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目的:分析2006～2007年重庆市涪陵中心医院传染病漏报原因,探讨防止漏报对策。方法:对2006～2007年传染病疫情报告自查工作记录和传染病报告登记本等资料进行回顾性调查和分析。结果:共查出应报传染病8425例,漏报363例,漏报率为4.31%。其中,门(急)诊部漏报率为1.78%,住院部漏报率为7.46%;2006年漏报率为5.48%,2007年漏报率为3.32%。住院部中,内科漏报率为6.75%,外科漏报率为8.85%。结论:住院部是传染病报告的薄弱环节;输血前和手术前筛查发现的传染病容易漏报;重点监测的传染病漏报较少。减少漏报,强化意识是根本,科学管理是保证。
Objective: To analyze the causes of undetected infectious diseases in Fuling Central Hospital of Chongqing from 2006 to 2007, and to discuss the countermeasures to prevent underreporting. Methods: From 2006 to 2007, the epidemiological reports of infectious diseases self-examination records and infectious disease report registration data were retrospectively investigated and analyzed. Results: A total of 8425 cases of infectious diseases should be reported, 363 cases were missed, and the false negative rate was 4.31%. Among them, the door (emergency) clinic missing rate of 1.78%, in-hospital missed rate of 7.46%; 2006 missing rate of 5.48% in 2007 missing rate of 3.32%. Inpatient department, medical omission rate was 6.75%, surgical omission rate was 8.85%. Conclusion: Inpatient department is the weakest link in the report of infectious diseases. Infectious diseases detected before transfusion and preoperative screening are easily neglected. Reduce omissions, to strengthen awareness is fundamental, scientific management is a guarantee.