Investigation of human brucellosis diagnosis and report quality in medical institutions in key areas of Shanxi province
10.3760/cma.j.issn.0254-6450.2017.11.008
- VernacularTitle:山西省医疗机构2015年布鲁氏菌病诊断与报告质量调查
- Author:
Lingjia ZENG
1
;
Wenwen YANG
;
Ping TIE
;
Xinrong LIU
;
Xiurong GAO
;
Zhenyu LI
;
Ping HOU
;
Yin ZHI
;
Yongfei BAI
;
Mengjie GENG
;
Qiulan CHEN
;
Buyun CUI
;
Zhongjie LI
;
Liping WANG
Author Information
1. 中国疾病预防控制中心传染病预防控制处传染病监测预警中国疾病预防控制中心重点实验室
- Keywords:
Human brucellosis;
Diagnosis;
Report quality
- From:
Chinese Journal of Epidemiology
2017;38(11):1480-1483
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the accuracy of human brucellosis diagnosis and reporting in medical institutions in Shanxi province, and understand the performance of clinical doctors to diagnose human brucellosis according to diagnostic criteria. Methods Field investigation was conducted in 6 medical institutions in the key areas of human brucellosis in Shanxi province. The diagnosis data of the reported brucellosis cases in 2015 were collected and reviewed retrospectively for the evaluation of the diagnosis accuracy with systematic sampling method. The database was established with Excel 2010 and the descriptive analysis and statistical test were conducted with software R 3.3.2. Results The diagnosis consistent rate of the 377 brucellosis cases reviewed was 70.8% (267/377), the diagnosis consistent rates in medical institutions at city-level and country-level were 77.0%(127/165) and 66.0%(140/212) respectively, the differences had significance (χ2=5.4, P=0.02). Among the reviewed cases, the diagnosis consistent rate of laboratory diagnosis and clinical diagnosis were 87.1%(256/294) and 13.3%(11/83) respectively, and the differences had significance (χ2=170.7, P<0.001) . Among the 21 investigated clinical doctors, the numbers of the doctors who correctly diagnosed the suspected cases, probable cases and lab-confirmed cases were only 3, 0 and 8 respectively. All of the clinical doctors knew that it is necessary to report the brucellosis cases within 24 hours after diagnosis. Conclusion The accuracy of human brucellosis diagnosis in key areas of human brucellosis in Shanxi was low, and the performance of the clinical doctors to diagnose human brucellosis according to diagnostic and case classification criteria was unsatisfied.
