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目的通过分析江西省输入性疟疾病例诊断和报告情况,为指导消除疟疾阶段的疾病监测工作提供科学依据。方法通过传染病报告信息管理系统和寄生虫病防治信息管理系统,收集2012-2015年江西省报告的疟疾疫情和个案数据,采用描述性流行病学方法分析疟疾病例的初次就诊(以下简称初诊)单位、实验室检测单位、报告单位、诊断方式、发病到初诊时间、初诊到报告时间和发病到报告时间等,评价消除疟疾阶段疟疾病例管理的质量。结果 2012-2015年江西省共报告207例疟疾病例,均为输入性病例,以实验室诊断为主(96.62%,200/207)。病例初诊单位主要为县级(29.95%,62/207)和地市级医疗机构(25.60%,53/207);病例实验室检测单位主要为地市级医疗机构(36.27%,73/207)和县级疾病预防控制机构(20.29%,42/207),不同年份间实验室检测单位构成比具有统计学意义(P<0.05);发病到初诊时间中位数为1 d(0~149 d),初诊到报告时间中位数为3 d(0~144 d),发病到报告时间中位数为5 d(0~149 d)。结论江西省疟疾病例初诊和实验室检测单位较多集中在市、县级医疗机构。
Objective To provide a scientific basis for monitoring the disease surveillance in malaria stage by analyzing the diagnosis and reporting of imported malaria cases in Jiangxi Province. Methods Through the infectious disease reporting information management system and the parasitic disease prevention and information management system, the reported malaria epidemic and case data from 2012 to 2015 in Jiangxi Province were collected. Descriptive epidemiological methods were used to analyze the first visit of malaria cases (hereinafter referred to as the first visit) Units, laboratory testing units, reporting units, methods of diagnosis, time from onset to first visit, time to first report and time from onset to report, etc. to evaluate the quality of malaria case management during malaria elimination phase. Results A total of 207 cases of malaria were reported in Jiangxi province from 2012 to 2015, all of which were imported cases. The majority were laboratory diagnosis (96.62%, 200/207). The cases of newly diagnosed cases were mainly county-level (29.95%, 62/207) and municipal-level medical institutions (25.60%, 53/207) (20.29%, 42/207). The proportions of laboratory test units in different years were statistically significant (P <0.05). The median time from onset to first visit was 1 d (0 ~ 149 d ). The median time to first report was 3 days (ranged from 0 to 144 days). The median time to report was 5 days (range, 0-149 days). Conclusions The newly diagnosed cases and laboratories of malaria cases in Jiangxi Province are mostly concentrated in municipal and county-level medical institutions.