抽象
在意大利的结核病(TB)的监视是由几个问题(数据不一致和漏报)受阻。结核病监测系统于1992年成立于瓦雷泽省(VSS)本研究的目的是,利用VSS,来估算:1)覆盖范围,并通过国家强制性监测系统(CSS)收集的数据的有效性;2)的诊断和危险因素结核有效性;3)结核病发病率。专门设计的表格,包括相同的项目,如CSS样式和风险因素和诊断问题10个问题,是在诊断全省每个新的结核病情况下,所有现有的卫生设施建成后,由调查所收集的统筹时临床记录的审查后,每月的监督,并存储在统筹中心的数据库。通过CSS在国家一级收集全省例行通知与VSS数据名义上的联系。为了评估覆盖面和有效性的数据,比较了VSS和CSS数据之间的重复去除后提出的。数据,危险因素和发病的质量对VSS数据(金标准)进行了评价。CSS覆盖率为63%,其中肺外案件显著漏报。 Within CSS, 20% of data were missing (particularly diagnostic information: 42-72%). According to VSS, smear was performed on 88% of cases and culture on 66%. Half of the cases had no risk factors. The overall incidence of tuberculosis in Varese Province was 15 per 100,000. We estimated the coverage and validity of the data collected by CSS, validity of diagnosis, risk factors for and incidence of tuberculosis and proposed several suggestions to improve CSS nationwide.