医防合作对提高肺结核患者发现的影响

The impact of collaboration between general hospital and TB dispensary on increasing pulmonary TB case detection

目的评价结防机构与综合医院合作对提高肺结核患者发现的影响。方法通过分析非结防机构网络报告肺结核患者转诊及追踪报表,掌握肺结核患者网络报告、转诊及追踪情况,评价医防合作对肺结核患者发现的贡献。结果 (1)非结防机构网络报告的肺结核患者逐年增加,报告率由2004年的36.11/10万上升到2008年的74.60/10万;(2)总体到位水平逐年增加,由2004年的60.8%上升到2008年的83.1%;(3)对《全国结核病防治规划》肺结核患者发现的贡献逐年增加,活动性肺结核患者贡献率由2004年的25.7%上升到2008年的40.6%,涂阳肺结核患者贡献率由2004年的22.6%上升到2008年的34.8%。结论医防合作明显提高了肺结核患者的发现水平,是全国结核病防治规划的重要工作内容之一。

Objective To evaluate the impact of collaboration between general hospital and TB dispensary on improvement of pulmonary tuberculosis case finding. Methods To analyze the TB case/suspect referral and tracing forms reported by general hospitals via internet-based infectious disease reporting system and determine the overall condition of reporting, referral and tracing of internet-reported tuberculosis case/suspect and evaluate the contribution of collaboration between general hospital and TB dispensary to case detection of National TB Program. Results （1） TB cases reported by general hospital via internet-based reporting system are increasing year by year, from 36.1/100 000 in 2004 to 74.6/100 000 in 2008; （2） The overall arrival rate is increasing annually, from 60.8% in 2004 to 83.1% in 2008; （3） The case finding contribution of general hospital to NTP is increasing by year, from 25.7% in 2004 to 40.6% in 2008 for active pulmonary TB case, and from 22.6% in 2004 to 34.8% in 2008 for smear positive pulmonary TB case. Conclusions The collaboration between general hospital and TB dispensary has a remarkable effect on increasing case finding, and it is one of important components in NTP.