2006—2012年滨州市非结防机构肺结核患者转诊及追踪情况分析

目的分析滨州市2006—2012年非结核病防治机构网络直报肺结核患者的转诊与追踪情况。方法利用结核病管理信息系统中2006—2012年滨州市非结防机构网络报告肺结核转诊、追踪及核查报表,对6 960例需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。结果 2006—2012年滨州市非结防机构网络直报肺结核及疑似肺结核患者转诊到位率分别是18.44%、27.40%、29.13%、33.15%、33.88%、37.83%、38.01%,呈逐年上升趋势(P0.05);追踪到位率分别为60.90%、69.14%、75.86%、93.01%、90.01%、89.83%、90.77%;总体到位率分别为74.44%、77.60%、82.99%、95.88%、94.17%、94.94%、96.00%;到位活动性肺结核患者检出率为71.92%,涂阳肺结核检出率为71.23%;非结防机构对活动性肺结核发现的贡献率为40.66%,对涂阳肺结核患者发现的贡献率为37.62%。结论 2006—2012年滨州市非结防机构网络直报肺结核患者的转诊到位率呈逐年递增趋势,追踪到位率及总体到位率均维持在较高水平。

Analysis on referral and tracing of patients with pulmonary tuberculosis reported by non -TB control institutions in Binzhou city in 2006 - 2012

Objective To understand the referral and tracing of patients with pulmonary tuberculosis （PTB） from direct network reporting system in non - TB control institutions in Binzhou city in 2006 - 2012. Methods Statements on the ref- erral, tracing and checking of patients with PTB reported by non -TB control institutions of Binzhou in 2006 -2012 were used, which were included in Tuberculosis Management Information System. The referral arrival rate, tracing arrival rate, total arrival rate, detection rate and contribution rate on TB ease detection by non - TB institutions were analyzed among 6, 960 cases requiring referral. Results For patients with TB or suspected TB from direct network reporting system in non - TB control institutions in 2006 - 2012, the referral arrival rate was 18.44%, 27.40%, 29.13%, 33.15%, 33.88%, 37.83% and 38.01% respectively, showing an annually increasing trend（ P 〈 0.05 ）. The tracing arrival rate was 60. 90%, 69.14%,75.86% , 93.01%, 90.01%, 89.83% and 90.77% respectively. The total arrival rate was 74.44%, 77.60%, 82.99%, 95.88%, 94.17%, 94.94% and 96.00% respectively. Among the patients with timely referral, 71. 92% were detected to have active PTB and 71.23% smear positive PTB. For patients with active PTB, 40.66% were de- tected by non - TB institutions, and for patients with smear positive PTB, 37.62% were detected by non - TB institutions. Conclusions The referral arrival rate shows an annually increasing trend in Binzhou city from 2006 to 2012, and the trac- ing arrival rate and the total arrival rate have been maintained at a relatively high level.