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目的了解武汉市汉阳区2010—2012年社区及综合医院(简称“非结防机构”)网络直报肺结核患者的转诊追踪情况,提高患者发现效果。方法利用结核病管理信息系统中2010—2012年汉阳区非结防机构网络报告肺结核转诊、追踪及核查报表,对1 376例需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后肺结核患者检出率及非结防机构对肺结核患者发现的贡献率进行分析。结果 2010—2012年汉阳区非结防机构网络直报肺结核及疑似肺结核患者未查痰者占80.7%(1 111/1 376),转诊到位率分别为38.7%(160/413)、58.3%(266/456)和60.6%(306/507),呈逐年上升趋势(χ2趋势性=49.93,P=0.000);追踪到位率分别为96.8%(245/253)、92.1%(175/190)和89.6%(180/201);总体到位率分别为98.1%(405/413)、96.7%(441/456)和96.1%(486/507);到位后活动性肺结核患者检出率为30.9%(412/1 332),涂阳肺结核患者检出率为14.2%(189/1 332);非结防机构对活动性肺结核患者发现的贡献率为39.3%(412/1 048),涂阳肺结核患者发现的贡献率为37.1%(189/510)。结论 2010—2012年汉阳区的非结防机构网络直报肺结核患者的转诊到位率呈逐年递增趋势,使得结核病防治工作得到良好的可持续发展。
Objective To understand the referral and follow-up of patients with pulmonary tuberculosis directly reported by community and general hospitals in Hanyang District of Wuhan City from 2010 to 2012 (referred to as “non-end-to-end institutions”) to improve their findings. Methods A total of 1 376 cases of referral, referral, follow-up and overall arrival rate of tuberculosis were reported using the TB management information system (NNSF) network in Nanyang from 2010 to 2012. The results of referral, follow- The detection rate of tuberculosis patients after arrival and the contribution rate of non-prevention institutions found to tuberculosis patients were analyzed. Results In 2010-2012, 80.7% (1111/1376) of the patients with non-TB prevention and control institutions directly reported pulmonary tuberculosis and suspected pulmonary tuberculosis were investigated. The referral rates were 38.7% (160/413), 58.3% (266/456) and 60.6% (306/507), respectively, showing an upward trend year by year (χ2 trend = 49.93, P = 0.000). The follow-up rates were 96.8% (245/253) and 92.1% And 89.6% (180/201) respectively. The overall prevalence rate was 98.1% (405/413), 96.7% (441/456) and 96.1% (486/507) respectively. The detection rate of active TB patients was 30.9% (412/1 332). The detection rate of smear-positive pulmonary tuberculosis patients was 14.2% (189/1 332). The contribution rate of non-TB prevention and control institutions to active tuberculosis patients was 39.3% (412/1 048) The contribution rate found by the patients was 37.1% (189/510). Conclusion The referral rate of non-TB prevention and control agencies in Hanyang District from 2010 to 2012 was reported to be increasing year by year, making TB prevention and treatment a good sustainable development.