2024年7月~2025年6月永川区梅毒病例报告准确性核查分析

Accuracy Audit and Analysis of Syphilis Case Reporting in Yongchuan District from July 2024 to June 2025

摘要: 目的：了解永川区梅毒病例报告现状和准确程度，提升梅毒病例报告质量，为梅毒防控提出科学依据。方法：通过中国疾病预防控制信息管理系统导出2024年7月1日~2025年6月30日永川区网络报告的梅毒病例个案信息。对近一年永川区网络报告的梅毒病例开展现场核查，依据《梅毒诊断标准(WS 273-2018)》判定病例诊断和分期的准确性，计算报告准确率；采用χ²检验比较不同等级医疗机构的报告准确率差异。结果：核查5家医疗机构网络报告病例959例，报告准确的病例有953例，准确率为99.37%。分期诊断准确率中I期梅毒为100.00% (1/1)，II期为100.00% (9/9)，III期为100.00% (7/7),隐性梅毒为99.36% (936/942)。综合医院报告准确率(99.78%)显著高于专科医院(92.59%, χ² = 3.841, P < 0.05)。结论：2024年7月1日~2025年6月30日年永川区梅毒病例报告准确率较高，表明网络直报数据的可靠性较高，但专科医院容易把硬下疳已愈合的一期梅毒报为隐性梅毒。应加强临床医师梅毒诊断与报告规范培训，特别关注基层医疗机构，加强督导，提高病例报告质量。

Abstract: Objective: To understand the current status and accuracy of syphilis case reporting in Yongchuan District, improve the quality of reporting, and provide a scientific basis for syphilis prevention and control. Methods: Case information of syphilis cases reported via the online system in Yongchuan District from July 1, 2024, to June 30, 2025, was extracted from the China Information System for Disease Control and Prevention. A field audit of these cases was conducted. The accuracy of diagnosis and staging was determined according to the “Diagnostic Criteria for Syphilis (WS 273-2018)”, and the reporting accuracy rate was calculated. The Chi-square test was used to compare the differences in reporting accuracy rates among different levels of medical institutions. Results: A total of 959 cases reported by 5 medical institutions were audited. Among them, 953 cases were accurately reported, yielding an overall accuracy rate of 99.37%. The staging diagnosis accuracy rates were 100.00% (1/1) for primary syphilis, 100.00% (9/9) for secondary syphilis, 100.00% (7/7) for tertiary syphilis, and 99.36% (936/942) for latent syphilis. The reporting accuracy rate of general hospitals (99.78%) was significantly higher than that of specialized hospitals (92.59%, χ² = 3.841, P < 0.05). Conclusion: The accuracy of syphilis case reporting in Yongchuan District from July 1, 2024, to June 30, 2025, was high, indicating the reliability of the web-based direct reporting data. However, specialized hospitals were prone to misclassifying primary syphilis with healed chancres as latent syphilis. It is necessary to strengthen training for clinicians on the standards for syphilis diagnosis and reporting, with particular attention paid to primary healthcare institutions, enhance supervision, and improve the quality of case reporting.