论文部分内容阅读
目的分析2010-2016年“艾滋病综合防治信息系统”中HIV/AIDS病例重复报告状况,了解重复报告对艾滋病报告发病的影响。方法在“艾滋病综合防治信息系统”中,按照“报告地区浏览”下载报告日期在2010-2016年间所有上报的HIV/AIDS个案,分析重复报告率和删除时间。结果 2010-2016年,二七区医疗卫生机构网络报告HIV/AIDS病例共3 078例,其中删除677例,删除率21.99%,HIV/AIDS病例历年删除率分别是57.14%、29.20%、23.89%、25.73%、22.49%、20.44%和17.38%,呈逐年下降趋势(χ2=27.060,P=0.000)。删除原因中重复报告占88.04%,其他删除原因有查无此人、结果不确定、误诊误报、假信息、初筛阳性和未满18月龄等。HIV/AIDS重复报告率19.89%,历年重复报告率分别为47.83%、25.95%、19.63%、23.34%、20.03%、19.73%和16.11%,呈逐年下降趋势(χ2=13.874,P=0.000)。结论二七区HIV/AIDS病例重复报告率较高,但是呈逐年下降趋势。HIV/AIDS病例重复报告增加了疫情管理的工作量。
Objective To analyze the status of repeated reports of HIV / AIDS cases in the 2010-2016 Integrated HIV / AIDS Information System and understand the impact of repeated reports on the incidence of HIV / AIDS. Methods In the “Integrated HIV Prevention Information System”, according to “report area visit ” download all reported HIV / AIDS cases from 2010 to 2016 reporting period, repeat reporting rate and delete time. Results From 2010 to 2016, a total of 3 078 HIV / AIDS cases were reported in Erqi district network of medical and health institutions. Among them, 677 cases were deleted and the deletion rate was 21.99%. The historical deletion rates of HIV / AIDS cases were 57.14%, 29.20% and 23.89% , 25.73%, 22.49%, 20.44% and 17.38% respectively, showing a declining trend year by year (χ2 = 27.060, P = 0.000). Repeated reports accounted for 88.04% of the reasons for the deletion, there was no other reason for deletion, the results were uncertain, misdiagnosed and false positives, false information, positive screening and less than 18 months of age. The repeated report rate of HIV / AIDS was 19.89%, and the repeated report rates over the years were 47.83%, 25.95%, 19.63%, 23.34%, 20.03%, 19.73% and 16.11% respectively, showing a declining trend year by year (χ2 = 13.874, P = 0.000). Conclusion The repeated report rate of HIV / AIDS cases in Erqi district was high, but showed a decreasing trend year by year. Repeated reporting of HIV / AIDS cases has increased the workload of outbreak management.