广东省2005—2008年非结防机构网络直报肺结核病人转诊与追踪情况分析

Analysis on referral and tracing of tuberculosis cases reported from network by non-TB control institutions in 2005—2008 in Guangdong

目的分析广东省2005—2008年非结防机构网络直报肺结核病人转诊和追踪情况,探讨提高病人发现水平的措施。方法收集广东省2005—2008年中国结核病控制工作月报表、季报表进行分析。结果2005—2008年广东省各非结防机构网络直报肺结核/疑似肺结核病人的转诊到位率和追踪到位率分别为42.5%和39.0%,总体到位率为64.9%。追踪到位的疑似病人中52.8%被确诊为肺结核。网络直报病人中菌阳、菌阴和未查痰病人的转诊到位率分别为66.9%、58.0%和37.9%;结防机构追踪到位的疑似病人中菌阳、菌阴和未查痰病人的肺结核确诊率分别为97.6%、79.8%和43.6%。结论非结防机构在肺结核病人的发现中起重要作用。建立规范化的结核病登记、报告及转诊工作制度,提高网络直报病人的查痰率,将提高肺结核病人发现水平。

Objective To analyze the status of referral and tracing of tuberculosis cases reported on internet by non-TB control facilities in 2005-2008, and to explore measures for improving tuberculosis cases finding. Methods The monthly and quarterly reports of TB control from 2005 to 2008 in Guangdong were collected and analyzed. Results The referral arrival rate, tracking arrival rate and overall arrival rate in 2005-2008 was 42.5%, 39.0% and 64.9% respectively. 52.8% of the cases who were reported and transmitted directly through the internet by non-TB control institutions were diagnosed as TB. The referral arrival rates of bacteriological positive cases, bacteriological negative cases and no sputum smear cases reported from internet-based reporting system were 66.9%.58.0% and 37.9% respectively, the diagnosis rates of bacteriological positive cases. bacteriological negative cases and no sputum smear cases traced in place by TB control institutions were 97.6%.79.8% and 43.6% respectively. Conclusions Non-TB control institutions play an important role in TB case detection. The case detection of pulmonary tuberculosis will be improved by establishment of standard registration, reporting and referral system, which will increase the sputum examination rate of patients reported through internet-based reporting system.