Summary of the basic situation of the infectious disease report inspection in 2019

From December 1st to 3rd, 2019, Dr. He Cunying, from the Department of Acute Infectious Diseases Prevention and Control of the State CDC, and Dr. Zhen Zhenxue from Shangri-La County CDC conducted supervision and inspection on the legal infectious disease report management work in four hospitals in Diqing Prefecture. They are Shangri-La People's Hospital , Urinary Hepatobiliary Specialist Hospital , Shangri-La Concord Hospital and Shangri-La Maternal and Child Health Hospital. The results of the three-day supervision and inspection are summarized as follows:

I. Basic information on the management of infectious disease reports

The People’s Hospital has the largest number of medical staff, 279, followed by 53 medical staff in the Hepatobiliary Hospital , 38 medical staff and 30 medical staff in the Union Hospital and Maternal and Child Health Hospital. The four hospitals have established preventive health care, and At least one staff member, the Maternal and Child Health Hospital is equipped with two staff members; the hospital leadership team has been established; the epidemic management personnel only have a full-time staff, and the other three medical institutions are part-time; four hospitals The self-examination system and reward and punishment system have been established; the setting of departments related to infectious diseases, the People's Hospital and the Hepatobiliary Hospital have set up infectious diseases, internal medicine, pediatrics and laboratories, and Concord Hospital and Maternal and Child Health Hospital have no infectious diseases and pediatrics; The preventive and health care department of the hospital has complete information and has a register of epidemic cases. In 419, a total of 414 cases were reported, involving 14 infectious diseases. The People’s Hospital reported the largest number of cases, 374 cases involving 10 infectious diseases; The reporting methods of the epidemic are all direct reports by the Internet, and the network is operating normally; the department's infectious disease reporting method is guaranteed once a day. Four hospital infectious disease report card completed and precision were 100%, People's Hospital, Hepatobiliary Hospital and MCH disease reporting rate is 100% false negative tuberculosis Union Hospital an example, the epidemic false negative rate of 20%.

Second, the statutory infectious disease check scores

The four hospitals have been established in the management team and rules and regulations of the epidemic situation; the work of the health department includes work specifications, registration and self-inspection records, and the information of the People's Hospital and the Maternal and Child Health Hospital is complete and true. The Hepatobiliary Hospital and the Concord Hospital have no epidemic. Check records; doctors have a good understanding of statutory infectious diseases; in the registration of clinicians, the People's Hospital has a complete record of outpatient and hospital records, and the log records of Concord Hospital and Maternal and Child Health Hospital are slightly lacking, and some missing items are missing. The integrity of the log of hepatobiliary hospital needs to be improved, and there are many missing items; People's Hospital , Union Hospital and Maternal and Child Health Hospital have good integrity in laboratory registration, and hepatobiliary hospital needs to be improved; People's Hospital , Hepatobiliary Hospital and Maternal and Child Health Hospital epidemic card Filling in completeness and accuracy, epidemic reporting rate and timely rate were good, and Concord Hospital found that one case of tuberculosis was not reported.

Third, the use of disease monitoring information reporting management system

Due to the large number of reported cases, the People’s Hospital reported that the network monitoring card of the disease monitoring system was not arranged in chronological order, which caused inconvenience to the inquiry. The four hospitals reported that the disease monitoring information reporting management system was operating normally, and there were no other problems and suggestions. .

IV. Statistics on underreporting of infectious disease epidemic reports

Four hospitals detected a total of 408 cases in 2019, involving rubella, A liver, B liver, C liver, hepatitis, tuberculosis, influenza, mumps, hand, foot and mouth disease, chickenpox, bacillary dysentery, and recessive syphilis There were 14 infectious diseases such as gonorrhea and other infectious diarrhea. The highest infection rate was 138 cases of chickenpox, accounting for 33.8%, followed by 100 cases of bacillary dysentery, accounting for 24.5%.

V. Infectious disease report check score

The People's Hospital epidemic report management score of 46 points, the epidemic situation report rate of 50 points, a total score of 96 points.

Hepatobiliary hospital epidemic situation report management score of 38 points, epidemic situation report timely rate score of 50 points, a total score of 88 points.

The Union Hospital’s epidemic report management score was 44 points, and the epidemic report timely rate scored 45 points, with a total score of 89 points.

The Maternal and Child Health Hospital reported 45 points of epidemic situation management report, and the epidemic situation report scored 50 points in a timely manner with a total score of 95 points.