2006-2015年新疆肺结核患者发现情况分析

目的 分析2006-2015年新疆肺结核患者发现情况,为进一步做好新疆结核病控制工作提供科学依据。 方法 利用中国疾病预防控制信息系统的 “结核病信息管理系统”(以下简称“结核病专报”)和《2006-2015年新疆结核病控制工作季度录入表》 (登记的肺结核患者全部来源于结防机构统计),并结合专题调查收集的数据,对2006-2015年新疆非结核病防治机构通过“传染病报告信息管理系统”(以下简称“网络直报”)报告的299 338例肺结核患者的转诊、追踪情况;新疆结核病防治机构接诊的999 482例肺结核可疑症状者的就诊情况;新疆结核病防治机构发现的281 867例活动性肺结核患者登记情况等数据进行分析。 结果 2006-2015年新疆非结核病防治机构通过“网络直报”报告的肺结核患者的转诊到位率平均为32.6％(97 675/299 338);肺结核患者追踪到位率平均为66.6%(121 843/183 047);非结核病防治机构通过“网络直报”系统报告的肺结核患者的总体到位率从2006年的61.3％(13 180/21 501)提高至2015年的90.0%(41 409/45 986)。2006-2015年新疆各级结核病防治机构共接诊肺结核可疑症状者999 486例,年均初诊患者占人口比率469.6(1/10万)。2006-2015年,新疆各级结核病防治机构共发现活动性肺结核患者281 867例,其中,涂阳肺结核患者115 067例,涂阴患者166 635例,未查痰患者165例。2006-2015年间初治患者占涂阳患者的构成比从2006年的82.0%(13 949/17 017)逐渐下降至74.7%(5 718/7 658);涂阴患者占活动性患者构成比从2006年的43.1%(25 005/32 666)逐渐上升至2015年的76.5%(12 903/29 920)。 结论 通过各级结核病防治机构的努力,新疆维吾尔自治区结核患者的发现水平不断提高,非结防机构报告疑似患者总体到位率不断提高,结核病服务质量不断提升,新疆结核病防治工作成效显著。

Detection and treatment outcomes of pulmonary tuberculosis in Xinjiang, 2006-2015

Objective To analyze case finding and treatment outcomes of pulmonary tuberculosis in Xinjiang from 2006 to 2015 so as to provide scientific evidence for better TB control in Xinjiang. Methods We used the data collected from Tuberculosis Information Management System (hereinafter referred to as TB special report) of the National Information System for Disease Prevention and Control, Xinjiang TB Control Quarterly Report during 2006-2015 (all TB patients statistically registered by TB prevention institutions) and TB special survey to investigate the referral and tracing situation of 299,338 TB patients reported by non-TB medical institutions via Infectious Disease Reporting Information Management System (hereinafter referred to as network direct reporting) in Xinjiang from 2006 to 2015. And we also analyzed the visiting situation of 999,482 TB suspected symptom patients hospitalized in TB prevention and treatment institutions in Xinjiang and the registration status of 281,867 active TB patients discovered by TB prevention and treatment institutions in Xinjiang. Results During 2006 and 2015, the average referral arrival rate and average tracing arrival rate of TB patients reported by non-TB medical institutions through network direct reporting were 32.6% (97,675/299,338) and 66.6% (121,843/183,047) respectively. The overall arrival rate of TB patients reported by non-TB medical institutions through network direct reporting increased from 61.3％(13,180/21,501) in 2006 to 90.0% (41,409/45,986) in 2015. A total of 999,486 patients with TB suspected symptoms were treated by TB medical institutions at all levels. A total of 281,867 active TB patients were detected by TB medical institutions at all levels, including 115,067 smear-positive TB patients, 1,66,635 smear-negative patients and 165 patients without sputum smear examination. The proportion of initial treatment patientsamong smear-positive patients gradually decreased from 82.0% (13,949/17,017) in 2006 to 74.7% (5,718/7,658) in 2015.The proportion of smear-negative patients among active TB patients gradually increased from 43.1% (25,005/32,666) in 2006 to 76.5%(12,903/29,920)in 2015. Conclusions The detection level of TB patients in Xinjiang Automous Region has been continously increased through the efforts of TB medical institutions at all levels. The overall arrival rate of TB suspected patients reported by non-TB medical institutions and the quality of TB services also increase constantly. Xinjiang has achieved remarkable results in TB prevention and control.