黄永红, 黄高恒, 陆月靓. 田东县实施DOTS策略和DOT治疗前后肺结核病人的痰涂片分析[J]. 疾病监测, 2005, 20(10): 523-526. DOI: 10.3784/j.issn.1003-9961.2005.10.523
引用本文: 黄永红, 黄高恒, 陆月靓. 田东县实施DOTS策略和DOT治疗前后肺结核病人的痰涂片分析[J]. 疾病监测, 2005, 20(10): 523-526. DOI: 10.3784/j.issn.1003-9961.2005.10.523
HUANG Yong-hong, HUANG Gao-heng, LU Yue-liang. Analysis on Implementation of DOTS Strategies and the Sputum Smear of Tuberculosis Patients in Pre- and Post-treatment with DOT in Tiandong ounty[J]. Disease Surveillance, 2005, 20(10): 523-526. DOI: 10.3784/j.issn.1003-9961.2005.10.523
Citation: HUANG Yong-hong, HUANG Gao-heng, LU Yue-liang. Analysis on Implementation of DOTS Strategies and the Sputum Smear of Tuberculosis Patients in Pre- and Post-treatment with DOT in Tiandong ounty[J]. Disease Surveillance, 2005, 20(10): 523-526. DOI: 10.3784/j.issn.1003-9961.2005.10.523

田东县实施DOTS策略和DOT治疗前后肺结核病人的痰涂片分析

Analysis on Implementation of DOTS Strategies and the Sputum Smear of Tuberculosis Patients in Pre- and Post-treatment with DOT in Tiandong ounty

  • 摘要: 目的分析实施DOTS策略和DOT治疗前后肺结核病人的痰涂片情况。方法对2004年田东县肺结核登记病例和1999~2003年结核病疫情报告的痰涂片情况进行统计分析。结果实施DOTS策略前的痰检人数、痰检率和涂阳率均比实施DOTS策略后低;实施DOT治疗前初诊病人的涂阳率比转诊病人高;涂阳率农民高于干部工人、男性高于女性;实施DOT治疗后满2个月及满6~8个月初诊肺结核病人的痰涂阴转率较转诊肺结核高。结论加大力度实行肺结核病归口管理,以农村为重点加强卫生宣教,使肺结核病人能在第一时间内接受统一检查和督导化疗与管理,是发现、治愈涂阳肺结核病人和进一步控制肺结核病流行的最有效措施。

     

    Abstract: Objective The present study was designed to analyze the sputum smear of tuberculosis(TB) patients in pre-and post-implementation of direct observed treatment short-course (DOTS) strategies and direct observed treatment (DOT).Methods Registered TB cases in 2004 and the sputum smear of TB epidemic report from 1999 to 2003 in Tiandong county were statistically analyzed.Results The number and rate of people detected sputum and rate of sputum smear positive (SS+) in pre-implementation of DOTS strategies were lower than that in post-one.The rate of SS+for patients of first visit to a doctor was higher than for those of referring before implementation of DOT.The prevalence of SS+in farmers was higher than that in cadres and workers,and in male was higher than in female.After implementation of DOT,the rate of sputum smear negative patients of first visit was higher than that of referring among infants aged 2 months and from 6 to 8 months.Conclusion The convergence case-management of TB should be strengthened,and especially health propaganda and education in rural area should be emphasized toenable TB patients to receive general check-upguided chemotherapy and management timely.Above arethe most effective measures for detecting.Curing TB patients with SS+ and further controlling TB epidemic.

     

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