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中华实验和临床感染病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (06) : 372 -378. doi: 10.3877/cma.j.issn.1674-1358.2023.06.003

方案与共识

流行性感冒诊治质量改进专家共识
国家感染性疾病医疗质量控制中心   
  • 收稿日期:2023-11-20 出版日期:2023-12-15
  • 基金资助:
    2024年首都卫生发展科研专项(No.首发2024-1-2172); 首都临床特色诊疗技术研究及转化应用项目(No. Z221100007422076); 2022年北京市卫生健康委员会高层次公共卫生技术人才建设项目(No.学科带头人-01-02)

Expert consensus on quality improvement of influenza diagnosis and treatment

National Medical Quality Control Center for Infectious Diseases   

  • Received:2023-11-20 Published:2023-12-15
引用本文:

国家感染性疾病医疗质量控制中心. 流行性感冒诊治质量改进专家共识[J]. 中华实验和临床感染病杂志(电子版), 2023, 17(06): 372-378.

National Medical Quality Control Center for Infectious Diseases. Expert consensus on quality improvement of influenza diagnosis and treatment[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(06): 372-378.

流行性感冒在诊疗过程中存在流感样病例病原学检测率偏低、病原学确诊率偏低、抗病毒药物使用不及时、抗菌药物使用率高及重症病例救治能力不足等问题。为提高流行性感冒诊治质量,国家卫生健康委在2023年11月13日发布了《感染性疾病专业医疗质量控制指标(2023年版)》,包括抗流感病毒药物使用前流感病原学诊断阳性率、门诊流感患者抗菌药物使用率、住院流感患者抗菌药物使用率、住院流感重症患者病死率。为指导各级各类医疗机构应用上述质控指标,国家感染性疾病医疗质量控制中心组织专家制订本共识,对流行性感冒诊治关键质控环节、质控指标意义、质控指标信息化采集、医院和科室流行性感冒诊治质量持续改进提出了建议。

表1 抗流感病毒药物使用前流感病原学诊断阳性率上报数据集
表2 门诊流感患者抗菌药物使用率上报数据集
表3 住院流感患者抗菌药物使用率上报数据集
表4 住院流感重症患者病死率上报数据集
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