Hospital tuberculosis control activities and treatment success in Thailand during the implementation year of the admission policy for new smear positive pulmonary tuberculosis patients.

OBJECTIVE

To demonstrate the tuberculosis (TB) control activities in hospital and treatment success rate during the implementation year of the admission policy.

MATERIAL AND METHOD

The hospital-based survey was conducted in 12 provinces, five hospitals of each province. The medical records of hospitalized patients, with new sputum smear positive (NSS+) pulmonary tuberculosis (PTB), registered between October 2008 and September 2009 were reviewed, as well as the TB control activities.

RESULTS

Fifty-one hospitals with complete hospital information were included Of 2,290 patients, less than half(46.1%) were hospitalized, while the treatment success rate was 83.8% (1,921 patients). This is slightly lower than World Health Organization target of 85%. In 2009, the six main control activities implemented in the studied hospital as part of the National Tuberculosis Program guideline of 15 items were 1) annual plan project for TB control program (51/51 hospitals, 100%), 2) protective equipment to prevent TB infection for personnel (50/51 hospitals, 98.0%), 3) appointment of committee in hospital for TB control program (49/51, 96.0%), 4) surveillance TB infection system in hospital for personnel (49/51, 96.0%), 5) protective equipment protection TB infection (mask) for patients and relatives (48/51 hospitals, 94.1%), and 6) intensive health education for NSS+ PTB patients with admission (48/51 hospitals, 94.1%).

CONCLUSION

During the implementation year of admission policy, the hospitalization rate was low and treatment success rate was not as high as expected. However the enhanced effect of program activities on admission and treatment success was not fully supported by the present study.