山西省乡镇查痰点工作开展情况调查分析

The survey report of the situation about sputum smear spots at township level in Shanxi

目的分析山西省乡镇查痰点2005年设立以来的工作开展情况以及在肺结核患者发现中的作用,为制定山西省今后结核病防治工作计划,尤其是乡镇查痰点工作计划提供依据。方法收集2005—2008年山西省乡镇查痰点设立、工作开展、经费使用等情况,并加以分析。结果2005—2008年山西省乡镇查痰点设立484个,到2008年底309个开展工作;2005—2008年,乡镇查痰点涂阳检出率为4.6%;发现的涂阳患者数占全省涂阳患者数的1.1%;乡镇查痰点痰检标本经县级复核后,阳性、阴性符合率分别为73%和91%。结论山西省乡镇查痰点设立后在患者发现方面起到了一定的作用,但效果并不理想。因此需要调整留下的查痰点应从乡级人员培训、明确乡镇查痰点职责、经费使用等方面加强监管,真正发挥乡镇查痰点的作用。

Objective Through analyzing the situation of sputum smear spots at township level established from 2005, to provide the base for development the next-step TB work plan in Shanxi, especially in enhancing the work of sputum smear spots at township level. Methods The basic document on sputum smear spots at township level was collected and analyzed, including general in- formation, funding, case-finding, etc. Results Four hundred and eighty-four sputum smear spots at township level were established and 309 worked well. The smear positive rate of TB patients ex- amined from 2005 to 2008 was 4.60//00; the percentage of smear positive cases funded in sputum smear spots at township level was 1.1% ; the coincidence rate of positive and negative smear were 73~ and 91~ respectively. Conclusions Although township sputum smear spot has contributed to the case finding in Shanxi, it is important to enhance the work of sputum spots at township level in township doctor training, clarifying the township sputum smear spot＇s duty and monitoring the fund usage.