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目的评价厦门市综合性医院结核病人发现和网络报告水平,为进一步完善结核病归口管理提供依据。方法通过收集2004～2008年厦门市结核病控制工作季报表、督导报告等相关信息,比较福建省和厦门市综合性医院对肺结核病人发现水平,并进行评价。结果2004～2008年厦门市综合性医院结核病转诊到位率为43.6%,高于福建省转诊到位率40.1%(P<0.01);登记活动性肺结核病人发现率历年保持在94.5/万以上;活动性肺结核病人初治涂阳率只有34.6%,低于全省水平(P<0.01)。结论厦门市各级综合性医院积极落实结核病归口管理办法,于2004年提前实现新涂阳肺结核病人发现率达到70%要求,有效提高了厦门市综合性医院对肺结核病人发现水平。但有少部分综合性医院还存在对结核病疫情漏报现象,今后要进一步完善结核病归口管理操作规程,建立责任考核制度,提高结核病归口管理工作质量。
Objective To evaluate the level of tuberculosis patients’ findings and network reports in Xiamen General Hospital so as to provide basis for further improving the centralized management of tuberculosis. Methods By collecting the quarterly reports of TB control work in Xiamen City from 2004 to 2008, the supervisory reports and other related information, the level of TB patients in Fujian Province and Xiamen General Hospital was compared and evaluated. Results The referral rate of tuberculosis in Xiamen General Hospital from 2004 to 2008 was 43.6%, which was 40.1% higher than that in Fujian Province (P <0.01). The detection rate of registered TB patients remained above 94.5 / million over the years. The prevalence of active pulmonary tuberculosis smear positive rate was only 34.6%, lower than the provincial level (P <0.01). Conclusion The comprehensive hospitals at all levels in Xiamen actively implement the centralized management of tuberculosis. In 2004, the detection rate of new smear-positive pulmonary tuberculosis patients reached 70% in advance, effectively raising the level of detection of tuberculosis patients in Xiamen General Hospital. However, there are still a few general hospitals that still report omissions on the TB epidemic. In the future, we will further improve the operational rules for centralized management of tuberculosis, establish a responsibility assessment system and improve the quality of tuberculosis centralized management.