East Mediterr Health J. 2013 Jun;19(6):535-41.
Measuring treatment outcome is important for successful tuberculosis (TB) control programmes. The purpose of this study was to examine the outcomes of various types of TB cases registered in Pakistan over a 2-year period and compare those outcomes among the different provinces and regions of the country. A retrospective, cohort study was conducted in which TB treatment outcome reports were reviewed. Of the 349 694 pulmonary TB cases registered in Pakistan during 2006 and 2007, 309154 (88.4%) were treated successfully. Treatment success was significantly higher in new smear-positive cases and lower in retreatment cases. Among the provinces and regions, treatment success was significantly higher in 4 out of 8 provinces. Treatment success needs to be improved, particularly in retreatment cases. The national TB control programme should review the provincial and regional programmes and learn lessons from well-performing programmes. Patient factors that may affect the treatment outcome should be also studied.
评估治疗效果对于成功的结核病（TB）控制项目非常重要。本研究旨在考察 2 年来巴基斯坦登记的各种类型 TB 病例的结局，并比较该国不同省份和地区之间的结局。这是一项回顾性队列研究，对 TB 治疗结局报告进行了审查。2006 年至 2007 年期间，巴基斯坦共登记了 349694 例肺结核病例，其中 309154 例（88.4%）治疗成功。新涂阳病例的治疗成功率显著高于复治病例。在 8 个省份中，有 4 个省份的治疗成功率显著较高。治疗成功率有待提高，尤其是复治病例。国家结核病控制项目应审查省级和地区级项目，并从表现良好的项目中吸取经验教训。还应研究可能影响治疗效果的患者因素。
