怀柔区2007—2008年非结防机构网络直报肺结核病人追踪及核实情况分析  

Analysis on tracking and verification situation of tuberculosis patients by direct reporting network of non-TB institutions in Huairou District,2007—2008

作　　者：崔国强[1] 

机构地区：[1]北京市怀柔区疾病预防控制中心,怀柔101400

出　　处：《中国防痨杂志》2010年第2期77-80,共4页Chinese Journal of Antituberculosis

摘　　要：目的分析怀柔区非结防机构网络直报肺结核病人及疑似肺结核病人追踪及核实结果,加强我区对确诊肺结核病人的归口管理。方法审核分析疾病预防控制中心结核科《结防机构对网络报告肺结核病人追踪及核实登记本》的资料。结果2007年1月—2008年12月怀柔区非结防机构网络直报肺结核或疑似病人242人,主动就诊168人,追踪74人,追踪到位63人,追踪到位率85.1%,总体到位231人(95.5%)。核实情况,确诊活动性肺结核133人,结核性胸膜炎7人,排除活动性肺结核诊断99人。在怀柔区结防所登记治疗肺结核109人,在怀柔结防所登记后转回原籍11人,在北京胸科医院治疗8人,本市其他区结防所治疗管理15人。结论做好追踪及核实网络直报肺结核和疑似肺结核肺结核病人,是发现肺结核病人并对其进行归口管理的重要手段以确保肺结核病人得到及时规律的治疗。Objective To analyze the situation of tracking and verification of tuberculosis patients by direct reporting network of non-TB institutions in order to better understand the accuracy of diagnosis and strengthen the referral management of pulmonary tuberculosis in Huairou District. Methods Information on ＂register of tracking and verification＂ of Huairou TB institution was used for analysis. Results Within Jan.2007 to Dec.2008,a total of 242 tuberculosis or suspected tuberculosis cases were reported by non-TB institutions in Huairou District.Among them,168 cases went to TB institution by themselves,and 74 cases were tracked,and 63 were in place after follow-up.The proportion of patients in place after follow-up was 85.14% and overall number of patients in place was 231（95.5%）.As for verification,133 cases were confirmed as active pulmonary tuberculosis,and 99 cases were excluded from active pulmonary tuberculosis.109 cases were registered in Huairou TB institution and 11 were referred to TB institutions of patient＇s county of origin for further treatment,8 sought care in Beijing Chest Hospital,and 12 cases of other situation. Conclusion Tracking and verification of tuberculosis and suspected tuberculosis patients by direct reporting network is an important means for tuberculosis case detection in order to ensure the timely treatment of tuberculosis patients and curb the source of infection and reduce the spread of tuberculosis.

关 键 词：结核 肺/预防和控制 网络 北京市 

分 类 号：R521[医药卫生—内科学] R181.8[医药卫生—临床医学]