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目的分析广州市番禺区2009~2013年非结防机构网络报告的肺结核或疑似肺结核患者转诊情况,了解目前结核病防控工作中医防合作的状况。方法对广州市番禺区2009~2013年非结防机构网络报告的肺结核或疑似肺结核患者的转诊、追踪及诊断结果进行统计分析。结果广州市番禺区2009~2013年非结防机构肺结核疫情报告率为32.92/万;转诊率为89.86%,在转诊患者中的到位率为40.39%;全体患者的总到位率为90.34%,其中通过追踪到位的构成比为53.98%、转诊到位构成比为40.18%,其他到位构成比为5.84%;确诊率为31.45%;对全区登记发现的活动性患者和涂阳患者的贡献分别为56.43%和57.22%。结论非结防机构在结核病人发现方面起到重要作用,应加强业务人员的结核病诊断技能培训;大力开展结核病的健康促进活动;控制结核病疫情传播。
Objective To analyze the referral status of tuberculosis or suspected pulmonary tuberculosis reported by the network of non-TB prevention and control institutions from 2009 to 2013 in Panyu District, Guangzhou City, and to understand the current status of prevention and control of TB in tuberculosis prevention and control work. Methods The results of referral, follow - up and diagnosis of pulmonary tuberculosis or suspected pulmonary tuberculosis reported from the network of non - prevention institutions from 2009 to 2013 in Panyu District of Guangzhou City were statistically analyzed. Results The reported rate of pulmonary tuberculosis outbreak in non-TB prevention and control institutions in Panyu District of Guangzhou was 32.92 / million between 2009 and 2013; the referral rate was 89.86%, and the referral rate among the referral patients was 40.39%; the overall rate of all patients was 90.34% , Of which 53.98% were traced in place, 40.18% were referred for referral, 5.84% were accounted for in place, and the diagnosis rate was 31.45%. Contributions to active patients and smear-positive patients registered in the region Respectively 56.43% and 57.22%. Conclusion Non-TB prevention and treatment agencies play an important role in the detection of tuberculosis patients. TB training diagnosis skills training should be strengthened for business people. Tuberculosis health promotion activities should be vigorously carried out and tuberculosis epidemic control should be controlled.