1997—2003年湖北省武昌监狱肺结核病控制效果分析

目的　将监狱结核病控制工作纳入结防规划,降低本地区结核病疫情。方法 1997—2003年在监狱囚犯中发现523例肺结核病人,采用现代结核病控制策略(DOTS)实施治疗及管理,分析其转归。结果 7年来初治涂阳治愈率平均为93.3%,复治涂阳治愈率平均为85.7%;监狱内囚犯涂阳肺结核患病率从1997年的1146.95/10万降至2003年的497.37/10万。结论 7年来在湖北省武昌监狱囚犯中主动发现肺结核病人并实施DOT管理,成效显著。

Analysis on TB control effects in Wuchang Prison from 1997-2003

Objective To engage the work of TB control in prison into the overall TB control programme and reduce the local TB epidemic burden. Methods The cohort Results were analysed of 523 TB cases detected in the prisoners from1997-2003. Their treatment were under DOTS. Results During 7 years, the cure rate of new smear?positive cases was 93.3% and 85.7% of retreatment cases in average. Prevalence of smear?positive in prison reduced from 1146.95/100,000 in 1997 to 497.37/100,000 in 2003.Conclusion The achievements of active case finding and implementation DOT in Wuchang Prison of Hubei Province for 7 years were remarkable.