督导短程治疗保证结核病控制的实施

Application of directly observed short-course treatment (DOTS) for tuberculosis control

目的 本文对督导短程治疗 (DOTS)策略在结核病控制工作中的作用及效果进行总结分析。方法 从我省实施“卫生部加强与促进结核病控制项目”首批五个示范点的病人发现、治管效果等方面进行归纳总结。结果 首批五个项目示范点以少量的投入 2年来共治疗管理项目病人 773例 ,其中初治 6 74例 ,复治 99例 ,2月末痰菌转阴率初治 87 1% ,复治 76 8% ,满疗程治愈率初治 91 5 % ,复治 82 8%。结论 DOTS策略在我省首批实施工作中的应用取得显著成效 ,充分显示了DOTS策略的再现性 。

To summarize and analyse the result of DOTS strategy for tuberculosis control.Method Summarize the cases finding and treatment result of the first batch of five demonstration sites of the Project of the Ministry of Public Health that was carried out in Yunnan Province.Results 773 cases were treated for two years.Ther were initially treated smear positive 674 cases and repeatedly treated smear positive 99 cases.The rate of negative conversion in the initially treated smear positive cases was 87 1%,and in repeatedly treated smear positive cases was 76 8% at the end of two months.The cure rate of the initially treated smear positive cases was 91 5% and that of repeatedly treated smear positive cases was 82 8%.Conclusions DOTS strategy obtained remarkable success in the first batch five of demonstration sites of the Project of the Ministry of Public Health.It is showed that DOTS strategy succeeds in the tuberculosis control.DOTS strategy is a important method in guarantee for tuberculosis control.