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[目的]了解西宁市医疗机构乙肝报告质量及影响因素,科学推断本地区乙肝发病的真实水平。[方法]根据《乙肝诊断标准GB15990-1995》对选定的医疗机构两个月内报告的乙肝病例的实验室监测结果、流行病学史、临床症状等方面进行回顾性调查。[结果]调查的927例网络中报告的乙肝病例中仅有160例符合诊断标准,符合率仅为17.26%。[结论]说明该市的乙肝监测系统中存在严重错报以及分类报告错误的现象。医务人员疫情报告知识掌握程度与乙肝报告正确程度有非常重要的相关性。
[Objective] To understand the quality and influencing factors of hepatitis B in medical institutions in Xining and to scientifically infer the true level of hepatitis B in this area. [Method] According to the diagnostic criteria of hepatitis B GB15990-1995, the results of laboratory monitoring, epidemiological history and clinical symptoms of hepatitis B reported by selected medical institutions within two months were retrospectively investigated. [Results] Only 160 of the hepatitis B cases reported in 927 cases of the survey met the diagnostic criteria, with a coincidence rate of only 17.26%. [Conclusion] This indicates that there is a serious misstatement in the Hepatitis B surveillance system in the city and the wrong classification report. There is a very important correlation between the degree of mastery of knowledge about the epidemic reporting of medical staff and the correctness of reporting of hepatitis B.