Lei Lei, Zhi-gui Xia, Zhi-hong Li, Yan-feng Gong, Ning Xiao
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Detailed information on primary medical units, laboratory testing units, reporting units, diagnostic methods, time from onset to first medical visit, time from first medical visit to reporting, and time from onset to reporting was analyzed with the descriptive analysis method.</p><p><strong>Results: </strong>A total of 207 malaria cases were reported during 2012-2015 in Jiangxi, all were imported cases and 96.62%(200/207) were diagnosed with laboratory tests. The main primary medical units were found to be county-level (29.95%, 62/207) and prefecture-level (25.60%, 53/207) medical institutions, while the main laboratory testing units were prefecture-level medical institutions(35.27%,73/207) and county-level CDCs (20.29%, 42/207). There was a significant difference in the proportion of different laboratory testing units among the years(P < 0.05). The median time from onset to first medical visit was 1 d (0-149 d), from first medical visit to reporting was 3 d (0-144 d), and from onset to reporting was 5 d (0-149 d).</p><p><strong>Conclusions: </strong>The first visit and the laboratory testing of malaria cases mainly occur in the prefecture-level and county-level medical institutions.</p>","PeriodicalId":23981,"journal":{"name":"Zhongguo ji sheng chong xue yu ji sheng chong bing za zhi = Chinese journal of parasitology & parasitic diseases","volume":"35 1","pages":"80-4"},"PeriodicalIF":0.0000,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[A retrospective analysis on the diagnosis and reporting of imported malaria in Jiangxi Province during 2012-2015].\",\"authors\":\"Lei Lei, Zhi-gui Xia, Zhi-hong Li, Yan-feng Gong, Ning Xiao\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To provide scientific basis for malaria surveillance in the elimination phase by retrospectively analyzing the diagnosis and reporting of imported malaria in Jiangxi Province.</p><p><strong>Methods: </strong>Data on malaria endemic situation and individual cases during 2012-2015 were collected through the National Information Management System for Infectious Diseases and the Report and Information Management System for Parasitic Diseases Control and Prevention. Detailed information on primary medical units, laboratory testing units, reporting units, diagnostic methods, time from onset to first medical visit, time from first medical visit to reporting, and time from onset to reporting was analyzed with the descriptive analysis method.</p><p><strong>Results: </strong>A total of 207 malaria cases were reported during 2012-2015 in Jiangxi, all were imported cases and 96.62%(200/207) were diagnosed with laboratory tests. The main primary medical units were found to be county-level (29.95%, 62/207) and prefecture-level (25.60%, 53/207) medical institutions, while the main laboratory testing units were prefecture-level medical institutions(35.27%,73/207) and county-level CDCs (20.29%, 42/207). There was a significant difference in the proportion of different laboratory testing units among the years(P < 0.05). The median time from onset to first medical visit was 1 d (0-149 d), from first medical visit to reporting was 3 d (0-144 d), and from onset to reporting was 5 d (0-149 d).</p><p><strong>Conclusions: </strong>The first visit and the laboratory testing of malaria cases mainly occur in the prefecture-level and county-level medical institutions.</p>\",\"PeriodicalId\":23981,\"journal\":{\"name\":\"Zhongguo ji sheng chong xue yu ji sheng chong bing za zhi = Chinese journal of parasitology & parasitic diseases\",\"volume\":\"35 1\",\"pages\":\"80-4\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhongguo ji sheng chong xue yu ji sheng chong bing za zhi = Chinese journal of parasitology & parasitic diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhongguo ji sheng chong xue yu ji sheng chong bing za zhi = Chinese journal of parasitology & parasitic diseases","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:对江西省输入性疟疾的诊断和报告情况进行回顾性分析,为疟疾消除阶段的监测工作提供科学依据。方法:通过国家传染病信息管理系统和寄生虫病预防控制报告信息管理系统收集2012-2015年疟疾流行情况和病例资料。采用描述性分析方法对基层医疗单位、实验室检测单位、报告单位、诊断方法、发病至首次就诊时间、首次就诊至报告时间、发病至报告时间等详细信息进行分析。结果:2012-2015年,江西省共报告疟疾病例207例,全部为输入性病例,实验室诊断阳性率为96.62%(200/207)。主要的基层医疗单位为县级(29.95%,62/207)和地级(25.60%,53/207)医疗机构,主要的实验室检测单位为地级医疗机构(35.27%,73/207)和县级疾控中心(20.29%,42/207)。各年份间不同实验室检测单位所占比例差异有统计学意义(P < 0.05)。从发病到首次就诊的中位时间为1 d (0 ~ 149 d),从首次就诊到报告的中位时间为3 d (0 ~ 144 d),从发病到报告的中位时间为5 d (0 ~ 149 d)。结论:疟疾病例的首次就诊和实验室检测主要发生在地级和县级医疗机构。
[A retrospective analysis on the diagnosis and reporting of imported malaria in Jiangxi Province during 2012-2015].
Objective: To provide scientific basis for malaria surveillance in the elimination phase by retrospectively analyzing the diagnosis and reporting of imported malaria in Jiangxi Province.
Methods: Data on malaria endemic situation and individual cases during 2012-2015 were collected through the National Information Management System for Infectious Diseases and the Report and Information Management System for Parasitic Diseases Control and Prevention. Detailed information on primary medical units, laboratory testing units, reporting units, diagnostic methods, time from onset to first medical visit, time from first medical visit to reporting, and time from onset to reporting was analyzed with the descriptive analysis method.
Results: A total of 207 malaria cases were reported during 2012-2015 in Jiangxi, all were imported cases and 96.62%(200/207) were diagnosed with laboratory tests. The main primary medical units were found to be county-level (29.95%, 62/207) and prefecture-level (25.60%, 53/207) medical institutions, while the main laboratory testing units were prefecture-level medical institutions(35.27%,73/207) and county-level CDCs (20.29%, 42/207). There was a significant difference in the proportion of different laboratory testing units among the years(P < 0.05). The median time from onset to first medical visit was 1 d (0-149 d), from first medical visit to reporting was 3 d (0-144 d), and from onset to reporting was 5 d (0-149 d).
Conclusions: The first visit and the laboratory testing of malaria cases mainly occur in the prefecture-level and county-level medical institutions.