宾阳县2008年肺结核病人报告/转诊及追踪情况分析

目的评价2008年宾阳县非结防机构网络直报肺结核病人转诊和追踪工作。方法对2008年宾阳县非结防机构的网络报告和转诊以及县结防机构追踪资料进行分析。结果转诊率100%(1006/1006),转诊到位率为68.29%(687/1006),到位的687例中临床复诊为活动性肺结核510例(占74.24%).其中180例肺结核检出涂阳(占35.29%),占总数687例的26.20%;追踪到位率为76.18%(243/319),追踪到位的243例,在结防门诊检查临床复诊为活动性肺结核112例(占46.09%),其中,查痰112例,检出涂阳病人35例(占31.25%,占追踪到位总数的14.40%)。追踪未到位的病人中,有46.05%属于辖区外病人。结论进一步加强结核病防治机构与非结核病防治机构的合作和协调,加强转诊和追踪力度,提高总体到位率;加强流动人口的管理,要充分利用网络的共享功能,进一步加强与各地疾控中心间的沟通与合作,采取切实有效的措施对流进流出的疑似肺结核病人进行管理。

Analysis on Referral and Tracing of Tuberculosis Suspects Reported by Network System in Binyang County in 2008

Objective Evaluation on referral and tracing of tuberculosis suspects reported in network-reporting system by non-TB control and prevention institutions in Binyang county in 2008.Methods According to ＇Tuberculosis management information system＇,the related data about report/referral and tracing of tuberculosis suspects in 2008 were analyzed and evaluated.Results 1006 TB suspects were actually reported from general hospital and the referral rates was 100%.687（68.29%）of them were successfully transferred,in which 510（74.24%） were diagnosed as active TB and 180（26.20%） were diagnosed as smear-positive TB.243（76.18%） were traced by tuberculosis control institution,in which 112（46.09%） were diagnosed as active TB and 35（14.40%） were diagnosed as smear-positive TB.76 patients were failed to arrive in which 46.05% cases belonged to other precincts.Conclusion In order to increase the total arrival rate,we should strengthen referral and tracing work by further strengthening the cooperation between tuberculosis control institution and hospital,at the same time,developing the management of floating population by using network sharing resources and communicating with other centers.