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目的分析武汉市汉阳区综合医院利用传染病网络报告系统对肺结核病人发现的作用,为进一步加强结防机构与综合医疗机构合作和结核病防治可持续发展提供依据。方法收集2007-2009年武汉市汉阳区网络直报肺结核病人追踪情况月报表和中国结核病防治规划月报表及有关资料进行分析。结果 2007-2009年武汉市汉阳区综合医院肺结核病人转诊到位率分别为31.9%、35.1%和43.4%;结防机构追踪到位率分别为55.1%、63.6%和69.2%,总体到位率分别为69.4%、76.4%和82.5%。在转诊到位病人中,60.5%为阳性病人,追踪未到位的病人中,78.3%是由于地址不详或查无此人。结论加强PPM-DOTS,是提高病人发现率的有效措施。
Objective To analyze the effect of infectious diseases reporting system on the detection of pulmonary tuberculosis in General Hospital of Hanyang District of Wuhan City and provide the basis for further cooperation between tuberculosis prevention agencies and general medical institutions and sustainable development of tuberculosis prevention and control. Methods The monthly reports of follow-up of tuberculosis patients and the monthly reports of tuberculosis prevention and control in China from 2007 to 2009 were collected and analyzed. Results The referral rates of TB patients in Hanyang District General Hospital between 2007 and 2009 were 31.9%, 35.1% and 43.4% respectively. The follow-up rates of node-based prevention and control institutions were 55.1%, 63.6% and 69.2% respectively. The overall arrival rates were 69.4%, 76.4% and 82.5%. Among the referral patients, 60.5% were positive, and 78.3% of the patients who did not get the follow-up were due to the unknown address or the absence of such person. Conclusions Strengthening PPM-DOTS is an effective measure to improve the detection rate of patients.