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目的分析泽州县2011~2015年非结核病防治机构(简称“非结防机构”)网络直报肺结核或疑似肺结核患者到结核病防治机构(简称“结防机构”)就诊及诊断情况,提高患者发现率。方法利用结核病专报系统中2011~2015年泽州县非结防机构报告的2 243例肺结核及疑似肺结核患者转诊、追踪及核查报表信息,对实际报告与转诊的1 383例患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。结果 2011~2015年泽州县非结防机构网络直报肺结核及疑似肺结核患者转诊到位率分别为64.49%(109/169)、68.25%(172/252)、70.46%(198/281)、81.27%(204/251)、91.63%(394/430),呈逐年上升趋势;追踪到位率分别为81.67%(49/60)、87.50%(70/80)、95.18%(79/83)、97.87%(46/47)、100%(36/36);总体到位率分别为94.08%(159/169)、96.03%(242/252)、98.57%(277/281)、99.60%(250/251)、100%(430/430);到位活动性肺结核诊断符合率为45.80%(622/1 358),涂阳肺结核的检出率24.08%(327/1 358);非结防机构对活动性肺结核患者发现的贡献率为57.01%(622/1 091);对涂阳肺结核患者发现的贡献率57.36%(327/570)。结论泽州县2011~2015年非结防机构网络直报肺结核患者的转诊到位率呈逐年上升趋势,追踪到位率及总体到位率维持在较高水平。
Objective To analyze the treatment and diagnosis of tuberculosis prevention and control institutions (referred to as “antisuberculosis institutions”) by direct reports of tuberculosis or suspected tuberculosis from the non-tuberculosis prevention and control institutions (referred to as , Improve patient discovery rate. Methods The referral, follow-up and verification of the reports of 2 243 cases of tuberculosis and suspected pulmonary tuberculosis reported by the non-TB prevention and control agencies in Zezhou from 2011 to 2015 were carried out. The actual reporting and referral of 1 383 cases of patients Diagnosis rate, follow-up rate, the overall rate of arrival, the detection rate of tuberculosis patients in place and the contribution rate of non-prevention agencies found in patients with tuberculosis. Results The referral rates of direct reports of tuberculosis and suspected pulmonary tuberculosis in non-TB prevention and control institutions in Zezhou from 2011 to 2015 were 64.49% (109/169), 68.25% (172/252) and 70.46% (198/281) respectively, 81.27% (204/251) and 91.63% (394/430), respectively. The follow-up rates were 81.67% (49/60), 87.50% (70/80), 95.18% (79/83) The overall in-place rates were 94.08% (159/169), 96.03% (242/252), 98.57% (277/281), 99.60% (250 / 251) and 100% (430/430) respectively. The coincidence rate of positive active pulmonary tuberculosis diagnosis was 45.80% (622/1 358) and positive smear positive pulmonary tuberculosis rate was 24.08% (327/1 358) The contribution rate of pulmonary tuberculosis was 57.01% (622/1 091) and that of smear positive pulmonary tuberculosis was 57.36% (327/570). Conclusion The referral rate of direct reporting TB patients from 2011 to 2015 in non-TB prevention and control institutions in Zezhou county is increasing year by year. The follow-up rate and overall arrival rate are maintained at a high level.