2009—2014年重庆市某中心医院儿童结核病的疫情报告及登记情况分析

Analysis on Report of Childhood Tuberculosis in a Center Hospital of Chongqing and Registration in Local TB Dispensaries During 2009 — 2014

目的了解综合性医疗机构对儿童结核病的疫情报告和结核病患儿到结防机构的登记情况,为儿童结核病防治工作提供理论依据。方法以某区中心医院2009—2014年确诊的0-14岁结核病患儿病案信息、结核病信息网络直报系统和法定传染病报告监测系统中的信息建立数据库,按照不同性别、年龄和诊断进行分组,计算不同组结核病患儿的疫情报告率和在当地结防机构的登记比例。结果某区中心医院共确诊了78例结核病患儿,疫情报告66例,疫情报告率为84.42%,肺外结核病患儿的疫情报告率（61.11%）远低于肺结核患儿（91.84%）和结核性胸膜炎（90.91%）;剔重4例,33例在结防机构登记,登记比例为53.23%,10-14岁组在结防机构的登记比例（72.22%）远高于0-4岁组（25.0%）和5-9岁结核病患儿组（28.57%）,PTB（63.41%）和结核性胸膜炎（60.00%）的登记比例高于EPTB（9.09%）,非结核性脑膜炎和血播型结核病的患儿登记比例（62.75%）高于结脑和血播型结核病的患儿（9.09%）。结论综合医院儿童结核病的疫情报告差,在结防机构登记的比例低。因此,加强医防合作,从而提高非结防机构对儿童结核病的疫情报告和在结防机构的登记比例。

Objective To know the report of childhood tuberculosis in comprehensive hospital and the registration in local TB dispensaries,to provide a theoretical basis for the prevention and treatment of childhood tuberculosis. Methods To establish the database by the medical records of children between 0~ 14 years old with tuberculosis in a center hospital of Chonqing during 2009 — 2014,the information of the tuberculosis reporting system and the reporting and monitoring system for infectious disease. To march groups by gender,age and diagnosis,calculate the report rate of childhood tuberculosis in different groups and the registration proportion in local TB dispensaries. Results 78 children were diagnosed with tuberculosis in the center hospital during 2009 — 2014,66 cases were reported,the report rate was84. 42%. The report rate of extrapulmonary tuberculosis（ 61. 11%） was lower than pulmonary tuberculosis（ 91. 84%） and tuberculous pleurisy（ 90. 91%）. To excluded 4 cases which were reported repeatedly,33 cases were registered in local TB dispensaries,the registration proportion was 53. 23%.The registration proportion of children between 10 ~ 14 years（ 72. 22%） was higher than the 0 ~ 4 age group（ 25. 0%） and the 5 ~ 9 age group（ 28. 57%）. The registration proportion of PTB（ 63. 41%） and tuberculous pleurisy（ 60. 00%） were higher than the registration of EPTB（ 9. 09%）. The registration proportion of non- tuberculous meningitis PTB（ 62. 75%） was higher than tuberculous meningitis（ 9. 09%）. Conclusion The reporting of childhood tuberculosis in comprehensive hospital was poor,and the registration proportion in local TB dispensaries was low. To strengthen the cooperation of hospital and local TB dispensaries,to improve the report rate of childhood tuberculosis in hospital and the registration in local TB dispensaries.