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中国防痨杂志 ›› 2005, Vol. 27 ›› Issue (3): 174-177.

• 论著 • 上一篇    下一篇

利用传染病网络报告系统提高肺结核病人发现水平的探讨

缪梓萍;李群;杨石波;郑锦雷;   

  1. 浙江省疾病预防控制中心 杭州 310009;
  • 出版日期:2005-03-10 发布日期:2005-11-03

Study on increasing the case-detection of pulmonary tuberculosis patients by utilizing the information from internet-based communicable diseases reporting system

Miao ziping,Li Qun,Yang Shibo,et al.   

  1. Zhejiang Center for Disease Control and Prevention, Hangzhou 310009 ,China
  • Online:2005-03-10 Published:2005-11-03

摘要: 目的 探索提高肺结核病人发现水平的可能途径。方法 收集浙江省结核病疫情报告和结防机构登记管理两套系统数据资料进行分析。结果 大疫情肺结核报告发病率高于结防机构新登记率,而涂阳报告发病率却低于结防机构的涂阳新登记率,差异有显著性(P<0.01);结防机构登记管理的病人中63.8%来自非结防机构的转诊和推荐,综合性医院转诊到位率78.8%。结论 利用传染病网络报告系统(大疫情报告系统)信息资源,加速克服结核病归口管理障碍的行动,可进一步提高病人发现和治愈水平。

关键词: 结核,肺/预防和控制, 病例发现

Abstract: Objective To explore the possible approaches of increasing case-detection of pulmonary tuberculosis patients. Methods TB data from internet-based communicable diseases reporting system and TB dispensaries was analysed in Zhejiang Province. Results The reported incidence rate from communicable diseases reporting system was higher than that of TB dispensaries, and the reported incidence rate of new smear-positive was lower than the rate in TB dispensaries , the difference was statistically significant (P<0.01). 63.8% of patients registered and managed in TB dispensaries came from non-TB dispensaries. The proportion of referred cases and suspect cases from hospital reaching the dispensaries was 78.8%. Conclusion The process to overcome the constraints of referring TB cases from hospitals to TB dispensaries could be accelerated by utilizing the information of internet-based communicable diseases reporting system, it is possible to increase case-detection and cure rates further.

Key words: Pulmonary tuberculosis/prevention and control, Case-detection