网络直报肺结核病患者追踪效果探讨  

Exploration on tracing method of tuberculosis cases by an internet-based surveillance system

作　　者：王召伟[1] 吴建林[1] 唐兴华[1] 曹慧[1] 熊国屏[1] 夏勇[1] 代红[1] 

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《中国防痨杂志》2007年第4期302-305,共4页Chinese Journal of Antituberculosis

基　　金：加拿大FIDELIS资助项目;项目编号2004-fid-04-003

摘　　要：目的通过对疾病监测信息报告系统(网络直报系统)报告的肺结核病患者及疑似肺结核者的追踪,探讨提高追踪到位率的方法。方法利用加拿大FIDELIS援助项目,在四川省50个县(区)建立县乡村三级追踪网络,就近设立乡镇痰涂片检查点,提供激励经费,对网络直报的5 014例肺结核病患者及疑似者进行追踪。并与另外50个非项目县通过网络直报的2 746例肺结核病患者及疑似者作追踪效果比较。结果项目县网络直报系统中未到结核病防治机构就诊或登记的痰涂片阳性(涂阳)、痰涂片阴性(涂阴)、未查痰肺结核病患者及疑似者落实追踪率明显高于非项目县(P<0.05),报告的涂阳患者和未查痰者的追回率均明显高于非项目县(P<0.05),追回患者查痰的涂片阳性检出率无显著性差异(P>0.05)。结论建立完善的县乡村三级追踪网络、乡镇设立痰涂片点以及必要的经费激励机制可以提高网络直报系统报告的肺结核病患者和疑似者的追踪率和追踪到位率,提高肺结核病人发现率。Objective To explore the methods of recruiting tuberculosis cases that reported by an internetbased surveillance system, and to enhance the case detection rate of tuberculosis cases. Methods With the fund from FIDELIS project （Fund for Innovative DOTS Expansion through Local Initiatives to Stop TB） ,a tracing system composed of county-town-village network in 50 project counties was set up, township smear-sputum-sites were established for patient＇s convenience, and incentive the surveillance system. The outcome of the tracing was co mechanism was developed. 5 014 cases were traced by mpared between the project counties and other 50 nonproject counties which traced 2746 cases. Results The following indicators were significantly higher in project counties than the non-project counties, including the tracing rate of cases （smear positive, smear negative or nonsmear sputum） from surveillance system （ P 〈 0.05）, the arrival rate of the traced cases （smear positive, non- smear sputum）（ P 〈 0.05）. The smear positive rate of cases that retrieved by ent between the two groups （ P 〉 0.05）. Conclusion A systemic tracing work, township smear-sputum-sites and incentive mechanism can enhance the tracing was not significantly differsystem of county-town-village netcase detection rate of cases from in ternet-based surveillance system.

关 键 词：结核 肺/预防和控制 网络直报 追踪 

分 类 号：R521[医药卫生—内科学]