8580例肺结核病网络直报信息分析

ANALYSIS ON INFORMATION OF 8 580 PULMONARY TUBERCULOSIS CASES VIA NETWOEK REPORTING

目的分析2005—2011年通过《中国疾病预防控制信息系统》上报的8 580例肺结核病信息,找出存在的问题,为提高传染病防治和规范化管理能力提供依据。方法通过《中国疾病预防控制信息系统》的子系统《疾病监测信息报告管理系统》获取2005—2011年报告的肺结核病例,进行相关指标的比较。结果 8 580例肺结核网络报告信息中留有联系电话者5 665例,占66.03%;留有详细地址者6 684例,占77.90%;疾控中心共追踪患者6760例,占报告总例数的78.79%。8 580例中菌(-)为1 972例,占总例数的22.98%;涂(+)为1446例,占总例数的16.85%;未痰检者为5 162例,占总例数的60.16%。平均就诊延迟时间为32.2d,其中城镇居民为21.5d,农村居民为43.0d。农村居民最长延迟就诊时间为347d。结论结核病仍然是一个严重的公共卫生问题,医疗机构应努力做到早发现、早诊断、早报告、早治疗,同时加大痰菌结果的网络直报系统订正工作,做好患者的住院和出院指导。国家和政府应继续加大结核病减免力度,扩大减免范围,同时研发更科学的信息系统,实现信息共享,提高传染病的管理质量,最终消灭结核病。

Objective To analyze 8 580 pulmonary tuberculosis cases in Hebei Provincial Chest Hospital reported via China Information System for Disease Prevention and Control from 2005 to 2011 and to provide basis for improving the capabilities of the prevention and treatment of infectious diseases and standardized management. Methods The cases of pulmonary tuberculosis in Hebei provincial chest hospital during 2005 -2011 were obtained from the Disease Surveillance Information Reporting System, the subsystem of China Information System for Disease Prevention and Control. The relevant indexes of these cases were compared. Results From 2005 to 2011, the cases recorded by telephone were 5 665, accounting for 66.03% of 8 580 pulmonary .tuberculosis cases via the network reporting. While 6 684 cases with the percentage of 77.90% were recorded by detailed address. The number of cases co-traced with the Center for Disease Control was 6 760 ,occupying 78.79% of the total reported cases. 1 972 cases were bacteria-negative with the percentage of 22.98%, while 1 446 cases were smear-positive with the percentage of 16.85%. Five thousands one hundred and sixty-two cases were not examined for sputum,accounting for 60. 16%. The average delay for treatment was 32.2 days. It was 21.5 days for urban residents and 43.0 days for rural residents. The longest delay treatment time for rural residents was 347 days. Conclusion Tuberculosis remains a serious public health problem, medical institutions should do their best to ensure the earlier detection, diagnosis, reporting and treatment, at the same time, complete the revised work on network reporting of the sputum bacteria, and do a good job of hospitalization and discharge instructions for the patients. The country and the government should continue to increase the relief efforts for tuberculosis, expand the relief range, develop a more scientific information system for information sharing, and improve the management quality of the infectious diseases, finally eliminate the tuberculosis.