Mukhopadhyay Sujishnu, Sarkar Aditya Prasad
West Bengal University of Health Sciences, Salt Lake City, Kolkata, India.
Indian J Community Med. 2011 Apr;36(2):146-9. doi: 10.4103/0970-0218.84136.
Data pertaining to managerial indicators of RNTCP are rare. The present study was done to analyze the RNTCP indicators in one rural and one urban tuberculosis unit in Burdwan, West Bengal, and find out any influencing factor.
A comparative record analysis for the year 2007 was undertaken
The study revealed significantly more urban adolescents (P<0.001) were treated. In both areas, the proportion of NSN cases and smear positive retreatment cases among total smear positives were less than expected, while more NSP cases were registered. Significantly lesser retreatment cases (13.33%) were registered in the rural area. Smear negative and EP cases of all the patients in Cat I were significantly less in the rural area. Outcomes like cured, treatment completed, default, and death were similar approaching the RNTCP norm. But sputum conversion (78.02%) and failure rate (4.93%) were worse than the RNTCP norm in the urban area and varied significantly between two areas. The outcomes like cured, treatment completed, and default differed significantly with age in the areas. The outcome of TAD cases was different, but the outcomes of NSN, EP, and other retreatment cases were similar in two areas. Age at treatment onset was found to be the only factor associated with default.
Managerial indicators may reveal something different despite common indicators showing acceptable results.
关于印度国家结核病控制规划（RNTCP）管理指标的数据很少。本研究旨在分析西孟加拉邦布德万一个农村和一个城市结核病防治单位的RNTCP指标，并找出任何影响因素。
对2007年进行了比较记录分析。
研究显示，接受治疗的城市青少年明显更多（P<0.001）。在两个地区，非粟粒性（NSN）病例和涂阳复治病例在涂阳病例总数中的比例均低于预期，而登记的新涂片阳性（NSP）病例更多。农村地区登记的复治病例明显较少（13.33%）。农村地区第一类所有患者的涂片阴性和初治涂阴（EP）病例明显较少。治愈、完成治疗、中断治疗和死亡等结果接近RNTCP标准。但城市地区的痰菌转阴率（78.02%）和失败率（4.93%）比RNTCP标准差，且两个地区之间差异显著。治愈、完成治疗和中断治疗等结果在两个地区随年龄有显著差异。耐多药（TAD）病例的结果不同，但两个地区NSN、EP和其他复治病例的结果相似。发现治疗开始时的年龄是与中断治疗相关的唯一因素。
尽管常见指标显示结果可接受，但管理指标可能会揭示不同的情况。
