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柬埔寨、中国和越南结核病病例登记库中记录信息的完整性与一致性
Completeness and consistency in recording information in the tuberculosis case register, Cambodia, China and Viet Nam
Hoa NB, Wei C, Sokun C, Lauritsen JM, Rieder HL  2010/10/21 13:23:00 
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International Journal of Tuberculosis and Lung Disease, 2010, Volume 14, Issue 10 
 

SETTING: Tuberculosis (TB) case registers in Cambodia, two provinces in China and in Viet Nam. OBJECTIVE: To determine completeness and consistency of information for quarterly reports on case finding and treatment outcome. METHODS: A representative sample of TB case registers was selected in Cambodia, in two provinces in China and in Viet Nam. Quarterly reports were reproduced from double-entered, validated data to determine completeness and consistency. RESULTS: The dataset comprised 37 635 patient records in 2 calendar years. Only 0.2%, 3.6% and 1.1% of cases, respectively, in Cambodia, the two China provinces, and Viet Nam did not allow classification for the quarterly report on case finding. If the treatment outcome was reported as cured, it was correct in 99.9%, 85.7%, and 98.5% of the respective three jurisdictions: errors were mostly due to misclassification of completion as cure. Under-reporting of failures was more frequent than over-reporting in Cambodia and Viet Nam, while in the two provinces in China 84% of reported failures did not actually meet the bacteriological criterion. CONCLUSIONS: This evaluation demonstrates that recording essential information is exemplary in all three countries. It will be essential to carefully supervise the ability of staff to correctly define TB treatment outcome results in all three countries. © 2010 The Union.

Correspondence Address: Rieder H L , Jetzikofenstrasse 12 3038 Kirchlindach Switzerland, email:TBRieder@tbrieder org 
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疾病资源中心  疾病资源中心
 病例分析

摘自:《西氏内科学》,第23

 

患者女性,21岁,因干咳、间歇性气促2个月到急诊科就诊。开始症状为上呼吸道感染引起的鼻塞、流涕和咳嗽。医生检查后开了抗生素。服药后鼻部症状缓解,但仍有轻微干咳和呼吸困难。其他症状包括疲劳和焦虑。否认发热、体重减轻、胸痛、端坐呼吸、气喘、鼻后滴漏、胃灼热以及神经系统症状。

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