合肥市2006年非结防机构网络直报肺结核病人追踪情况分析

目的　分析合肥市非结防机构网络直报肺结核病人或疑似病人追踪到位率低的原因,针对原因提出相应的解决措施,提高省会城市网报肺结核病人追踪到位率。方法 审核分析各区疾控中心网络直报肺结核病人或疑似病人追踪及到位情况月报表资料。结果 2006年合肥市各医疗机构共网络直报肺结核病人或疑似病人1552例,主动到位981例(63.2%);追踪314例(55.0%),追踪到位90例(28.7%)。未追踪的主要原因是报告的外省市病人无联系电话或电话错误151例(58.8%)。追踪未到位的主要原因是病人已在专科医院或其他综合医院排除57例(25.4%),其次是回当地治疗41例(18.3%)和住院治疗40例(17.9%)。结论 要提高追踪到位率,关键是提高医院传染病报告卡的准确性和完整性,其次是尽快建立省会城市与省内其他地市结防机构之间的信息联系平台,以及对排除的病人及时进行订正。

Analysis on the tracing circumstance of TB patients from health care facilities other than TB dispensary based on the internet reporting system in Hefei,2006

Objective To investigate the main reasons of the low arrival rate after tracing of the TB patients or suspects reported by the internet-based reporting system from the health care facilities other than TB dispensary,and take measures to improve the arrival rate after tracing in the provincial capital city.Methods Monthly tracing forms about TB patients or suspects in 2006 from district center for disease prevention and control were used,the date of checking and tracing through the internet-reporting system from the health care facilities other than TB dispensary were analyzed.Results 1 552 cases of TB patients or suspects from the health care facilities other than TB dispensary were reported in 2006,among that 981(63.2%)cases arrived TB dispensary actively,314(55.0%)cases were traced and 90(28.7%)cases were arrived after tracing.The reason for primary tracing failure was the non-hefei registered permanent resident without contact telephone or false information(151 cases,58.8%).The main reasons for arriving failure of traced patients included the patients had been excluded from TB by TB special hospital or other general hospitals 57(25.45%),the cases received medical treatment in the local health care facilities 41(18.3%)and the cases were hospitalized 40(17.9%).Conclusions In order to enhance the total tracing rate,the key is to improve the quality of the infectious disease reporting card in hospitals in term of accuracy and completeness,followed by establishing the information exchange system for the TB dispensaries in provincial capital city and other prefectures and also to timely correct the information of the patients excluded from TB.