2005—2008年新疆非结防机构网络直报肺结核病人转诊与追踪情况分析

Analysis of referral and tracing condition of pulmonary tuberculosis reported by non-TB institutions from internet-based infectious disease reporting system from 2005 to 2008 in Xinjiang

目的分析新疆2005—2008年非结防机构网络直报肺结核病人转诊与追踪情况,探讨提高病人发现水平的措施。方法收集2005—2008年新疆"中国结核病控制工作月报表"进行分析。结果 2005—2008年新疆各级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32.5%和54.1%,总体到位率为63.4%。追踪到位的疑似病人中69.2%被确诊为肺结核患者,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41.9%、26.0%和34.3%;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96.0%、80.8%和53.8%。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 referral and tracing condition of pulmonary tuberculosis（PTB）reported by non-TB institutions from internet-based infectious disease reporting system from 2005 to 2008 in Xinjiang in order to explore the measures to improve case detection.Methods TB control monthly report of Xinjiang from 2005 to 2008 were collected and analyzed.Results The referral in place rate and tracing in place rate of patients reported by internet-based infectious disease reporting system were 32.5% and 54.1% respectively,and the overall in place rate was 63.4%.Among patients tracing in place,69.2% were confirmed as pulmonary tuberculosis.The referral in place rate for smear positive,negative,and default were 41.9%,26.0% and 34.3% respectively.PTB confirmation rate among tracing in place patients of smear positive,negative,and default patients reported by this reporting system were 96.0%,80.8% and 53.8% respectively.Conclusion Non-TB institutions play an important role in TB case detection.In order to improve PTB case detection,we should establish standardized working mechanism in TB register,report and referral and improve smear checking rate.These will finally contribute to case detection improvement.