2018年深圳市医疗机构肺结核病例报告调查分析

doi:10.19871/j.cnki.xfcrbzz.2020.03.011

摘要/Abstract

摘要： 目的了解2018年深圳市医疗机构肺结核患者漏报情况,为提高深圳市肺结核患者的管理水平提供依据。方法对深圳市10个辖区所有开展胸部X线摄影检查的160家医疗机构进行督导调查,筛选并记录2018年9—10月各医疗机构中涉及结核病诊断治疗的所有患者的相关信息,与国家结核病管理信息系统中,深圳市报告的所有确诊和疑似肺结核患者报告卡进行匹配,分析深圳市肺结核漏报和漏登情况。结果深圳市医疗机构放射科疑似肺结核未报告率为4.51%。深圳市肺结核防治定点医疗机构确诊漏登率为1.29%、耐多药肺结核漏报率和利福平耐药肺结核患者未出现漏登情况。结论深圳市肺结核漏报漏登达到了《“十三五”卫生与健康规划》的要求,下一步应利用信息化手段实现肺结核报卡相关数据的实时采集和交换,不断完善医疗机构肺结核报告制度,提高肺结核报告质量。

关键词: 肺结核, 登记, 报告, 深圳市

Abstract: Objective To assess the under-reporting situation of tuberculosis in medical institutions in 2018, in order to provide evidence for enhancing the registration of tuberculosis patients in Shenzhen. Methods Investigation was performed in all 160 medical institutions, which were qualified for conducting chest X-ray examinations in Shenzhen. The reports of tuberculosis patients in medical institutions, wards and laboratory departments during the survey between September to October 2018 were checked and matched with the report cards of all confirmed and suspected tuberculosis patients reported in Shenzhen in the national tuberculosis management information system, in order to analyze the missing report and registration of tuberculosis in Shenzhen. Results The under-reporting rate of suspected tuberculosis in medical institutions in Shenzhen was 4.51%, while the under-reporting rate of confirmed diagnosis in medical institutions for tuberculosis prevention and treatment in Shenzhen was 1.29%. The under-reporting rate of multidrug-resistant and rifampicin-resistant tuberculosis patients is 0%. Conclusion sThe under-reporting of tuberculosis in Shenzhen has meet the basic requirements of the national Thirteenth Five-Year health and wellness plan, and in the next step, we should use information technology to realize the real-time collection and exchange of data related to the tuberculosis report card, and constantly improve the tuberculosis reporting system in medical institutions to enhance the quality of tuberculosis reporting.

Key words: Pulmonary tuberculosis, Register, Reporting, Shenzhen

卓志鹏, 吴清芳, 赖培烜, 卢春容, 余卫业, 谭卫国. 2018年深圳市医疗机构肺结核病例报告调查分析[J]. 新发传染病电子杂志, 2020, 5(3): 191-194.

Zhuo Zhipeng, Wu Qingfang, Lai Peixuan, Lu Chunrong, Yu Weiye, Tan Weiguo. Investigation and analysis on tuberculosis report of medical institutions in Shenzhen in 2018[J]. Electronic Journal of Emerging Infectious Diseases, 2020, 5(3): 191-194.

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