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目的为了解惠农区医疗机构2005-2010年法定传染病的漏报情况,探讨进一步提高传染病疫情网络直报工作效率和质量的方法。方法根据《惠农区医疗机构传染病报告管理综合检查及漏报调查工作方案》的要求,对辖区14个医疗卫生单位2005-2010年传染病漏报情况进行调查,通过查验门诊日志、出入院登记簿、化验室登记簿的法定传染病记录与传染病网络直报系统进行核对。结果传染病总漏报率为2.75%,乡级漏报率6.10%,县级为2.00%,差异有统计学意义(P<0.05)。主要漏报病种为感染性腹泻、细菌性痢疾、流行性感冒、淋病、乙肝等传染病。结论该区医疗机构传染病报告工作存在问题,各级医疗机构应树立医防结合的理念,重视传染病疫情报告工作,不断加强传染病防治法及传染病疫情报告知识的培训力度,建立一支稳定的技术过硬的网络直报队伍。
Objective To understand the omission of statutory communicable diseases in medical institutions in Huinong District from 2005 to 2010 and to explore ways to further improve the efficiency and quality of direct reporting of infectious disease outbreaks. Methods According to the requirements of the investigation program of comprehensive inspection and omission reporting of infectious disease report management in medical institutions in Huinong District, investigation was conducted on the omission of infectious diseases in 14 medical and health units in the area from 2005 to 2010, and the outpatient log Registration of record books, laboratory records of the record of infectious diseases and infectious diseases network direct reporting system to check. Results The total false negative rate of infectious diseases was 2.75%, the false negative rate of township was 6.10% and the county level was 2.00%, the difference was statistically significant (P <0.05). The main omission types are infectious diarrhea, bacillary dysentery, influenza, gonorrhea and hepatitis B and other infectious diseases. Conclusion There are some problems in the reporting of infectious diseases in medical institutions in this area. Medical institutions at all levels should establish the concept of combining medical treatment and prevention, pay close attention to the reporting of epidemic situation of infectious diseases, continuously strengthen the training of knowledge on infectious disease prevention and control and epidemic reporting of infectious diseases, and establish a Stable technical network of excellent direct report team.