目的分析漳州市非结防机构网络直报肺结核患者转诊与追踪状况,提高病人发现效果。方法下载结核病信息管理系统中2010—2012年漳州市非结防机构网络报告数据,对需转诊患者的转诊到位率、追踪到位率、总体到位率、到位后的确诊情况及确诊病人数占比进行分析。结果 2010-2012年非结防机构网络直报肺结核及疑似肺结核病患者13 719例,转诊到位率37.7%,3年间无明显变化;追踪到位率和总体到位率分别为87.3%和92.1%,呈下降趋势;到位的可疑者确诊为活动性与涂阳肺结核患者分别为4 103例(56.7%)与2 125例(56.9%),3年间无明显变化;报告可疑者被结防机构排除的比例呈上升趋势。结论非结防机构报告可疑肺结核病仍是结防机构发现活动性与涂阳肺结核患者的重要来源,应继续加强对可疑肺结核病患者报告与转诊力度,结防机构应加大对转诊未到位可疑者的追踪力度,提高追踪质量。 Objective To analyze the referral and follow-up status of non-TB prevention and cure institutions in Zhangzhou City through direct reporting to patients with pulmonary tuberculosis and to improve the effect of patient discovery. Methods To download the network report data of non-TB prevention and cure institutions in Zhangzhou City from 2010 to 2012 in TB information management system, to determine the referral rate, follow-up rate and overall arrival rate of patients to be referred, the diagnosis and the number of confirmed patients Than analysis. Results A total of 13 719 cases of tuberculosis and suspected pulmonary tuberculosis were reported from non-TB network in 2010-2012. The referral rate was 37.7% and there was no significant change in 3 years. The follow-up and overall rate were 87.3% and 92.1% respectively, The number of suspicious persons who were diagnosed as active and smear-positive pulmonary tuberculosis was 4310 cases (56.7%) and 2 125 cases (56.9%), respectively, with no significant change in three years; The proportion is on the rise. Conclusion Non-TB prevention and control agencies report suspicious TB is still found in TB prevention and treatment of active tuberculosis patients with smear-positive source, should continue to strengthen the reporting and referral of suspicious TB patients, prevention and treatment agencies should increase the referral Follow-up suspicious persons in place to improve tracking quality.