Prasad Rajendra
Department of Pulmonary Medicine, CSM Medical University, Lucknow 226003.
J Indian Med Assoc. 2009 Oct;107(10):725-7.
Tuberculosis is considered to be 100% curable if adequate drug regimen is followed, still in developing countries it is becoming leading cause of death. The Revised National Tuberculosis Control Programme (RNTCP) came into existence by formulating and adopting the DOTS (direct observation treatment--short course). By March 2006 the whole country was covered by RNTCP. Since 1993 RNTCP has made rapid strides, so the case fatality reduced from 29% to 4% in new smear positive cases. The emergence of multidrug resistance tuberculosis (MDR-TB) has become a significant public health problem. The Government of India is planning to implement DOTS plus by 2010 all over the country and by 2012 access under RNTCP for laboratory based quality assured MDR-TB diagnosis and treatment. Tuberculosis along with HIV and MDR/XDR TB is further worsening the scenario. To counter this menace, every medical practitioner's co-operation is important.
如果遵循适当的药物治疗方案，结核病被认为是100%可治愈的，但在发展中国家，它正成为主要的死亡原因。修订后的国家结核病控制规划（RNTCP）通过制定和采用直接观察短程治疗（DOTS）应运而生。到2006年3月，全国已被RNTCP覆盖。自1993年以来，RNTCP取得了快速进展，新涂阳病例的病死率从29%降至4%。耐多药结核病（MDR-TB）的出现已成为一个重大的公共卫生问题。印度政府计划到2010年在全国实施强化DOTS策略，并到2012年在RNTCP下实现基于实验室的质量保证的耐多药结核病诊断和治疗。结核病与艾滋病毒以及广泛耐药结核病一起，使情况进一步恶化。为应对这一威胁，每位医生的合作都很重要。
