2018—2022年天津市急性乙型病毒性肝炎相关报卡的重复报告和删除情况分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (15): 2128-2131.

2018—2022年天津市急性乙型病毒性肝炎相关报卡的重复报告和删除情况分析

张国平^a, 王永馨^b, 何海艳^b, 吴伟慎^b

天津市疾病预防控制中心 a免疫规划所,b传染病预防控制所,天津 300011

收稿日期:2023-12-08 修回日期:2024-01-08 发布日期:2026-03-17
通信作者: 吴伟慎,主任医师,E鄄mail：wuweishen@live.cn
作者简介:张国平,女,主管医师,主要从事病毒性肝炎防控工作。
基金资助:
中国肝炎防治基金会（YGFK20210058）; 天津市医学重点学科（专科）建设项目（TJYXZDXK-50A）

Analysis on duplicate report and deletion of acute hepatitis B related report cards in Tianjin City from 2018 to 2022

ZHANG Guoping^a, WANG Yongxin^b, HE Haiyan^b, WU Weishen^b

a Institute for Immunisation Programme, b Institute for the Prevention and Control of Infectious Diseases, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China

Received:2023-12-08 Revised:2024-01-08 Published:2026-03-17
Contact: WU Weishen,Chief physician,E-mail：wuweishen@live.cn

摘要/Abstract

摘要： 目的分析2018—2022年天津市急性乙型病毒性肝炎（急性乙肝）相关报卡的重复报告和删除情况,为后续规范乙肝报告提供建议和参考。方法按报告地区天津、终审时间为2018年1月1日—2022年12月31日,从传染病报告信息管理系统中导出全部乙肝报告病例信息。根据病例姓名和有效证件号对导出的乙肝报卡进行独立和组合查重,并从中筛选出与急性乙肝相关的重复报卡,分析重复报告和删除情况。结果 2018—2022年天津市急性乙肝相关的重复报卡215份,涉及105例病例,93.33%的病例首末次就诊间隔小于6个月;2次就诊医院相同,诊断一致的比例为31.03%,高于诊断不一致的比例（9.21%）,差异有统计学意义（P<0.05）;诊断一致的病例中回访HBsAg转阴的比例为79.32%,高于诊断不一致的病例（55.26%）,差异有统计学意义（P<0.05）;96例重复报告病例至少删除1张重复报卡,76.04%（73/96）删卡正确,23.96%（23/96）的删卡错误,针对105例急性乙肝相关重复报告情况,对2018—2022年急性乙肝调整后的报告发病率分别为0.82/10万、0.59/10万、0.38/10万、0.45/10万和0.39/10万。结论天津市急性乙肝网络报告方面存在急性乙肝相关重复报卡未删、错删的情况,但目前对报告发病率影响较低。应进一步做好重复报卡的管理,并加强其审核和删除情况的复核跟踪。

关键词: 急性乙型病毒性肝炎, 诊断, 重复报告, 删卡

Abstract: Objective To analyze the duplicate report and deletion of acute hepatitis B related report cards in Tianjin City from 2018 to 2022,and provide suggestions and references for standardizing hepatitis B report in the future. Methods The information about all hepatitis B cases reported in Tianjin City from January 1,2018 to December 31,2022 were derived from the "National Notifiable Disease Report System". According to the cases' name and ID number,the exported hepatitis B report cards were checked independently and combined,and the duplicate report cards related to acute hepatitis B were screened out,then to analyze the duplicate report and deletion situation. Results There were 215 duplicate reports of acute hepatitis B in Tianjin City from 2018 to 2022,involving 105 cases,and 93.33% of the cases had the interval of less than 6 months. The proportion of consistent diagnosis in two different hospitals was 31.03%,which was higher than the proportion with inconsistent diagnosis（9.21%）,and the difference was statistically significant（P<0.05）. The proportion of follow-up HBsAg turned negative in the patients with consistent diagnosis was 79.32%,which was higher than that in the patients with inconsistent diagnosis（55.26%）,and the difference was statistically significant（P<0.05）. At least one duplicate report card was deleted in 96 cases,76.04%（73/96） deleted correctly,23.96%（23/96） deleted incorrectly. According to 105 duplicated cases of acute hepatitis B,the adjusted incidence rate of acute hepatitis B from 2018 to 2022 was 0.82/100 000,0.59/100 000,0.38/100 000,0.45/100 000,and 0.39/100 000,respectively. Conclusion In the network reporting of acute hepatitis B in Tianjin City,there are undeleted and incorrectly deleted duplicate report cards,but the impact on the reported incidence rate is low at present,but the impact of this situation on reported incidence rates is currently low. Further efforts should be made to manage duplicate cards,and strengthen the review of duplicate cards and track its deletion.

Key words: Acute hepatitis B, Diagnosis, Duplicate report, Delete card

中图分类号:

R181.8⁺2

张国平, 王永馨, 何海艳, 吴伟慎. 2018—2022年天津市急性乙型病毒性肝炎相关报卡的重复报告和删除情况分析. [J]职业与健康, 2024, 40(15): 2128-2131.

ZHANG Guoping, WANG Yongxin, HE Haiyan, WU Weishen. Analysis on duplicate report and deletion of acute hepatitis B related report cards in Tianjin City from 2018 to 2022. [J]OCCUPATION AND HEALTH, 2024, 40(15): 2128-2131.

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