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目的分析上海市徐汇区非结核病防治机构疑似肺结核患者发现、诊断和转诊到位现状及政策执行告知情况。方法以2010—2014年非结核病防治机构报告5 066例疑似肺结核患者为调查对象,采用χ2检验对转诊到位确诊情况进行对比分析。结果全区报告的5 066例疑似肺结核转诊率为98.86%(5 008/5 066),到位率为80.31%(4 022/5 008),到确诊率47.74%(1 920/4 022)。二级医院的转诊率高于其他类型医院,社区和二级医院的到位率高于其他类型医院,三级医院发现确诊结核病的比例高于其它医院。结论该区需采取综合管理措施以巩固和提高患者到位率,尤其是痰菌阳性患者的及时到位,提高非结核病防治机构痰结核菌检查的意识、政策告知力度和转诊前宣教。
Objective To analyze the status quo of diagnosis, referral and referral of suspected tuberculosis in non-TB prevention and treatment institutions in Xuhui District of Shanghai and the notification of policy implementation. Methods A total of 5 066 cases of suspected pulmonary tuberculosis cases reported by the non-TB prevention and treatment agencies from 2010 to 2014 were investigated. Chi-square test was used to analyze the diagnosis of referral in situ. Results The referral rate of 5 066 suspected cases of tuberculosis in the region was 98.86% (5 008/5 066), with a rate of 80.31% (4022/5008) and a confirmed diagnosis rate of 47.74% (1 920/4 022). The referral rate of secondary hospitals is higher than that of other types of hospitals. Community and secondary hospitals have higher occupancy rates than other types of hospitals, and tertiary hospitals have found more confirmed tuberculosis than other hospitals. Conclusion The district needs to take comprehensive management measures to consolidate and improve the patients’ arrival rate, especially the patients with positive sputum bacterium in time. It is necessary to raise awareness of TB examination in non-tuberculosis prevention and treatment institutions, inform policy and pre-referral mission.