广东省东莞市实施DOTS策略10年效果分析

Effect of implementing DOTS strategy in Dongguan during 1992—2001

目的分析东莞市实施DOTS策略的效果。方法收集并分析1992—2001年项目季报表、年报表及相关资料。结果10年间共投入结防经费316.37万元,接诊27 299名可疑症状者,为4 330例涂阳和重症涂阴病人提供免费治疗。每例病人平均费用730.65元。涂阳登记率、新发涂阳登记率,初、复治涂阳2、3个月末转阴率及治愈率呈逐年上升态势。初治涂阳平均治愈率为98%,复治涂阳平均治愈率84.4%。结论DOTS策略的成功实施加速了防治工作的开展,使结核病防治技术进入规范化管理。

Objective To analyze the effect of implementing DOTS strategy in Dongguang. Method The data from TB quarterly , annual reporting system and other related information during 1992-2004 was collected and analyzed. Results During 10 years,the total TB control funds was 3 163 700 Yuan （RMB）. 27 299 TB suspects had been examined and 4 330 cases with pulmonary tuberculosis had been treated free of charge. The average cost for per case is 730.65 Yuan （RMB）. The trend in the notification rate, negative conversion rate and cure rate showed up by years. The treatment course was shorten to 24 monthsand the average cure rate of initial cases and re-treatment cases with smear-positive were 98 % and 84.4% respectively. Condusion The successful implementation of DOTS strategy made thenotion of anti-tuberculosis to be changed, it lead the TB control into a new stage of standardized management.