玉溪市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 by Non-anti-tuberculosis Organs through Online Reporting System in Yuxi City

目的了解2005—2009年玉溪市综合医疗机构对疑似肺结核病人的转诊和结核病防治机构对转诊未到位的疑似肺结核病人追踪情况。方法对5年来《中国疾病预防控制信息系统》和《核病管理信息系统》的相关数据进行综合分析和评价。结果 5年内,玉溪市9县区综合医疗机构报告可疑肺结核患者8723例,转诊到结核病防治机构4496例,转诊到位率51.5%,结核病防治机构追踪到位3676例,追踪到位率95.7%,总体到位8407例(包括其他到位的235例),总体到位率96.4%;到位人数中5697例排除肺结核,排除率为67.8%;2582例登记管理的初治涂阳肺结核病人中,66.8%来自转诊和追踪。结论非结防机构在肺结核病人的发现中起重要作用。进一步提高肺结核/疑似肺结核病人的转诊到位率和转诊质量,将有效提高肺结核病人的发现水平。

[Objective]To understand the referring system on suspected Tuberculosis（TB） cases in general hospitals and the tracing work of anti-tuberculosis organs for the suspected whose referrals are not in place in Yuxi City from 2005 to 2009.[Methods]Comprehensive analysis and assessment were conducted for this research,based on the related data for the past 5 years revealed by ＂China Information System for Disease Control and Prevention ＂and ＂Tuberculosis Management Information System＂.[Results]It was found that,over the past 5 years,8,723 suspected TB cases were reported throughout 9 counties of Yuxi City.Among them,4,496 have been transferred to anti-tuberculosis organs,the referring rate was 51.5 %;3,676 had been traced by the anti-tuberculosis organs,making the follow-up rate reaching 95.7%.A total of 8,407 cases（including another 235 cases checked in other ways） had been under care,the rate was 96.4%;among them,5,697（67.8%） had been excluded for TB;of 2,582 newly diagnosed smear positive TB cases,66.8 % has been confirmed during either referrals or follow-ups.[Conclusion]Non-anti-tuberculosis organs play an important role in confirming TB patients.The success rate and quality of referral for（suspected） TB patients need further improvement,so as to enhance the diagnosis level of TB.