The Checking And Tracking Circumstance About Pulmonary Tuberculosis Patients Through Network

About 2/3 pulmonary tuberculosis patients and 3/5 sputum positive pulmonary tuberculosis patients couldn't be found through document report of 4th epidemic survey in 2000 all round country,We should think about and rolsove the problem how to improve the finding rate,and therpy PTB patients normally immediately. The China network direct reporting information for diseases control and prevention system carried on since 2004,it had become highway of infected disease information,it could stimulate all hospitals to report mort TB patients.Because the period of TB treatment is very long,TB patiens maybe coundn't insist on taking medicine,and the infected capacity of TB is very strong,so government put TB patients under centralized management by specialized departments, in order to let TB patients receive normal treatment,suspected TB patients must be transferred to specialized departments. Because there were many influence factors that impact the TB patient transferring from non tubercular institutions to specialized departments,such as profit, insufficient communication, TB patients' co-operation et. It made pulmonary tuberculosis patients through network reporting from non tubercular institutions could not arrive specialized departments or in time.To improve the discovering rate of pulmonary tuberculosis patients, We should think about how to take good advantage of nontubercular institutions through network report system, however, tubercular institutions should think about how to try their best to find the patients through network reporting from non tubercular institutions, to further improve the arriving rate of tracked patients.The research makes careful investigation to obtain indicators of influence factors that impact the TB patient transferring from non tubercular institutions to specialized departments and their level,to improve the discovering rate of pulmonary tuberculosis patients.Material and MethodsWe surveyed 4 pilot counties: Chengjiao county > Anji county in Huzhou prefecture;Tongxiang county, Haining county in Jiaxing prefecture;all belong to Hangjiahu plain region,total population is 2.83 millions. Economy was relative developed,living level was relative high,the communications among towns is convenient. Floating population was more.The prevention of TB control was excellent in recent years. Tubercular Institutions set up completely,the TB prevetion net of village was integrity.To investigate the checking and tracking circumstance about pulmonary tuberculosis patients through network reporting from non tubercular institutions about pilot county,the type of investigation belong to cross section.The content of investigation included: fundamental information age, sex, career et. arrival type, tracking information: tracking type, tracking result, reason of not arrived et. type of non tubercular institutions, case type of network reporting > type of definite diagnosis case et.Surveyed cases were that reported by non tubercular institutions through network from 11.1,2004 to 4.30,2005.( get rid of repeated reported).Utilize questionnaire in the investigaion:the questionnaire name was the checking and tracking circumstance about pulmonary tuberculosis patients through network reporting from non tubercular institutions about pilot county questionnaire.Utilize statistics software SPSS 13.0 and EXCEL to gather together data.information encoding, description, analyze?ReslutsThe total number of pulmonary tuberculosis patients through network reporting from non tubercular institutions about pilot county was 2183;the population reporting rate was 77.0/100 OOO.male 1517, occupied 69.5%,the population reporting rate was 53.5/100 000,female 666, the population reporting rate was 23.5/100 000;the ratio between male and female was 2.28.the youngest was 6,the oldest age was 91, mean and standard deviation was 51.17±19.79.The career distribution gathered in peasant> migrant laborer> workman, total rate was 83.7%,added retired people, the total rate was 90.0%.From Nov,2004,the reporting rate through network kept low level,to Mar,2005,it begon to increase.The definite diagnosis case rate of general hospitals was 68.3% higher than health center(40.9%),x2^l 32.08 p=0.00.Sputum postive case in network reporting PTB, 44, 2%;sputum negative case, 153, 7%;no sputum-check case, 1986, 91%;hospital patients,132, 6%.The condition of arrival typertransferring-arrival type and auto-arrival type occpuied 67.0%;tracking-arrival type occpuied 13.1%;the number of not arrival case was 435, occpuied 19.9%%.Except transferring-arrival type and auto-arrival type case(1462),left 721 case,had been tracked 560 cases, tracking type was various,mainly through telephone and docotor, the total rate was 75.71%.There were 560 cases being tracked, 286 cases arrived.the rate was51.07%;274 cases couldn't been found,among them, 17.9% cases no definite address.In all network reporting cases,the total definite diagnosis case rate was 42.7%,in arrival cases, the definite diagnosis case rate was 53.3%,it indicated that there were 53.3% definite diagnosis case in all reporting cases,it also meaned that there above half case would be definitly diagnosed in all pulmonary tuberculosis patients through network reporting from non tubercular institutions about pilot county.ConclusionsIn pilot counties area, compared with the corresponding period of time,the PTB finding increase 40.1%,and last year,the PTB finding only increased 5.29%;relatively,sputum-positive TB cases finding increased 6.6%, and last year increased 75.84%.In the increasing rate of PTB fmding,the AR% was 34.81,could refer to the factor that checking and tracking pulmonary tuberculosis patients through network reporting from non tubercular institutions by tubercular institutions.But the factor had no apparently difference in sputum-positive TB cases finding.Though the definite diagnosis rate of arrival cases through tracking was not so high,only 48.3%,but there was no apparently difference between arrival cases through transferring(in levela=0.05, p=0.017).In PTB finding,there was 9.7% coming from tracking;In sputum-positive PTB finding,there was 9.1% coming from tracking;so the the checking and tracking through tubercular institutions was a valid way to improve PTB finding.The definite diagnosis rate was 52.52% in all cases through network reporting from non tubercular institutions about pilot county.relativly the cases through sputum-check that network reported from non tubercular institutions fit in with cost-benefit analysis more.And the cases not through sputum-check that network reported from non tubercular institutions,even they were be found through tracking by tubercular institutions, still 49.07% cases were eliminated.So we should stimulate non tubercular institutions to improve the capacity of primitive diagnosis,let tracking work fit in with cost-benefit analysis more,avoiding wasting material resources and human resources.