广西南宁市传染病院在实施DOTS策略中的作用

目的分析南宁市传染病院作为项目执行单位2年的运行效果,探讨其在南宁市实施DOTS策略中的作用。方法采用回顾性分析方法对南宁市卫Ⅹ项目2003—2004年的资料进行分析。结果南宁市2003、2004年卫Ⅹ项目查痰率、涂阳率、涂阳病人全程督导率、治愈率分别为99.3%和98.7%;38.2%和47.4%;96.8%和99.5%;91.9%和93.2%。涂阳病人发现率64.4%和77.7%。每10个可疑者中发现3.1-4.8个涂阳病人。肺结核病人的发现72%是因症就诊,归口管理的贡献率为25%。结论南宁市传染病院在结核病人发现和治疗中优势明显,可以作为DOTS策略实施的枢纽,具体承担诊断、治疗和病例管理一条龙服务。

The role of Nanning Infectious Disease Hospital in implementing DOTS strategy in Guangxi

Objective To analyze the effect of Nanning Infectious Disease Hospital as a project implementation unit in two years,and to explore its role in implementing DOTS strategy in Nannning. Method Retrospective analytical method was to be used to analyze the Nanning Health Ⅹ project in 2003—2004. Results The rate of sputum examination,the rate of smear positive,the rate of treatment management for smear positive patient,and the cure rate were respectively 99.3%,98.7%,38.2% and 47.4% in Nanning Health Ⅹ project in 2003,and in 2004 the rates were respectively 96.8%,99.5%,91.5% and 93.2%.The rate of case detection for smear positive patient were 64.4% and 77.7%.3.1-4.8 smear positive patients in ten suspects were identified.The clinical symptomatic inspection contributed 72% to the detection of pulmonary tuberculosis patients,and the referral management contributed 25%. Conclusions Nanning Infectious Disease Hospital has predominant superiority in detecting and treating TB patients.Nanning Infectious Disease Hospital plays a central role in implementing DOTS strategy,and specifically provides the service for diagnosis,treatment,and case management.