[1]张海滨,高冲,赵玲玲.博兴县梅毒网络直报病例梅毒诊断和报告准确性分析[J].中国皮肤性病学杂志,2017,(09):987-989.[doi:10.13735/j.cjdv.1001-7089.201610042]
 ZHANG Hai-bin,GAO Chong,ZHAO Ling-ling.Accuracy Analysis of Syphilis Diagnosis and Report in Boxing County[J].The Chinese Journal of Dermatovenereology,2017,(09):987-989.[doi:10.13735/j.cjdv.1001-7089.201610042]
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博兴县梅毒网络直报病例梅毒诊断和报告准确性分析
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2017年09期
页码:
987-989
栏目:
性传播疾病
出版日期:
2017-09-01

文章信息/Info

Title:
Accuracy Analysis of Syphilis Diagnosis and Report in Boxing County
作者:
张海滨高冲赵玲玲
山东省博兴县疾病预防控制中心,山东 博兴 256500
Author(s):
ZHANG Hai-bin GAO Chong ZHAO Ling-ling
Center for Disease Control and Prevention of Boxing County, Boxing 256500,China
关键词:
梅毒 报告病例 诊断 核查
Keywords:
Syphilis Report case Diagnosis Verification
分类号:
R 759.1
DOI:
10.13735/j.cjdv.1001-7089.201610042
文献标志码:
B
摘要:
目的 核查并分析梅毒报告病例的实验室检查结果,为客观分析博兴县梅毒疫情并制定下一步的梅毒防治措施提供依据。方法 设置统一的核查表,从大疫情网下载博兴县2014年1月1日-2016年6月30日报告的全部梅毒病例,通过现场调查进行核查,资料统一录入数据库,再进行统计学分析。结果 共核查104例梅毒病例,通过查重后最终100例列入统计处理,特异性抗体和非特异性抗体双阳性者占85.00%,其中未进行非特异性抗体定量检测者占10.59%,仅特异性抗体单阳者占15.00%,仅非特异性抗体单阳者为0,所有报告病例均有实验室诊断结果。一期、二期、隐性梅毒正确分期分类率分别为21.62%,77.78%和33.33%,胎传梅毒均不符合诊断标准。结论 博兴县网络直报梅毒存在一定不合理诊断和报告,需要加强临床医生对梅毒诊断分期分类培训并加强梅毒网络疫情报告质量管理,提高梅毒报告质量。
Abstract:
Objective To evaluate and analyze the results of laboratory tests for syphilis cases, and to provide a basis for the objective analysis of syphilis in Boxing County and to provide the basis for the next step of syphilis prevention and control measures.Methods All syphilis data reported from Boxing County medical institutions during 1/1/2014 to 6/30/2016 were downloaded from unified infectious disease case reporting network affiliated to the centers for disease control(CDC)of China.Setting up a unified verification table, through field investigation for verification, data were recorded in a unified database and were statistically analyzed.Results One hundred and four cases were reviewed in total, among which 100 cases with detail information were enrolled in the statistical analysis.Of these cases, syphilis specific antibody and syphilis non-specific antibody positive patients accounted for 85.00%, which not non-specific antibody quantitative detection for 10.59%.Only specific antibody positive was 15.00%.Only non-specific antibody positive was zero.All reported syphilis cases had laboratory diagnostic results.The correct stage of classification rate for primary syphilis, secondary syphilis and latent syphilis was 21.62%, 77.78% and 33.33%, respectively.All the fetal transmission of syphilis cases were not in accordance with the diagnostic criteria.Conclusion There are some unreasonable diagnoses and reports on the network direct report of Boxing County.It is needed to strengthen the clinical diagnosis and correct stage classification of syphilis.It is needed to strengthen the management of the epidemic report of syphilis and improve the quality of the report.

参考文献/References:

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更新日期/Last Update: 2017-09-10