P3.127 Analysis on accurate diagnosis and standardised treatment of reported syphilis cases in shenzhen

Introduction To investigate the accurate rate of diagnosis and the standardised rate of treatment of reported syphilis cases in Shenzhen and to provide evidence for further prevention strategies. Methods Data of syphilis cases reported from July 1, 2013 to June 30, 2014 were downloaded from the ‘China Information System for Disease Control and Prevertion’. Randomised sampling method was used to select cases from the download database. Medical staff compared the information from the selected cases with doctors‘ daily record, patients’ laboratory test results and pharmacy prescriptions from medical institutions. The accuracy of diagnosis and standardisation of treatment were evaluated based on the Diagnostic Criteria and Management of Syphilis Guidelines (Ministry of Health, China, 2007). Results This study totally selected 1589 syphilis cases for evaluation. The accurate rate of diagnosis was 95.53% for total, and the rates were 83.59%, 96.60%, 97.73%, 100.00% and 97.37% respectively for primary, secondary, tertiary, congenital and latent syphilis. Nearly 66.08% cases were treated with penicillin therapy and 1.76% cases were treated with replacement therapy. The standardised rate of treatment was 67.84%. Conclusion The accurate rate of syphilis diagnosis is high in Shenzhen, however, the standardised rate of treatment is far from the goal set in the national syphilis control plan. It suggests that training and supervision should be enhanced and modification of communicable disease card (such as adding the diagnosis and treatment information of syphilis cases) should be considered, to improve the rate of accurate diagnosis and standardised treatment of syphilis cases.