The contribution of medical institutions to pulmonary tuberculosis detection in Chongqing city
10.3969/j.issn.1671-8348.2017.34.018
- VernacularTitle:重庆市医疗机构对肺结核患者发现的贡献作用
- Author:
Ya YU
1
;
Daiyu HU
;
Chengguo WU
;
Ying LIU
Author Information
1. 重庆市结核病防治所防治科 400050
- Keywords:
tuberculosis,pulmonary;
prevention and control;
medical institution;
patient transfer
- From:
Chongqing Medicine
2017;46(34):4810-4813
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the contribution of medical institutions in improving pulmonary tuberculosis(PTB) casefinding by analyzing the referral and diagnosis situation of PTB reported by medical institutions.Methods Thenumber of pulmonary tuberculosis cases and the number of tuberculosis patients diagnosed by the network of medical institutions in Chongqing from 2006 to 2015 were obtained by monthly report of tuberculosis control work and Tuberculosis Management Information System in Chongqing county districts,x2 test was used to analyze the reporting level and number of confirmed case with different year and different types of medical institutions.Results PTB or suspected PTB reported by medical institutions though network were 323 603 cases,which showed a upward trend year by year.The referral arrival rate was lower than national average level,and showed a downward trend in recent years.The proportion of confirmed PTB patients reported by medical institutions was found to increase year by year.Contribution rate of active PTB was increased from 10.14％ in 2006 to 52.09％ in 2015(x2 =25 610.75,P＜0.01),and contribution rate of smear positive PTB patients was increased from 6.42％ in 2006 to 52.46％ in 2015(x2 =10 520.65,P＜0.01).Contribution rate of multi-drug resistant PTB patients was 44.9％.Patients found by Municipal or County General Hospital was increased year by year(P＜0.01).The delay time of patients form medical institutions was 56 days,and the average delay rate patient was 79.62 ％.Conclusion The contribution of medical institutions to PTB case-finding is increasing,but the situation of delay is serious.
