甘肃省庆阳市3家医疗机构丙型肝炎诊断与报告质量核查分析

目的了解甘肃省庆阳市丙型肝炎(丙肝)监测报告质量及报告管理中存在的问题。方法选取庆阳市3家医疗机构,从传染病报告信息管理系统采集3家医疗机构2018年8月1日至2019年7月31日丙肝报告病例信息,现场核查数据质量,并对相关工作人员开展问卷调查,采用SPSS 25.0软件进行统计学分析。结果有检测能力的A机构HCV RNA检测阳性率(89.51%)明显高于其他两家机构(χ^2=176.87,P<0.01);漏报率36.91%,门诊病例漏报率(89.96%)高于住院病例(48.54%),差异有统计学意义(χ^2=123.799, P<0.01);诊断分类正确率69.44%,分期正确率66.67%;丙肝知识知晓率53.81%。结论应提高庆阳市医疗机构实验室核酸检测能力,提高诊断正确率,减少丙肝病例漏报率。

Diagnosis and report quality of hepatitis C in three medical institutions in Qingyang city,Gansu

  Objective  To understand the difficulties and problems in the quality and management of hepatitis C monitoring reports in Qingyang city.  Methods  Through the Infectious Disease Information System, the data of hepatitis C reported by 3 medical institutions in Qingyang city from 1 Augest 2018 to 31 July 2019 were obtained for on-site quality inspection, and a questionnaire survey was conducted among the relevant staff. SPSS 25.0 software was used for statistical analysis.  Results  The positive rate of HCV RNA detection in institutions with detection ability was significantly higher than that in other two institutions (89.51%)（ χ2=176.870, P<0.01）. The rate of missed report was 36.91%, and the rate of missed report in outpatient cases (89.96%) was higher than that in inpatient cases (48.54%) (χ2=123.799, P<0.01）. The correct rate of diagnosis and classification was 69.44%, and the correct rate of staging was 66.67%. The awareness rate of knowledge about hepatitis C was 53.81%.  Conclusion  It's necessary to improve the ability of nucleic acid detection in the laboratory of medical institutions in order to reduce the rate of missed reports of hepatitis C cases, and to improve the rate of correct diagnosis.