湖北省网络直报疑似肺结核病人转诊追踪工作分析

[目的]分析综合医院疑似肺结核病人报告、转诊、追踪和定诊情况,探讨提高涂阳肺结核病人发现措施。[方法]根据2005年6月～2006年5月,60个FIDELIS项目县结核病控制工作月报表和FIDELIS项目相关报表数据,进行综合分析和评价,统计分析采用SAS软件。[结果]在FIDELIS项目实施期间,60项目县综合医院实际报告疑似肺结核24 666例,转诊到结防机构8 006例,转诊到位率为32.5%;结防机构追踪到位7 049例,追踪到位率为47.1%;转诊追踪到位共计15 055例病例,其中4 994例（33.2%）在结防机构重新定诊为涂阳肺结核,4 542例（30.2%）定诊为涂阴肺结核,3 756例（24.6%）被排除肺结核。[结论]加强综合医院痰检质量控制和转诊,提高结防专业机构对综合医院网络直报疑似肺结核病人的追踪工作,是提高肺结核病人发现水平的有效途径。

ANALYSIS ON REFERRAL AND TRACING OF TUBERCULOSIS SUSPECTS REPORTED BY GENERAL HOSPITALS IN HUBEI

[Objective]To analyze the reports and status of referral,tracing,final diagnosis of tuberculosis suspects,so as to explore the measures to increase the detection rate of smear-positive TB cases.[Methods]According to the national monthly report forms and FIDELIS project report forms from June,2005 to May,2006,the status of referral and tracing of pulmonary tuberculosis suspects was analyzed and evaluated by using SAS software.[Results]24 666 TB suspects were actually reported by general hospitals where the FIDELIS project had been implemented from June,2005 to May,2006.Among them,8 006(32.5%)were transferred to local TB dispensaries and 7 049(47.1%)were traced by TB dispensaries.A total of 15 055 TB suspects arrived at and were examined by local TB dispensaries,among them,4 994(33.2%)were diagnosed as smear-positive TB,4 542(30.2%)were diagnosed as smear-negative TB and 3 756(24.6%)were excluded.[Conclusions]It is the effective way to increase case detection level by strengthening quality control of sputum-smear examination and referral of general hospitals,as well as the tracing of TB dispensaries.