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目的分析天津市非定点结核病诊治三级综合医院2010—2014年可疑肺结核转诊及追踪情况,为提高肺结核患者发现率提供依据。方法对天津市城区三级综合医院2010—2014年可疑肺结核报告、转诊和追踪情况作描述性分析。结果 2010—2014年总体到位率、转诊到位率和追踪到位率分别从85.91%、47.34%和38.57%上升至90.98%、49.01%和41.96%;转诊到位患者中,确诊肺结核的比例和菌阳确诊率分别由2010年的44.48%和18.10%下降至2014年的32.86%和15.02%。患者转诊未到位的主要原因是回原籍治疗和其他。结论三级综合医院规范转诊可疑肺结核是提高患者发现率的有效途径,应加强医疗机构结核病报告转诊制度,提高非结核病防治机构医务人员转诊意识和结核病患者就诊主动性。
Objective To analyze the referral and follow-up of suspicious TB from 2010 to 2014 in the third-grade non-designated TB hospital in Tianjin, and provide evidence for improving the detection rate of TB patients. Methods Descriptive analysis was conducted on the reporting, referral and follow-up of suspected TB from 2010 to 2014 in the tertiary hospitals in Tianjin. Results The overall arrival rate, referral rate and follow-up rate from 2010 to 2014 increased from 85.91%, 47.34% and 38.57% to 90.98%, 49.01% and 41.96%, respectively. The proportion of patients who were referred for diagnosis of tuberculosis and bacteria The positive diagnosis rate dropped from 44.48% and 18.10% in 2010 to 32.86% and 15.02% in 2014 respectively. The main reason for patient referral not in place is home-visit treatment and others. Conclusions The standardized referral of suspected tuberculosis in tertiary general hospitals is an effective way to improve the detection rate of patients. It is necessary to strengthen the referral system of TB reports in medical institutions and improve the referral of TB staff in non-tuberculosis departments and the initiative of tuberculosis patients.