湖北省8家综合医院体检科结核病疫情管理情况调查

Investigation on tuberculosis epidemic management in physical examination sections of 8 general hospitals in Hubei

目的了解综合医院体检科结核病疫情管理现状,为完善防控措施提供依据。方法调查湖北省8家综合医院体检科2013年1月1日至6月30日结核病疫情登记、报告、转诊情况,以及医院内疫情报告的奖惩制度,并访谈公共卫生科及体检科相关人员。结果 8家被调查医院中,仅1家医院将体检科纳入疫情管理目标科室,占12.50%,8家医院体检科均发现了疑似肺结核患者,但仅2个体检科室进行了规范的疫情登记管理,占25.00%,8家医院体检科均没有被纳入卫生监督执法和结防专业机构督导检查科室。2家登记报告规范的医院,其体检科2013年上半年登记报告的疑似肺结核患者数占医院同期登记报告的疑似肺结核患者数比例分别为33.33%和34.61%,转诊到位的疑似肺结核患者经确诊均发现了肺结核患者。结论应加强综合医院体检科疫情管理,以便早期发现和治疗肺结核病患者,从而减少结核病传播。

Objective To understand tuberculosis epidemic management in 8 physical examination sections of the generalhospitals in Hubei province, and provide basis for improving prevention and control measures of tuberculosis. Methods Data and information were collected and analyzed by investigating tuberculosis registration, reporting and referral recordsin physical examination sections of 8 general hospitals from January 1 to June 30, 2013. Reward-punishment system ofepidemic reports were checked. Related staff of public health sections and physical examination sections in those hospitalswere interviewed. Results Among the 8 hospitals, only one hospital （12. 50%）included the physical examinationsection in the epidemic-target management system. All the eight physical examination sections found tuberculosis suspects,but only two sections had standardized registration（25.00% ）. The ratio of the tuberculosis suspects reported and registeredby the physical examination sections of the two standardized registered hospitals in the first half year of 2013, as comparedwith the tuberculosis suspects reported and registered by the hospital at the same period, accounted for 33.33% and34. 61% respectively. While all the referral of the suspected tuberculosis patients were finally diagnosed and confirmed.Conclusion Tuberculosis epidemic management in physical examination sections of general hospitals should bestrengthened. Only in this way, early detection and treatment of tuberculosis patients would be possible, thereby reducingthe spread of TB.