传染病实时监控系统在活动性肺结核管理中的应用

摘要

Objective To timely detect the patients with active tuberculosis and decrease the false negative rate in order to reduce the possibility of spread and outbreaks of infectious diseases.Methods The suspected cases which were screened out by the real-time surveillance system for infectious diseases were diagnosed by clinicians as active tuberculosis or not.Results From June 2014 to May 2015, there were 48 cases reported as active tuberculosis by the traditional manual passive monitoring mode, and 67 cases by the real-time surveillance system.The traditional mode had 19 patients reported as false negative, with a false negative rate of 28.36%. What’s more, compared to the 41 cases reported by the traditional mode from June 2013 to May 2014, the real-time system reported 26 cases more during the period from June 2014 to May 2015.Conclusion The real-time surveillance system for infectious diseases improves the sensitivity, accuracy and timeliness for report of active tuberculosis, and is of very important significance in prevention from the spread of infectious disease.%目的：及时发现患有活动性肺结核患者，减少漏报，降低肺结核扩散和暴发可能性。方法利用医院传染病实时监控与预警系统筛选出疑似病例，督导医师逐一诊断是否为活动性肺结核患者。结果2014年6月至2015年5月采用信息化主动监测方式与传统手工被动监测方式双轨并行的方法，采用传统方式上报的活动性肺结核48例，而信息化方式上报活动性肺结核67例，传统方式漏报了19例，漏报率为28.36％。另外，与2013年6月至2014年5月仅采用传统方式上报41例相比，2014年6月至2015年5月采用信息化方式上报数量多出26例。结论传染病实时监控系统的应用提高了活动性肺结核传染病上报的敏感性、时效性及准确性，对防控肺结核的传播具有十分重要的意义。