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目的分析苏州市流动人口结核病防治效果。方法实施第五轮全球基金结核病项目(Ⅰ期)流动人口结核病防治项目,初诊病人、肺结核病人登记本、非结防机构网络直报肺结核病人的到位、追踪及核实登记本上注明户籍地址、标明流动人口,核对、统计各登记本和项目报表的信息数据,按照国家“五率”要求或与户籍人口工作质量指标进行比较。结果流动人口新发涂阳肺结核病人发现任务完成率为110.0%,报告率、转诊率、治愈率、涂阳病人密切接触者检查率都达到国家“五率”的要求;转诊到位率、追踪到位率水平都较高,前者达到54.5%、高于全国平均水平(43.7%),后者达到66.0%、高于全国平均水平(48.3%),总体到位率84.8%,也高于全国平均水平(70.8%)。但上述大部分指标仍低于户籍人口。结论苏州市流动人口结核病防治效果良好,但流动人口防治效果仍比户籍人口差。流动人口防治效果受诸多不确定因素的影响,在考核、评价不同地区结核病防治工作效果时,宜将流动人口与户籍人口分开考核评价。
Objective To analyze the control effect of tuberculosis in floating population in Suzhou City. Methods To implement the fifth round of Global Fund TB projects (Ⅰ) Tuberculosis Prevention and Control Program, newly diagnosed patients, registered patients with tuberculosis, non-TB prevention and control agencies directly reported the location of the tuberculosis patients, tracking and verification of the registration register indicate the address, Indicate the floating population, check and count the information data of each registration book and project report, and compare it with the national “five-rate” requirement or with the quality indicators of the household registration population. Results The completion rate of newly diagnosed smear-positive pulmonary tuberculosis patients in migrant population was found to be 110.0%. The reporting rate, referral rate, cure rate and intimate contact rate of smear-positive patients all met the national “five-rate” requirement. Rate and tracking rate were all higher, the former reached 54.5%, higher than the national average (43.7%), while the latter reached 66.0%, higher than the national average (48.3%), with an overall in-place rate of 84.8% National average (70.8%). However, most of the above indicators are still below the registered population. Conclusion The prevention and treatment of tuberculosis in floating population in Suzhou City is effective, but the control effect of floating population is still worse than that of household registration population. The effect of prevention and treatment of floating population is affected by many uncertainties. When examining and evaluating the effectiveness of tuberculosis prevention and control work in different regions, it is advisable to separate the floating population from the household population.