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目的了解清远市近三年非结核病防治机构(简称非结防机构)网络直报疑似肺结核患者的转诊和结核病防治机构(简称结防机构)对未到结防机构就诊的疑似肺结核患者的追踪情况,掌握肺结核防控工作动态,为制定清远市十二五规划后期工作计划提供依据。方法对2010-2012年清远市网络报告转诊、追踪相关数据进行综合分析。结果 2010-2012年清远市非结防机构网络报告肺结核患者或疑似肺结核患者分别为4 423例、4 139例和4731例,转诊到位率分别为27.8%、29.6%和43.9%,追踪到位率分别为34.5%、61.9%和71.6%,总体到位率分别为52.7%、73.1%和84.1%;2010-2012年清远市结防机构对到位患者进行了进一步检查,检出率为42.4%;各地非结防机构网络报告对活动性肺结核患者发现的贡献率在12.6%~61.1%不等,平均为40.9%,最低是连山县,最高为清城区;非结防机构网络报告对涂阳肺结核患者发现的贡献率在13.8%~62.5%不等,平均为39.7%,最低是连山县,最高是清城区。结论 2010-2012年转诊到位率、追踪到位率和总体到位率均呈逐年递增趋势;加强医防合作,做好非结防机构患者转诊和结防机构患者追踪工作,是提高病人发现率的有力手段。
Objective To understand the network of non-tuberculosis prevention and control agencies (referred to as non-TB prevention and control institutions) in the past three years in Qingyuan City to directly report the referral and TB prevention and treatment of suspected tuberculosis patients (hereinafter referred to as “TB prevention and control agencies”) Situation, grasp the dynamics of prevention and control of tuberculosis, to provide the basis for the formulation of the second Five-Year Plan of Qingyuan City work plan. Methods A comprehensive analysis of the referral and follow-up data of online reports from 2010 to 2012 in Qingyuan City was conducted. Results In 2010-2012, 4 423 cases, 4 139 cases and 4731 cases of TB patients were reported by non-TB prevention and control institutions in Qingyuan. The referral rates were 27.8%, 29.6% and 43.9% respectively. The follow-up rate Respectively, were 34.5%, 61.9% and 71.6%, respectively, with an overall in-place rate of 52.7%, 73.1% and 84.1% respectively. In 2010 and 2012, the prevention and control agency of Qingyuan City further investigated the patients in place and the detection rate was 42.4% The contribution rate of non-TB network report to active tuberculosis patients ranged from 12.6% to 61.1%, with an average of 40.9%, the lowest was in Lianshan County and the highest was Qingcheng District; the network of non-TB prevention and control agencies reported a positive rate of smear positive pulmonary tuberculosis The contribution rate of patients found in 13.8% ~ 62.5%, with an average of 39.7%, the lowest is Lianshan County, the highest is Qingcheng District. Conclusion The referral rate, follow-up rate and overall arrival rate of 2010-12 refer to the trend of increasing year by year. Strengthening medical cooperation and doing well in patient referral and antisubsidiary mechanism of non-TB prevention and cure is to improve the detection rate of patients A powerful tool.