Miao N, Wang F Z, Zhang L J, Zheng H, Sun X J, Wang F, Zhang G M
Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China; Chinese Field Epidemiology Truining Program, Beijing 100050, China.
Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Dec 10;38(12):1645-1648. doi: 10.3760/cma.j.issn.0254-6450.2017.12.013.
To evaluate the effects on Hepatitis B surveillance models at the surveillance pilot points in China. Hepatitis B related records kept at the surveillance pilot points were downloaded from NNDRS. Data concerning proportion of unclassified Hepatitis B cases, consistency of additional records and the accuracy of reported acute Hepatitis B cases were evaluated. The proportion of unclassified Hepatitis B cases was decreasing year by year (<0.05), from 32.07% in 2012 to 4.26% in 2015, with as 0.768, 0.821 and 0.836 respectively in 2013-2015. The accuracy of reported acute Hepatitis B was improving (<0.05), from 55.77% in 2013 to 74.49% in 2015. Additional records and blood testings on acute Hepatitis B cases seemed to be effective in improving the accuracy of Hepatitis B reporting system and decreasing the proportion of unclassified Hepatitis B cases. We suggested that this model of surveillance could be applied elsewhere in the nation to improve the quality of report system on Hepatitis B.
为评估对中国监测试点地区乙肝监测模式的影响。从国家疾病报告管理系统（NNDRS）下载监测试点地区保存的乙肝相关记录。评估未分类乙肝病例的比例、补充记录的一致性以及报告的急性乙肝病例的准确性。未分类乙肝病例的比例逐年下降（<0.05），从2012年的32.07%降至2015年的4.26%，2013 - 2015年的Kappa值分别为0.768、0.821和0.836。报告的急性乙肝病例的准确性在提高（<0.05），从2013年的55.77%提高到2015年的74.49%。对急性乙肝病例的补充记录和血液检测似乎有助于提高乙肝报告系统的准确性并降低未分类乙肝病例的比例。我们建议这种监测模式可在全国其他地区应用，以提高乙肝报告系统的质量。
