山东省苍山县非结核病防治机构网络直报肺结核患者就诊及追踪分析

The tracing of tuberculosis suspects reported by non-tuberculosis institutions through network-based infectious disease reporting system in Cangshan County

目的分析山东省苍山县2007年非结防机构网络直报肺结核患者的就诊及追踪情况,探讨提高苍山县肺结核患者发现率的方法。方法选取苍山县2007年肺结核病网络报告信息,导入Excel建立数据库,并用SPSS10.0进行统计分析。结果94.09%的由苍山县非结防机构网络直报的可疑患者是由县市级综合医院报告,非结防机构网络直报的可疑患者中有68.99%的患者主动到结防机构就诊,通过病人的追踪,苍山县非结防机构的转诊到位率由68.99%增加到了95.66%以上。结论综合医院转诊可疑肺结核患者是提高肺结核患者发现水平的一条重要途经和手段,在做好县级医疗机构转诊工作的同时,须加强乡镇医疗机构的转诊工作。结防机构对网报可疑患者的及时追踪,可提高病人的到位率。

Objective To analyze the follow-up data of the tuberculosis suspects reported through network-based reporting system in 2007 in Cangshan County,so as to improve the detection rate of tuberculosis in Cangshan County.Methods Excel database was developed using tuberculosis data from network-based infectious disease reporting system.SPSS 10.0 was applied for data analysis.Results 90.94% of the suspects were reported by county(city)level general hospitals,among which,68.99% visited TB dispensary initiatively.Referral rate of patients to TB dispensary increased from 68.99% to 95.66%.Conclusion Referring suspects to TB dispensary from general hospital can be an important way to improve the tuberculosis detection rate.Tracing of tuberculosis suspects reported through the network-based system is another efficient way to find tuberculosis cases.Besides,the patient referring work in Cangshan County should be enhanced at the town-level.