广州市1999-2003年结核病归口管理实施情况

目的了解广州市近年来结核患病归口管理情况。方法各区结防所对综合医疗单位报告的疫情报告卡进行追访后,将追访结果填入报告卡,每季度由各区结防所按市项目办制定的统一的表格统计上报,由市项目办汇总分析。结果5年间肺结核平均到位率为89.2%,报告卡的结核病为52.2%,非结核病为41.1%,综合医院截留病为5.1%,地址不详和拒绝到诊5.7%。结论广州市的疫情报病状况相对良好;疫情报病是结核病病人发现的重要途径;对截留、地址不详、拒诊等不足应关注解决。

The actual states of the convergence tuberculosis cases-management in Guangzhou during 1999-2003

Objective To determine the states of tuberculosis cases reporting of convergence tuberculosis cases-management since 1999.Methods After all county(district) tuberculosis dispensaries followed up the reported tuberculosis cases,the followed up results were reported to prefecture tuberculosis dispensaries and the data were consolidated quarterly.Results The average arrival rate was 89.2% during 5 years.The tuberculosis cases confirmation rate among the reported cases was 52.2%.The case holding rate in hospitals was 5.1%.The rate of patients with unclear address and refused to visit tuberculosis dispensaries was 5.7%.Conclusion The situation of the convergence tuberculosis cases-management was good and stable since 1999.It was a important means of the case detection.The problems like holding patients by hospitals,unclear address of patient and patients refuse to visit tuberculosis dispensaries should be solved.