论文部分内容阅读
目的分析泰安市非结核病防治机构(简称“非结防机构”)网络直报肺结核患者转诊与追踪情况,查找问题和不足,指导下一步工作开展。方法利用国家结核病信息管理系统中泰安市2009~2014年非结防机构网络报告肺结核转诊、追踪及核查报表,对11 422例需转诊患者的转诊、追踪和总体到位率、诊断符合率及贡献率进行分析。结果 2009~2014年,泰安市非结防机构网络报告肺结核及疑似患者转诊到位率为34.47%(3 737/11 422),追踪到位率为71.83%(6 917/7 485),总体到位率为95.95%(10 959/11 422),后两者总体呈逐年上升趋势(P<0.01)。到位活动性肺结核诊断符合率平均为64.39%(7 057/10 959);非结防机构对活动性肺结核患者发现的贡献率为44.40%(7 057/15 894),对涂阳肺结核患者发现贡献率为39.76%(3421/8605),呈逐年上升趋势(P<0.01)。结论泰安市2009~2014年网络报告肺结核追踪到位率及总体到位率总体呈逐年递增趋势,并维持在较高水平,而转诊到位率略低。
Objective To analyze the referral and follow-up of TB patients in Tai’an City for non-tuberculosis prevention and control (referred to as “non-TB prevention and control institutions”) to find out the problems and shortcomings and to guide the next step. Methods The reports of referral, follow-up and check-up of TB were reported from the network of non-TB prevention and control agencies in Tai’an from 2009 to 2014 in the national TB information management system. The data of 11 422 referrals, tracing and overall arrival rate, diagnostic accuracy And contribution rate analysis. Results From 2009 to 2014, the reported rate of referral to TB and suspected patients from non-TB prevention and cure institutions in Taian was 34.47% (3737/11422) and the tracking rate was 71.83% (6917/7485). The overall arrival rate Was 95.95% (10 959/11 422), the latter two showed a year-by-year upward trend (P <0.01). The average coincidence rate of active pulmonary tuberculosis diagnosis was 64.39% (7 057/10 959). The contribution rate of non-TB prevention and treatment was 44.40% (7 057/15 894), and found contribution to smear positive pulmonary tuberculosis The rate was 39.76% (3421/8605), showing an upward trend year by year (P <0.01). Conclusion The reported rate and overall arrival rate of TB reports in Tai’an from 2009 to 2014 showed a trend of increasing year by year and maintained at a relatively high level, while the referral rate was slightly lower.