Abstract: Objective To assess the under-reporting situation of tuberculosis in medical institutions in 2018, in order to provide evidence for enhancing the registration of tuberculosis patients in Shenzhen. Methods Investigation was performed in all 160 medical institutions, which were qualified for conducting chest X-ray examinations in Shenzhen. The reports of tuberculosis patients in medical institutions, wards and laboratory departments during the survey between September to October 2018 were checked and matched with the report cards of all confirmed and suspected tuberculosis patients reported in Shenzhen in the national tuberculosis management information system, in order to analyze the missing report and registration of tuberculosis in Shenzhen. Results The under-reporting rate of suspected tuberculosis in medical institutions in Shenzhen was 4.51%, while the under-reporting rate of confirmed diagnosis in medical institutions for tuberculosis prevention and treatment in Shenzhen was 1.29%. The under-reporting rate of multidrug-resistant and rifampicin-resistant tuberculosis patients is 0%. Conclusion sThe under-reporting of tuberculosis in Shenzhen has meet the basic requirements of the national Thirteenth Five-Year health and wellness plan, and in the next step, we should use information technology to realize the real-time collection and exchange of data related to the tuberculosis report card, and constantly improve the tuberculosis reporting system in medical institutions to enhance the quality of tuberculosis reporting.

Key words: Pulmonary tuberculosis, Register, Reporting, Shenzhen