镇江市京口区2010—2013年非结核病防治机构网络直报肺结核患者转诊与追踪情况分析

Analysis on referral and tracing of tuberculosis cases reported by non-TB control institutions in 2010-2013 in Jingkou District, Zhenjinang City

目的 分析镇江市京口区2010-2013年非结核病防治（简称“结防”）机构网络直报肺结核患者转诊与追踪情况,探讨提高患者发现水平的方法.方法 收集京口区2010-2013年非结防机构网络直报肺结核患者,其中2010年321例、2011年315例、2012年290例、2013年266例.对网络直报肺结核患者的转诊、追踪情况,以及结核病控制工作月报表、季报表资料进行分析,分析项目为非结防机构网络直报肺结核患者转诊及到位情况、结防机构对转诊未到位患者的追踪情况、非结防机构网络直报各类患者的转诊到位情况、结防机构对到位患者的核实诊断情况.其中转诊及转诊到位患者分别为1179例和747例、追踪及追踪到位患者分别为440例和435例,其中菌阳患者的转诊及转诊到位患者分别为110例和127例,菌阴患者分别为187例和278例,未查痰患者分别为448例和784例.到位患者1182例,其中确诊活动性肺结核患者411例.结果 京口区2010-2013年非结防机构网络直报肺结核或疑似肺结核患者的转诊到位率、追踪到位率和总体到位率分别为62.67％（747/1192）、98.86％（435/440）、99.33％（1184/1192）.网络直报患者中菌阳、菌阴和未查痰患者的转诊到位率分别为86.61％（110/127）、67.27％（187/278）、57.14％（448/784）.到位的疑似患者中菌阳、菌阴和未查痰患者的肺结核确诊率分别为99.21％（125/126）、32.36％（89/275）、25.22％（197/781）.结论 非结防机构在肺结核患者的发现中起了重要作用,有助于进一步提高京口区肺结核患者的发现与治疗水平.

Objective To analyze the status of referral and tracing of tuberculosis （TB） cases reported by non-TB control institutions in 2010-2013 in Jingkou District, Zhenjiang City, and to explore the measures for improving TB cases finding. Methods The numbers of TB cases reported by non-TB control institutions from 2010 to 2013 in Jingkou District were 321, 315, 290 and 266. The referral, tracking and monthly, quarterly reports from 2010 to 2013 were collected and analyzed. The status of referral and arrival, tracing and arrival, and diagnosis of the cases that arrived in TB control institutes were analyzed. The numbers of referral and arrival were 1179 and 747 respectively, and those of tracing and arrival were 440 and 435. The numbers of referral and arrival of bacteriologically confirmed TB were 110 and 127, those of negative bacteria were 187 and 278, and those of no sputum were 448 and 784. There were 1182 cases arrived in TB control institutions, among whom 411 TB cases were diagnosed. Results The referral arrival rate, tracking arrival rate and overall arrival rate of TB cases or TB suspects reported by non-TB control institutions in 2010-2013 in Jingkou District were 62.67% （747/1192）, 98.86% （435/440） and 99.33 % （1184/1192） respectively. The referral arrival rates of bacteriologically positive, bacteriologically negative and no sputum TB cases were 86.61% （110/127）, 67.27% （187/278） and 57.14% （448/784） respectively. The TB confirmation rates of bacteriologically positive, bacteriologically negative and no sputum TB suspects who arrived were 99.21% （125/126）, 32.36% （89/275） and 25. 22% （197/781） respectively. Conclusion Non-TB control institutions play an important role in TB case detection, and will help to further improve the TB case detection and treatment in Jingkou District.