基层肺结核病人网络报告及转诊情况分析

Analysis of online report and referral of tubeculosis cases in Binzhou city

目的评价滨州市肺结核病人网络报告、转诊及追踪情况,提高病人转诊、追踪及发现工作质量。方法对滨州市结核病控制工作月报表、季报表、疾病监测信息管理系统数据进行分析。结果滨州市肺结核病人平均年报告率为61.1/10万;综合医疗机构转诊病人的活动性肺结核检出率为36.3%,结防机构初诊病人检出率为20.8%;涂阳病人转诊到位率为44.6%,菌阴转诊到位率为38.6%,未查痰病人转诊到位率为54.3%;病例就诊延迟为63.8%;报告病人的追踪率为99.4%,追踪到位率为70.3%。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、转诊工作是提高病人发现的重要途径。

Objective To analyze the results of online report and referrral of tuberculosis cases in Binzhou City and offer scientific basis for making tuberculosis control measures.Methods The data of online report and referral of tuberculosis cases were collected from monthly and quarterly report forms and the national infectious disease network-reporting system.Results The annual reoporting rate of pulmonary tuberculosiswas 61.1/100000.The active pulmonary tuberculosis detection rate of suspectted tuberculosis cases referred from general hospitals was 36.3%,the detection of tuberculosis cases by the tuberculosis research institute was 20.8%,the referral arrival rate of smear positive tuberculosis cases was 44.6%,The referral arrival rate of smear negative tuberculosis cases was 38.6%.While the referral arrival rate of tuberculosis without detection of sputum was 54.3%,the Depayed daignostic rate was 63.8%,the the tracing rate of reported cases was 99.4% and the tracing arrival rate of tuberculosis cases was 70.3%.Conclusions The early finding of tuberculosis can be achieved by health education and propaganda activity,online report and rerferral of tuberculosis cases.