钟山县结核病控制项目6年实施效果分析

Effect Analysis on Implementation of TB Control Project for Six Years in Zhongshan County

目的分析钟山县2004—2009年实施现代结核病防治策略(DOST)及防治目标的实现情况,总结经验与不足,提出改进措施。方法分析钟山县2004—2009年肺结核病例发现和治疗转归情况。结果 2004—2009年接诊8 709名可疑肺结核病人,就诊率从2004年2.64‰提高到2009年的3.65‰,登记肺结核病人2 913例,其中涂阳肺结核病人885例,初治涂阳肺结核病人793例;新涂阳肺结核病人平均治愈率90.67%;2004—2009年钟山非结防机构网络直报肺结核和疑似肺结核病人的转诊到位率和追踪到位率分别为53.45%和42.54%,总体到位率为71.05%。结论钟山县结核病控制项目的实施取得显著成效,确保了肺结核病人发现和治愈目标的实现。

[Objective]To analyze the implementation status of DOTS and its effect in Zhongshan county from 2004 to 2009,summarize the experience and shortcomings,and put forward the measures for improvement.[Methods]The report,treatment and outcome of tuberculosis cases in Zhongshan county from 2004 to 2009 were analyzed.[Results]From 2004 to 2009,8 709 TB suspects were examined,and the consultation rate was increased from 2.64‰ in 2004 to 3.65‰ in 2009.Among 2 913 cases of register TB,there were 885 cases of smear positive TB and 793 cases of initial smear positive TB,and the average cure rate of new smear positive TB was 90.67%.During 2004-2009,the referral arrival rate and the traced arrival rate of TB patients and suspects reported by internet-based infectious disease reporting system was 53.45% and 42.54% respectively,and the overall arrival rate was 71.05%.[Conclusion]The implementation of TB control project in Zhongshan county has made the remarkable effect,and it plays an important role in the discovery and cure of TB patients.