Abstract: Objective  To understand the situation of referral and tracing of pulmonary tuberculosis (PTB) cases reported by non-TB institutes from internet-based infectious disease reporting system from 2009 to 2011 in Miyun county in order to explore the measures to improve case detection.   Methods  TB control monthly reports, quarterly report and annual reports of Miyun county from 2009 to 2011 were collected and analysed, 523 PTB cases and suspects were reported by non-TB institutes during that period.   Results  68.6% (359/523) of the cases reported in internet-based infectious disease reporting system did not take sputum exam. The referral rate was 100.0%, the referral arrival rate was 65.2% (341/523) and tracing arrival rate was 66.7% (64/96). The tracking arrival rate were 82.1% (23/28), 73.0% (27/37) and 45.2% (14/31), respectively in 2009, 2010 and 2011, which were declined year by year (χ²_trend=10.1, P<0.05). The overall arrival rate was 93.9% (491/523). Among patients arrived in TB dispensary, 58.0% (285/491) were confirmed as pulmonary tuberculosis.   Conclusion  Non-TB institutes play an important role in TB case detection. Standardized working mechanism of TB recording, reporting and referral should be established, and sputum examination rate should be increased to improve PTB case detection.

Key words: Tuberculosis/prevention and control, Patient transfer, Hospital,general, Community health services, Beijing city