Desmond Tutu Tuberculosis Centre, Department of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Int J Tuberc Lung Dis. 2011 Mar;15(3):337-43.
Although tuberculosis (TB) treatment registers and laboratory records are essential tools for recording and reporting in TB control programmes, the accuracy and completeness of routinely collected data are seldom monitored.
To assess the accuracy and completeness of TB treatment register data in two South African urban communities using record linkage.
All cases of bacteriologically confirmed TB, defined as two smear-positive results and/or at least one culture-positive result, were included. Record linkage was performed between three data sources: 1) TB treatment registers, 2) the nearest central laboratory, and 3) the referral hospital laboratory.
The TB treatment registers had 435 TB cases recorded, of which 204 (47%) were bacteriologically confirmed. An additional 39 cases recorded as non-bacteriological cases in the TB treatment registers were reclassified as bacteriologically confirmed, and 63 bacteriologically confirmed cases were identified from the laboratory databases that were not recorded in the TB treatment registers. The final number of bacteriologically confirmed TB cases was 306, giving an increase of 50%.
The accuracy and completeness of the TB treatment register and central laboratory data were inadequate. A high percentage of bacteriologically confirmed cases from both laboratories were not recorded in the TB treatment registers. We are developing an electronic result management system to improve the management of laboratory results.
虽然结核病（TB）治疗登记册和实验室记录是结核病控制规划中记录和报告的重要工具，但常规收集数据的准确性和完整性很少得到监测。
使用记录链接评估南非两个城市社区中结核病治疗登记册数据的准确性和完整性。
所有细菌学确诊的结核病病例均被纳入研究，定义为两次涂片阳性结果和/或至少一次培养阳性结果。记录链接在三个数据源之间进行：1）结核病治疗登记册，2）最近的中央实验室，3）转诊医院实验室。
结核病治疗登记册记录了 435 例结核病病例，其中 204 例（47%）为细菌学确诊。在结核病治疗登记册中记录为非细菌学病例的另外 39 例被重新分类为细菌学确诊，从实验室数据库中发现了 63 例未记录在结核病治疗登记册中的细菌学确诊病例。最终细菌学确诊结核病病例数为 306 例，增加了 50%。
结核病治疗登记册和中央实验室数据的准确性和完整性不足。两个实验室的大量细菌学确诊病例未记录在结核病治疗登记册中。我们正在开发一个电子结果管理系统，以改善实验室结果的管理。
