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目的分析浙江省部分地区梅毒疫情重复报告情况。方法采用回顾性个案调查的方法,抽取宁波、嘉兴、温州、台州和丽水5个市不同级别医疗机构为调查单位,包括8家市级医院、10家县级医院和15家乡镇卫生院,收集梅毒患者2012年8-12月既往就诊信息,与疫情网络报告信息核对,确定梅毒重报病例,分析其重报情况。结果本次调查730例梅毒感染者中,涉及重报的病例有48例,占6.58%,其中重报一次的46例,占6.30%;重报2次2例,占0.27%。梅毒重报率为6.41%。就诊时使用医疗保险患者的重报率低于未使用医疗保险者。结论梅毒疫情重复报告对梅毒防控工作有一定影响,梅毒疫情报告质量需进一步提高。
Objective To analyze the repeated reports of syphilis epidemic in some areas of Zhejiang Province. Methods A retrospective case investigation method was used to collect medical institutions of different levels from 5 cities of Ningbo, Jiaxing, Wenzhou, Taizhou and Lishui as investigation units, including 8 municipal hospitals, 10 county-level hospitals and 15 township hospitals, collecting Syphilis patients from August to December 2012, the past treatment information, check with the epidemic network report information to determine the syphilis heavy reported cases, analysis of the resumption of the situation. Results Among the 730 cases of syphilis infected, 48 cases accounted for 6.58%, of which 46 cases were re-reported, accounting for 6.30%; 2 cases were re-reported in 2 cases, accounting for 0.27%. Syphilis heavy reported rate of 6.41%. The rate of reimbursement of patients using medical insurance at the time of visit was lower than those without the use of medical insurance. Conclusion Repeated reports of syphilis epidemic have a certain impact on prevention and control of syphilis, syphilis epidemic reporting quality needs to be further improved.