TY - JOUR T1 -意大利北部一个省结核病新病例监测系统的验证。瓦雷泽结核病研究小组JF -欧洲呼吸杂志》乔和J SP - 1252 LP - 1258欧元六世- 8 - 8盟Migliori GB AU - Spanevello,非盟——Ballardini, L AU -内里,米非盟- Gambarini C AU -莫罗,毫升盟——Trnka L盟——RaviglioneMC Y1 - 1995/08/01 UR - //www.qdcxjkg.com/content/8/8/1252.abstract N2 -在意大利，结核病监测受到若干问题(数据不一致和漏报)的阻碍。1992年在瓦雷兹省建立了结核病监测系统。本研究的目的是，使用VSS评估:1)国家强制监测系统(CSS)收集的数据的覆盖范围和有效性;2)结核诊断效度及危险因素;3)肺结核发病率。专门设计的形式,包括CSS一样的项目形式和10个问题风险因素和诊断问题,完成了所有现有的卫生设施省为每个新结核病例诊断、收集的研究协调员在月度监督审查后的临床记录,并储存在协调中心的数据库中。CSS在国家一级为该省收集的例行通知在名义上与VSS数据相关联。 To evaluate coverage and data validity, a comparison was made between VSS and CSS data after removal of duplicates. Quality of data, risk factors and incidence were evaluated on VSS data (gold standard). CSS coverage was 63% with a significant underreporting of extrapulmonary cases. 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. ER -