中国医学前沿杂志（电子版）2024，Vol.16Issue(3)：16-21,6.DOI:10.12037/YXQY.2024.03-04
结核病非定点医疗机构肺结核漏诊及影响因素分析
The underdiagnosis and risk factors of pulmonary tuberculosis in non-designated medical institutions
摘要
Abstract
Objective To understand the underdiagnosis of pulmonary tuberculosis(PTB)in non-designated TB medical institutions in 2022 and its influencing factors,providing a basis for further improving the quality of national tuberculosis(TB)prevention and control work.Methods Based on the cross-sectional survey data collected from National PTB Diagnosis and Report Quality Investigation in 2022,2 179 PTB cases diagnosed by 84 non-designated medical institutions and reviewed by expert groups were involved to analyze the diagnosis of pulmonary tuberculosis.Univariable and multivariable Logistic regression models were used to analyze the risk factors of underdiagnosis.Results Among 2 179 PTB patients,332 cases were not diagnosed as PTB(15.2％).Multiple Logistic regression analysis showed that non-tertiary medical institutions(OR=1.513,95％CI=1.156-1.980)、aged 0～＜15 years(OR=4.987,95％CI=1.790-13.888)、only cough(OR=1.818,95％CI=1.296-2.550)、single symptom(OR=1.984,95％CI=1.278-3.081)、with nagetive bacteriological results(OR=7.560,95％CI=3.931-14.540)、no bacterialogical results(OR=7.834,95％CI=4.151-14.785)、visitingas inpatients(OR=1.846,95％CI=1.403-2.429)were risk factors of underdiagnosis.Conclusions The proportion of underdiagnosis of PTB in non-designated medical institutions in China was high,and the occurrence of underdiagnosis was related to medical institutions,age,symptoms,pathogen results and treatment methods.Preventive activities should be formulated according to the above possible influencing factors to improve the quality of diagnosis.关键词
非定点医疗机构/肺结核/漏诊/影响因素Key words
Non-designated medical institutions/Tuberculosis/Underdiagnosis/Influencing factors引用本文复制引用
阿依奴尔·买买提依不拉音,李玉红,李涛,刘小秋,张慧..结核病非定点医疗机构肺结核漏诊及影响因素分析[J].中国医学前沿杂志（电子版）,2024,16(3):16-21,6.基金项目
Tuberculosis Prevention and Control Project of 2024(2428),"13th Five-Year Plan"National Science and Technology Major Project(2017ZX10201302) 2024年结核病预防控制项目结核业务日常运转(2428) （2428）
"十三五"国家科技重大专项(2017ZX10201302) （2017ZX10201302）
