Rodrigo T, Caylà J A, Galdós-Tangüis H, Jansà J M, Brugal T, García de Olalla P
Servicio de Epidemiología, Instituto Municipal de la Salud, Barcelona.
Med Clin (Barc). 1999 Nov 13;113(16):604-7.
After the resurgence of tuberculosis in the eighties, several institutions pushed to rapidly create tuberculosis programs and to improve the effectiveness of those in existence. The objective of this paper is to evaluate the programs of the Autonomous Communities of Spain.
A questionnaire was sent to 17 Autonomous Communities and two cities Ceuta and Melilla. A table with minimum objectives was made in order to evaluate the impact of each program. The study period was 1996.
The percentage of answers was 100%. Fourteen Autonomous Communities (82%) confirmed they have a tuberculosis program, but with important limitations. There are 3.8 public health workers per 1,000 cases of tuberculosis. Eleven Autonomous Communities had active surveillance, but only 4 know adherence rates to tuberculosis treatments, 3 had supervised treatments, and 3 know diagnostic delays. Ten know results about the percentage of cases with revised contacts. 70% of 19 revised programs did not fulfill the recommended basic objectives.
Tuberculosis control in Spain is not adequate for a developed country. An improvement of the programs in needed, with increase of resources and with reference support centers which would carry out annual evaluations.
在八十年代结核病再度流行之后，若干机构积极推动迅速建立结核病防治项目，并提高现有项目的成效。本文的目的是评估西班牙自治区的这些项目。
向17个自治区以及休达和梅利利亚两个城市发送了一份调查问卷。制作了一个包含最低目标的表格，以便评估每个项目的影响。研究时间段为1996年。
回复率为100%。14个自治区（82%）确认它们有结核病防治项目，但存在重大局限。每1000例结核病病例有3.8名公共卫生工作者。11个自治区进行了主动监测，但只有4个了解结核病治疗的依从率，3个有督导治疗，3个了解诊断延误情况。10个了解经修订接触者病例百分比的结果。19个经修订项目中有70%未达到推荐的基本目标。
对于一个发达国家而言，西班牙的结核病控制并不充分。需要改进这些项目，增加资源，并设立参考支持中心以进行年度评估。
