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目的分析2007-2009年乐山市非结防机构网络报告肺结核患者转诊追踪情况,为有效推进结核病控制工作提供科学依据。方法对乐山市11个县(区、市)结核病控制工作月报表和新结核病信息管理系统数据进行分析。结果在2007-2009年间,全市非结防机构网报患者转诊到位率为55.79%,追踪率为96.74%,追踪到位率为84.22%,总体到位率为90.49%;追踪到位可疑患者中的55.13%被确诊为肺结核,其中涂阳、涂阴和未查痰患者的肺结核确诊率分别为96.30%,67.00%和53.21%。结论乐山市通过实施第四轮全球基金结核病二期项目,加强医疗机构和结防机构合作,通过提高患者报告、转诊和追踪等手段来加大患者发现力度,项目实施效果较显著。
Objective To analyze the referral and follow-up of pulmonary tuberculosis patients in non-TB prevention and control institutions in Leshan City from 2007 to 2009 so as to provide a scientific basis for effective TB control. Methods The monthly reports of tuberculosis control work in 11 counties (districts and cities) in Leshan City and the new tuberculosis information management system were analyzed. Results During the period of 2007-2009, the referral rate of the non-TB prevention and cure institutions in the network was 55.79%, the follow-up rate was 96.74%, the follow-up rate was 84.22% and the overall in-place rate was 90.49%. The number of suspicious patients 55.13 % Were diagnosed as pulmonary tuberculosis. Among them, the positive rates of smear-positive, smear-negative and sputum-free sputum were 96.30%, 67.00% and 53.21% respectively. Conclusion Leshan City, through the implementation of the second round of Global Fund tuberculosis project in the fourth round, to strengthen cooperation between medical institutions and prevention and treatment institutions, to enhance patient discovery by improving patient reporting, referral and follow-up and other means, the project implementation effect is more significant.