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目的了解孝昌县综合医疗机构对肺结核病人的报告、转诊和追踪情况,为孝昌县结核病防制策略制定提供参考依据。方法对孝昌县2008-2012年《中国疾病预防控制信息系统》和《结核病管理信息系统》以及“孝昌县结核病月报表”的相关数据进行综合分析、评价。结果2008-2012年孝昌县综合医疗机构网络直报肺结核病人及疑似肺结核病人1 182例,重复报告5例,实际报告1 177例,转诊1 117例,转诊率94.9%;转诊到位576例,转诊到位率51.6%;需追踪601例,实际追踪583例,追踪率97.0%;追踪到位513例,追踪到位率85.4%;总体到位1 089例,总体到住率92.5%.结论加强综合医疗机构对肺结核病人的转诊工作和结核病防治机构对转诊未到位病人的追踪工作,可以有效提高肺结核病人的发现水平。为提高病人发现和管理水平,须加强对综合医疗机构的督导,加强对医务人员的培训和对患者的健康教育。
Objective To understand the reporting, referral and follow-up of tuberculosis patients by Xiaochang County General Medical Institutions and provide a reference for the formulation of tuberculosis control strategies in Xiaochang County. Methods A comprehensive analysis and evaluation of relevant data of “China Disease Prevention and Control Information System” and “Tuberculosis Management Information System” in Xiaochang County from 2008 to 2012 and “Monthly Report of Tuberculosis in Xiaochang County” were carried out. Results A total of 1 182 cases of pulmonary tuberculosis and suspected pulmonary tuberculosis cases were reported from the network of Xiaochang County general medical institutions from 2008 to 2012, 5 cases were repeated reports, 1 177 cases were actually reported, 1 117 cases were referred and the referral rate was 94.9% Cases, the referral rate was 51.6%; 601 cases to be tracked, the actual follow-up of 583 cases, the tracking rate of 97.0%; tracking in place of 513 cases, the tracking rate of 85.4%; overall in place of 1 089 cases, the overall occupancy rate of 92.5% The referral of TB patients by integrated medical institutions and the follow-up of TB referrals to patients not already in place by TB agencies can effectively increase the level of TB patients’ findings. In order to improve the level of patient discovery and management, supervision over general medical institutions should be stepped up, training of medical personnel and health education of patients should be strengthened.