宝鸡市2009—2018年非结防机构网络直报疑似肺结核患者转诊追踪情况分析  

Analysis of referral and tracing situation of suspected tuberculosis patients directly reported by non-TB prevention institutions from internet in Baoji city from 2009 to 2018

作　　者：张亚宁[1] 巨洲峰[1] 常晓杰[1] 严川元 李红兵[1] ZHANG Yaning;JU Zhoufeng;CHANG Xiaojie;YAN Chuanyuan;LI Hongbing(Baoji Center For Disease Control and Prevention,Baoji 721000,China)

机构地区：[1]宝鸡市疾病预防控制中心,陕西宝鸡721000

出　　处：《临床医学研究与实践》2020年第23期26-27,40,共3页Clinical Research and Practice

摘　　要：目的分析宝鸡市2009—2018年非结核病防治机构(简称“非结防机构”)网络直报疑似肺结核患者的转诊、追踪情况。方法收集宝鸡市2009—2018年《结核病信息管理系统》中相关信息资料,对网络直报患者转诊和追踪情况进行统计学分析。结果2009—2018年非结防机构共直报21333例疑似肺结核患者,总体到位20130例,总体到位率达94.4%,总体到位率从2009年80.9%提高到2018年98.7%。非结防机构总体到位的疑似患者中,确诊为肺结核患者14686例,检出率为72.96%;非结防机构对活动性和涂阳肺结核患者发现的贡献率分别为72.97%和62.68%;非结防机构报告未到位1203例疑似患者中,非结防机构未追踪和追踪未到位主要原因为电话地址不详和查无此人。结论宝鸡市非结防机构网络报告肺结核患者总体到位率维持在较高水平,但应进一步提高非结防机构的报告质量,确保疑似肺结核患者信息采集的真实性和准确性。Objective To analyze the referral and tracing situation of suspected tuberculosis patients directly reported by non-TB prevention and control institutions(referred to as"non-TB prevention institutions")from internet in Baoji city from 2009 to 2018.Methods Relevant information and data were collected from the"tuberculosis information management system"of Baoji city from 2009 to 2018,and statistical analysis was made on the referral and tracing situation of patients directly reported by internet.Results From 2009 to 2018,21333 suspected tuberculosis patients were directly reported by non-TB prevention institutions,20130 cases arrived,the overall arrival rate was 94.4%,the overall arrival rate increased from 80.9%in 2009 to 98.7%in 2018.Among all the suspected patients arrived in non-TB prevention institutions,14686 cases were diagnosed with tuberculosis,the detection rate was 72.96%;the contribution rate of non-TB prevention institutions to the detection of active and smear positive tuberculosis patients was 72.97%and 62.68%respectively.Among the 1203 suspected patients who were not arrived reported by non-TB prevention institutions,the main reasons why non-TB prevention institutions was not traced and not arrived after tracing were the telephone number and address unknown and the person was not found.Conclusion The overall arrival rate of tuberculosis patients reported by non-TB prevention institutions in Baoji city is maintained at a higher level,but the quality of reporting by non-TB prevention institutions should be further improved to ensure the authenticity and accuracy of information collection of suspected tuberculosis patients.

关 键 词：结核 非结防机构 转诊与追踪 

分 类 号：R521[医药卫生—内科学]