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目的通过了解2009—2013年北京市西城区目前结核病防控工作中结防机构与非结防机构的工作状况,为进一步加强医防合作提供依据。方法对2009—2013年非结核病防治(以下简称结防)机构网络报告的肺结核及疑似肺结核患者的报告、转诊、追踪、诊断结果及结防所对初诊患者登记情况进行汇总分析。结果 2009—2013年西城区非结防机构肺结核患者报告患病率为132/10万,转诊率为22.38%,总体到位率为75.32%,其中转诊到位构成比为26.53%,追踪到位构成比为70.92%;初诊患者确诊率为65.35%,到位未收治率为63.90%;发现新涂阳患者贡献率为74.17%。结论该区应进一步强化首诊医生对患者转诊工作的宣教并进一步提高其对结核病的诊断技能。结防机构要加强专业队伍建设;加大对转诊工作的指导及监督,大力开展结核病健康教育及健康促进工作。
Objective To understand the working conditions of TB control and non-TB control agencies in TB prevention and control work in Xicheng District of Beijing during 2009-2013 so as to provide evidence for further strengthening the cooperation in medical prevention. Methods To summarize and analyze the reports of newly diagnosed cases of tuberculosis and suspected pulmonary tuberculosis reported, referral, follow-up, diagnosis and the prevention and treatment of tuberculosis reported by the Network of Non-TB Control (2009-2013). Results The prevalence rate of non-TB prevention and treatment TB cases in Xicheng District from 1992 to 2013 was 132 / 100,000 with a referral rate of 22.38% and an overall rate of 75.32%, of which 26.53% Compared with 70.92%. The diagnosis rate of newly diagnosed patients was 65.35%, and the unacceptable rate was 63.90%. The new smear positive rate was 74.17%. Conclusion The district should further strengthen the first physician’s missionary referral to patients and further improve their diagnostic skills of TB. The prevention and control agencies should strengthen the building of a contingent of professionals; step up guidance and supervision over referral work and vigorously carry out health education and health promotion of tuberculosis.