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中国防痨杂志 ›› 2011, Vol. 33 ›› Issue (5): 303-306.

• 论著 • 上一篇    下一篇

安徽省巢湖市非结防机构网络直报肺结核患者转诊追踪结果分析

曹红   

  1. 安徽省巢湖市疾病预防控制中心,巢湖,238000
  • 收稿日期:2010-11-18 出版日期:2011-05-20 发布日期:2012-03-15
  • 通信作者: 曹红 E-mail:yangcaohong@sina.com

Analysis of the referral and tracking situation of pulmonary tuberculosis (TB) patients reported through internet-based infectious disease reporting system by non-TB Institutions in Chaohu city

Cao Hong   

  1.  The center for disease control and prevention in Chaohu City Anhui province; Chaohu Anhui 238000; China
  • Received:2010-11-18 Online:2011-05-20 Published:2012-03-15
  • Contact: Cao Hong E-mail:yangcaohong@sina.com

摘要: 目的 分析巢湖市非结防机构网络直报肺结核患者转诊追踪情况,评价结核病防治机构与非结防机构的合作和协调情况,为提高患者发现率提供依据。 方法 收集全市5县(区)疾控中心上报的2007—2009年结核病控制工作月报表,统计分析非结防机构肺结核网络直报肺结核患者的转诊、追踪到位情况。 结果2007—2009年巢湖市非结防机构网络直报应转诊肺结核患者及疑似患者数分别是1 697例、1 793例和1 738例,转诊到位患者数分别是688例、677例和543例,转诊到位率分别为40.5%、37.8%和31.2%;经结防机构追踪后到结防机构就诊患者数分别是785例、957例和961例,追踪到位率分别为80.4%、87.2%和82.2%,每年追踪到位率均显著高于转诊到位率(P<0.05)。 结论 非结防机构网络直报的肺结核患者转诊到位尚存在一定的问题,需要加强结防机构与医疗机构的合作,提高肺结核患者的总体到位率。

关键词: 结核, 肺/预防和控制, 病人转诊, 接触者追踪, 计算机通讯网络, 巢湖市

Abstract: Objective To analyze the referral and tracing status of PTB patients reported through internet-based infectious disease reporting system by non-TB institutions in Chaohu city, to evaluate the status of cooperation and coordination between TB and non-TB institutions, and provide evidence for increasing TB case finding.Methods TB control monthly reports of 5 counties of Chaohu city from 2007 to 2009 were collected to analyze the status of referral and tracking in place of TB patients reported by non-TB institutions.  Results The number of TB patients and suspicious TB referral by non-TB institutions were 1 697, 1 793 and 1 738 cases respectively from 2007 to 2009. The number of referral in place patients was 688, 677 and 543 cases respectively. The corresponding referral in place rate was 40.5%, 37.8% and 31.2%. A total of 785, 957 and 961 patients visited TB control institution after tracking, the tracking in place rate was 80.4%,87.2% and 82.2%, which was significantly statistical higher than the referral in place rate (P<0.05). Conclusions There are still some problems in referral in patients reported by non-TB institutions through internet-based infectious disease reporting system, therefore, it is necessary to strengthen the cooperation between TB institutes and medical agencies in order to improve the overall in place rate of TB patients.

Key words: tuberculosis,pulmonary/prevention and control, patient transfer, contact tracing, computer communication networks, Chaohu city