论文部分内容阅读
目的:分析加强医防合作促进疑似肺结核患者的报告、转诊和追踪工作,提高病人发现率。方法:收集2010年至2015年结核病防治规划的季报表,结核病管理信息系统,初诊病人登记本等资料的相关数据进行分析。结果:2010年至2015年各医疗单位报告本辖区疑似肺结核3685例,(剔除重报),转诊和追踪到位3620例,总体到位率98.32%。2010年至2015年共接诊12394例初诊患者,其中因症就诊5912例,转诊追踪3620例,其它(接触者检查,健康检查,HIV患者结核病筛查)2862例,分别占初诊患者的47.70%,29.21%,23.09%。确诊活动性肺结核病人1999例,其中因症就诊470例,转诊追踪1502例,其它27例,活动性肺结核登记率分别是7.95%,41.37%,0.95%。检出新涂阳肺结核447例,其中因症就诊84例,转诊追踪360例,其它3例,新涂阳检出率率分别是1.42%,9.91%,0.11%。结论:加强医防合作可以有效促进结核病人的报告、转诊和追踪工作,从而提高结核病人的发现率。
OBJECTIVE: To analyze and strengthen reporting and referral and follow-up work of medical cooperation in promoting TB suspicion to improve the detection rate of patients. Methods: The data of the quarterly reports on tuberculosis prevention and control program from 2010 to 2015, the tuberculosis management information system and the register of newly diagnosed patients were collected and analyzed. Results: From 2010 to 2015, all medical units reported 3685 cases of suspected pulmonary tuberculosis in this area (excluding repeat reports), 3620 referrals and follow-ups were completed, and the overall rate was 98.32%. A total of 12,394 newly diagnosed patients were interviewed from 2010 to 2015, of which 5912 were referred for symptom check-up and 3620 were for referral follow-up. Among the 2862 new cases (contactor checkup, health checkup, HIV TB checkup), which accounted for 47.70 %, 29.21%, 23.09%. Of the 1999 confirmed cases of active tuberculosis, 470 were diagnosed for disease, 1502 were referred for follow-up, and 27 were active. The registration rates of active tuberculosis were 7.95%, 41.37% and 0.95%, respectively. 447 new smear positive pulmonary tuberculosis cases were detected, of which 84 were diagnosed due to illness, 360 were referred for follow-up, and 3 were other cases. The detection rates of new smear positive were 1.42%, 9.91% and 0.11% respectively. Conclusion: Strengthening medical cooperation can effectively improve the reporting, referral and follow-up of tuberculosis patients, so as to increase the detection rate of TB patients.