关键词: 结核, 肺/预防和控制, 接触者追踪, 福建省

Abstract: ObjectiveTo evaluate the effectiveness of TB case referring and tracing in the cooperation between general hospitals and TB dispensaries, and to improve the case detection of pulmonary tuberculosis. MethodsResponsibilities and take of health administration, general hospitals and TB dispensaries, the department of health administration, general hospitals reported and referred tuberculosis patients. TB dispensaries developed tracing tuberculosis patients and collected the report forms. The data was analyzed by SPSS11.0. Results55.5% new infectious pulmonary tuberculosis were reported by general hospitals which was significantly higher than other sources (P<0.01). The detection rate of infectious pulmonary tuberculosis by the TB dispensaries was significantly higher than general hospitals. From 2004 to 2007, the referring arrival rate was descended from 42.8% to 36.3% in general hospitals. The tracing rate increased from 53.3% to 95.2%, the tracing arrival rate increased from 53.4% to 67.3%, and the overall arrival rate rose from 59.1% to 77.1% in TB dispensaries. The indexes have been increasing each year except for the referring arrival rate (Current chi-square test, P<0.01). ConclusionsIt was an important methed to impove the case detection by the cooperation between general hospitals and TB dispensaries, but the cooperation mechanism would be strengthened.

Key words: pulmonary tuberculosis/prevention and control, contact tracing, Fujian province