钟山县肺结核病人网络报告及转诊情况探讨

Study on Report and Referral of Pulmonary Tuberculosis in Zhongshan

目的分析钟山县2004—2010年非结核病防治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。方法对钟山县结核病控制工作月报表、季报表和疾病监测信息管理系统数据进行分析。结果钟山县2004—2010年各级非结防机构网络直报肺结核病/疑似肺结核病人的转诊到位率和追踪到位率分别为55.19%和45.19%,总体到位率为73.44%;转诊到位率由48.45%上升到65.66%,追踪到位率由24.81%上升到64.43%,总体到位率由58.49%上升到87.79%;非结防机构转诊病人的活动性肺结核病检出率为78.45%。结论加强宣传教育,尤其是综合医疗机构门诊医生对肺结核病人的宣传教育,加强综合医疗机构对肺结核病人的报告、转诊工作,是提高肺结核病人发现的重要途径。

OBJECTIVE To analyze referral and tracing condition of pulmonary tuberculosis（PTB）reported by non-TB institutions from internet-based infectious disease reporting system from 2004 to 2010 in Zhongshan in order to explore the measures to improve case detection.METHODS Analyzing the data from monthly and quarterly report forms and the national infectious disease network-reporting system.RESULTS The referral in place rate and tracing in place rate of patients reported by internet-based infectious disease reporting system were 55.19% and 45.19% respectively,and the overall in place rate was 73.44%;The rate of referral in place increased from 48.45% to 65.66%,the in place rate of tracked cases increased from 24.81% to 64.43%,and the overall in place rate increased from 58.49% to 87.79%;The active pulmonary tuberculosis detection rate of suspects referral from general hospital is 78.45%.CONCLUSION Intensifying the hospitals detection rate of TB patients would do good to increase the case-detection.