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Analysis on duplicated reporting of brucellosis in China, 20

董帅兵,李言飞,姜海,张翠红,范蒙光,李月喜,任翔,耿梦杰,李中杰,王丽萍.2005-2017年全国布鲁氏菌病重复报告情况分析[J].中华流行病学杂志,2020,41(3):389-394  
2005-2017年全国布鲁氏菌病重复报告情况分析  
Analysis on duplicated reporting of brucellosis in China, 2005-2017  
收稿日期:2019-06-10  出版日期:2020-04-01  
DOI:10.3760/cma.j.issn.0254-6450.2020.03.021  
中文关键词: 布鲁氏菌病;重复报告  
英文关键词: Brucellosis;Duplicated reporting  
基金项目:中国疾病预防控制中心财政科研项目(JY18-1-02);国家科技重大专项(2018ZX10713001-001)  
作者   单位   E-mail  
董帅兵    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重点实验室, 北京 102206       
李言飞    中国疾病预防控制中心公共卫生监测与信息服务中心, 北京 102206       
姜海    中国疾病预防控制中心传染病预防控制所 传染病预防控制国家重点实验室 感染性疾病协同诊治系统创新中心, 北京 102206       
张翠红    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重点实验室, 北京 102206       
范蒙光    内蒙古自治区综合疾病预防控制中心, 呼和浩特 010031       
李月喜    乌兰察布市地方病防治中心 012000       
任翔    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重点实验室, 北京 102206       
耿梦杰    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重点实验室, 北京 102206       
李中杰    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重点实验室, 北京 102206       
王丽萍    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重点实验室, 北京 102206    wanglp@chinacdc.cn   
 
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中文摘要:  
      目的 分析2005-2017年全国布鲁氏菌病(布病)重复报告(重报)现状,了解重报对布病报告发病率的影响,分析可能的重报原因,提出解决策略,进一步提高布病监测数据质量。方法 数据来源于全国传染病报告信息管理系统(National Notifiable Disease Report System,NNDRS)布病报告个案卡,使用Excel 2010软件建立数据库,,利用Python 3.2软件中Spark DataFrame的聚合分析实现重报分析。结果 全国2005-2017年共报告499 577张布病个案卡,布病重报率为75.76/万(3 785/499 577),年内重报率为37.21/万(1 859/499 577),跨年度重报率为39.87/万(1 992/499 577),重报病例整体呈逐年上升趋势,同一机构、跨机构的重报率占比分别为33.59%(1 271/3 785)、66.41%(2 514/3 785)。不同类型医疗机构中,医院重报数最多(2 757),社区卫生服务中心的重报率最高为281.27/万(123/4 373)。2017年全国报告发病率为2.926 4/10万,去除布病重报个案后,矫正发病率为2.844 8/10万,降幅为2005-2017年的最大值,矫正发病率下降2.79%。2005-2017年新疆维吾尔自治区(新疆)年平均报告发病率为14.712 0/10万,去除布病重报个案后,矫正发病率为14.060 0/10万,降幅为全国最大值4.43%,宁夏回族自治区(宁夏)年平均报告发病率为13.987 1/10万,矫正发病率为13.662 2/10万,降幅为2.32%,排第二位。布病病例年内、年度间在同一机构、不同机构的反复就诊,包括异地就诊等是造成重复报告的主要原因。结论 2005-2017年我国布病重报整体呈上升趋势,医院、社区卫生服务中心均存在不同程度的重报,以跨机构、跨年度重报为主。重报对新疆、宁夏等省份的发病率统计影响较大,建议进一步加强布病报告管理要求,改进NNDRS,提高数据质量。  
英文摘要:  
      Objective To analyze the current status of duplicated reporting of brucellosis in China during 2005-2017, to understand the impact of duplicated reporting on the incidence of brucellosis, analyze the possible causes of duplicated reporting, and put forward propose solutions to further improve the brucellosis surveillance data quality. Methods Data were from brucellosis case reporting cards in National Notifiable Disease Report System (NNDRS), Excel 2010 software was used to establish the database, the duplicated reporting was identified by using Spark DataFrame aggregation analysis in Python 3.2. Results During 2005-2017, a total of 499 577 cases of brucellosis were reported, but the duplicated reporting rate was 75.76/10 000 (3 785/499 577). The duplicated reporting rate in same year was 37.21/10 000 (1 859/499 577), the duplicated reporting rate in other year was 39.87/10 000 (1 992/499 577) and the overall duplicated reporting rate increased year by year. The duplicated reporting rate in same institution was 33.59% (1 271/3 785) and the duplicated reporting rate by other institutions was 66.41% (2 514/3 785). Hospitals had the highest number of duplicated reporting (2 757), and community healthcare centers had the highest of duplicated reporting rate (281.27/10 000) (123/4 373). The reported incidence of brucellosis was 2.926 4/100 000 in 2017, the corrected incidence was 2.844 8/100 000 after removing the duplicated reporting, which was the maximum decrease from 2005 to 2017, the corrected incidence decreased by 2.79%. From 2005 to 2017, the average reported incidence of brucellosis in Xinjiang Uygur autonomous region was 14.712 0/100 000, and the corrected incidence was 14.060 0/100 000 after removing the duplicate reporting, with a decrease by 4.43%, the biggest decline in China. The average reported incidence of brucellosis in Ningxia Hui autonomous region was 13.987 1/100 000, and the corrected incidence of brucellosis was 13.662 2/100 000, with a decrease of 2.32%, ranking second in China. The reasons for duplicated reporting of brucellosis included repeated medical care seeking in same or different medical institutions in same year or other year, including the repeated medical care seeking in other areas. Conclusions During 2005-2017, the number of duplicated reporting of brucellosis cases was on the rise in China. Hospital and community health service centers had highest case number and rate of duplicate reporting respectively, the duplicated reporting was mainly caused by re-reporting by other institutions or in other years. The duplicated reporting of brucellosis had greatly affected the accuracy of surveillance data of brucellosis in some provinces, such as Xinjiang and Ningxia. It is recommended to further strengthen brucellosis reporting management, improve data quality of NNDRS.  
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