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修订结核病记录与报告信息系统。

Revising the tuberculosis recording and reporting information system.

作者信息

Norval P-Y, Heldal E, L'Herminez R, Laserson K, Godfrey A

机构信息

World Health Organization, Stop TB Partnership, Geneva, Switzerland.

出版信息

Int J Tuberc Lung Dis. 2008 Mar;12(3 Suppl 1):17-9.

Abstract

OBJECTIVE

The tuberculosis recording and reporting information system (TB R&R), one of the five pillars of the DOTS strategy, has undergone a revision to comply with the new elements of the Stop TB Strategy and to ensure standardisation of essential TB information.

DESIGN

An expert group on TB R&R, including the main technical partners, held a series of consultations with the Stop TB Working Groups and countries. Draft revised forms were field tested by countries with the participation of technical partners. A survey was conducted by the World Health Organization (WHO) in 105 countries.

RESULT

The main changes in the TB R&R are the inclusion of TB-HIV activities (the leading reason for change at the country level), smear examinations and culture for settings performing this test routinely and the management of patient drug kits. The revised forms help monitor contributions from all care providers and community workers. The package of forms is presented in three sets: 1) essential data, 2) setting with routine culture and 3) additional data.

CONCLUSION

The revised R&R forms were endorsed by the WHO, the KNCV Tuberculosis Foundation, the International Union Against Tuberculosis and Lung Disease and the US Centers for Disease Control and Prevention in 2007. They are now available in English, French and Spanish, and are adopted in most countries.

摘要

目的

结核病记录与报告信息系统(TB R&R)是直接观察短程治疗(DOTS)策略的五大支柱之一,现已进行修订,以符合遏制结核病策略的新要素,并确保结核病基本信息的标准化。

设计

结核病记录与报告专家小组,包括主要技术合作伙伴,与遏制结核病工作组及各国举行了一系列磋商。修订后的表格草案在各国进行了实地测试,技术合作伙伴参与其中。世界卫生组织(WHO)在105个国家开展了一项调查。

结果

结核病记录与报告的主要变化包括纳入结核病-艾滋病病毒活动(在国家层面改变的主要原因)、对常规开展此项检测的机构进行涂片检查和培养以及患者药盒管理。修订后的表格有助于监测所有医疗服务提供者和社区工作者的贡献。表格套装分为三组:1)基本数据,2)常规开展培养的机构,3)补充数据。

结论

修订后的记录与报告表格于2007年得到了世界卫生组织、荷兰皇家结核病防治协会、国际防痨和肺部疾病联盟以及美国疾病控制与预防中心的认可。目前有英文、法文和西班牙文版本,且在大多数国家采用。

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