A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district
A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district
复制标题
DOI：
10.5588/ijtld.14.0228
复制
发表时间：
2014-12-01
影响因子：
4
通讯作者：
Kumar, P.
中科院分区：
文献类型：
--
作者：
Chadha, V. K.;Praseeja, P.;Kumar, P.
环境：印度南部的一个地区，通过修订的国家结核病控制规划（RNTCP）和私人卫生保健设施提供抗结核服务。目的：确定私人卫生保健设施中诊断和/或治疗的结核病（TB）患者的概况。医学院所有临床科室诊断和/或治疗的结核病例数据，前瞻性收集了83个疗养院和RNTCP卫生保健设施。结果：大约83%的新肺结核病例记录在私立医学院，47%的疗养院和24.5%的RNTCP结核登记是肺外的。复治病例比例分别为5.5%、9.6%和19.8%。在三个数据来源中，男性和经济生产年龄组的比例相似。大约94%的在医学院诊断的病例和55%的在疗养院诊断的病例在RNTCP下登记接受治疗。约11%的涂阳病人在RNTCP诊断的初始defaulters.CONCLUSION：肺外病例的比例较高的医学院和疗养院和复治病例低于RNTCP。
SETTING: A South Indian district providing anti-tuberculosis services through the Revised National TB Control Programme (RNTCP) and private health care facilities.OBJECTIVE: To ascertain the profile of tuberculosis (TB) patients diagnosed and/or treated in private health care facilities.METHODS: Data on TB cases diagnosed and/or treated in all clinical departments of the medical college, 83 nursing homes and RNTCP health care facilities were collected prospectively.RESULTS: About 83% of new TB cases recorded in the private medical college, 47% in nursing homes and 24.5% in RNTCP TB registers were extra-pulmonary. The proportion of retreatment cases was respectivelySUMMARY 5.5%, 9.6% and 19.8%. The proportion of males and those in the economically productive age group were similar in the three data sources. About 94% of cases diagnosed in the medical college and 55% in nursing homes were registered for treatment under the RNTCP. About 11% of the smear-positive patients diagnosed in RNTCP were initial defaulters.CONCLUSION: The proportion of extra-pulmonary cases was higher in the medical college and nursing homes and that of retreatment cases was lower than in the RNTCP.