable communicable disease reporting in Pinghu, Zhejiang province. Methods Survey of diagnostic accordance rate of communicable diseases was conducted in 4 medical institutions in Pinghu according to the "Manual of diagnostic criteria of notifiable communicable diseases" (2008 edition). Results A total 251 patients suffering 9 communicable diseases were surveyed. The overall diagnostic accordance rate was 82.07%. The diagnostic accordance rate of other infectious diarrheal diseases, brucellosis, typhoid and mumps reached 100%, the diagnostic accordance rate of hand foot and mouth disease, gonorrhea and bacterial dysentery were 96.67%, 88.89% and 92.31% respectively, but the diagnostic accordance rate of rubella and viral hepatitis were lower (33.33% and 69.60% respectively). The diagnostic accordance rate in city hospitals was significantly lower than that in township health centers. The pass rate of the diagnostic criteria examination was 57.50%. Conclusion The diagnostic accordance rate was low in Pinghu and medical staff should receive more training on diagnostic criteria of notifiable communicable diseases.