论文部分内容阅读
背景:印度尼西亚Sulawesi的四个省。目的:对涂阳肺结核病人实施强化期每周督导一次、继续期每二周督导一次的不住院治疗。设计:按照规定的数量标准由试点项目逐步扩大。结果:自1993年1月至1997年12月,对11879例新发涂阳病人及320例复治涂阳病人(其中259例为复发病人)实施短程化疗。强化期结束时,新病人及复治病人的痰菌阴转率分别为87.5％和80.0％。在1993年1月至1996年12月期间,接受治疗的7251例新发涂阳病人的治愈率为85.2％,再加上7.9％的完成治疗率,则总的治疗成功率为93.1％,239例复治病人的总成功率为86.6％。结论:治疗结果表明在Sulawesi采用的策略是有效的。目前,其中两个省应优先提高病人发现率,而另外两个省的重点则是实现该策略的全面覆盖。讨论该项目成功的原因是在其他地区推行此策略的前提。
Background: Four Provinces of Sulawesi, Indonesia. Objective: The implementation of smear-positive tuberculosis patients during the intensive supervision once a week, continued supervision every two weeks without a hospital supervision. Design: Gradually expand from the pilot project according to the specified quantity standard. Results: From January 1993 to December 1997, 11879 new smear positive patients and 320 retreatment smear positive patients (including 259 relapsed patients) underwent short-term chemotherapy. At the end of the intensive phase, sputum negative conversion rates for new patients and re-treatment patients were 87.5% and 80.0%, respectively. Between January 1993 and December 1996, the cure rate for the 7,251 new smear-positive smear-positive patients who received treatment was 85.2%, and the combined treatment rate of 7.9% resulted in a total treatment success rate of 93.1%. 239 Cases of retreatment patients with a total success rate of 86.6%. Conclusion: The results of the treatment show that the strategy adopted at Sulawesi is effective. At present, two of the provinces should give priority to improving patient discovery rates, while the other two provinces focus on the full coverage of the strategy. The reason for discussing the success of this project is the prerequisite for implementing this strategy in other regions.