Kubín M, Svandová E, Hyncica V
Z Erkr Atmungsorgane. 1981;156(3):246-54.
The automated information system for bacillary tuberculosis is based on the registration of all positive mycobacterial examinations in the 43 tuberculosis laboratories in CSR. Data on the patient, the health service reporting, the kind of the material examined, and the actual microbiological examination including the identification of species and sensibility to antituberculotics are surrendered to the computer by means of a punched card or tape. On the base of the entrance information all sources are collected in the computer the data input being checked in regard to accuracy of the parts and logical relationship to the various variables. All sources of information of the data bank, made actual concerning the mycobacterial examinations are available to the programme. Another programme is supplementing the information on tests for identification and antituberculotic sensibility of the mycobacteria. With the aid of other programmes regular monthly summaries are done by the data bank for the cooperating laboratories and the specialists in the districts and countries. Finally another programme answers the evaluation of the annual reports of the mycobacterial investigations and reports on the epidemiological data of the diseased persons. In 1977 13,909 notifications of tuberculosis findings were analysed, coming from 3,782 persons. This analysis made evident the following conclusions reflecting the recent situation of mycobacteriologic diagnostics and the significance of the tuberculosis problem in communities with a low tuberculosis prevalence: a) The prevalence of bacillary tuberculosis in CSR (37/100,000) is ranging in the various districts between 27 and 44/100,000. The prevalence of persons with proof of mycobacteria already by smear amounts to 10/100,000 inhabitants. b) The highest portion of bacillary tuberculosis comes from persons with symptoms (45%), it amounts to 17% in persons with active tuberculosis already in dispensary care, to 15% in persons with fibrotic lesions and 14% in recidives. After a five year experience with the computerized information system of bacillary tuberculosis the authors recommended to centralize and to combine it with the central state tuberculosis register in order to utilize the data and evaluated in the level of the districts and countries as well for the management of the tuberculosis control programme in the level of the whole state.
结核杆菌自动化信息系统基于捷克斯洛伐克社会主义共和国（CSR）43个结核病实验室所有阳性分枝杆菌检测结果的登记。关于患者、卫生服务报告、检测材料种类以及实际微生物检测（包括菌种鉴定和对抗结核药物的敏感性）的数据，通过穿孔卡片或磁带录入计算机。根据录入信息，计算机收集所有数据来源，并对数据输入的各部分准确性及其与各种变量的逻辑关系进行检查。数据库中所有与分枝杆菌检测相关的信息来源都可供程序使用。另一个程序补充分枝杆菌鉴定和药敏试验的信息。借助其他程序，数据库每月定期为合作实验室以及地区和国家的专家进行总结。最后，另一个程序对分枝杆菌调查的年度报告进行评估，并报告患者的流行病学数据。1977年，对来自3782人的13909份结核病检测结果通报进行了分析。该分析得出了以下结论，反映了分枝杆菌学诊断的现状以及结核病患病率较低社区中结核病问题的重要性：a）捷克斯洛伐克社会主义共和国结核杆菌患病率（37/10万）在不同地区介于27/10万至44/10万之间。涂片已证实有分枝杆菌的人群患病率为10/10万居民。b）结核杆菌感染比例最高的是有症状者（45%），在已接受门诊治疗的活动性结核患者中占17%，纤维化病变患者中占15%，复发患者中占14%。在拥有结核杆菌计算机化信息系统五年的经验之后，作者建议将其集中化，并与国家中央结核病登记系统相结合，以便在地区和国家层面利用这些数据并进行评估，同时也用于整个国家层面结核病控制项目的管理。
