Chadha V K, Praseeja P, Gupta J, Ahmed J, Sharada M A, Srivastava R, Gowda U, Magesh V, Singh S, Suganthi P, Lakshminarayana K, Kumar P
Epidemiology & Research Division, National Tuberculosis Institute, Bangalore, India.
Office of the Director, National Tuberculosis Institute, Bangalore, India.
Int J Tuberc Lung Dis. 2014 Dec;18(12):1455-8. doi: 10.5588/ijtld.14.0228.
A South Indian district providing anti-tuberculosis services through the Revised National TB Control Programme (RNTCP) and private health care facilities.
To ascertain the profile of tuberculosis (TB) patients diagnosed and/or treated in private health care facilities.
Data on TB cases diagnosed and/or treated in all clinical departments of the medical college, 83 nursing homes and RNTCP health care facilities were collected prospectively.
About 83% of new TB cases recorded in the private medical college, 47% in nursing homes and 24.5% in RNTCP TB registers were extra-pulmonary. The proportion of retreatment cases was respectively 5.5%, 9.6% and 19.8%. The proportion of males and those in the economically productive age group were similar in the three data sources. About 94% of cases diagnosed in the medical college and 55% in nursing homes were registered for treatment under the RNTCP. About 11% of the smear-positive patients diagnosed in RNTCP were initial defaulters.
The proportion of extra-pulmonary cases was higher in the medical college and nursing homes and that of retreatment cases was lower than in the RNTCP.
印度南部一个通过修订后的国家结核病控制规划（RNTCP）和私立医疗保健机构提供抗结核服务的地区。
确定在私立医疗保健机构诊断和/或治疗的结核病患者情况。
前瞻性收集医学院所有临床科室、83家疗养院和RNTCP医疗保健机构诊断和/或治疗的结核病病例数据。
私立医学院记录的新结核病病例中约83%为肺外结核，疗养院中为47%，RNTCP结核病登记册中为24.5%。复治病例的比例分别为5.5%、9.6%和19.8%。三个数据来源中男性和经济生产年龄组的比例相似。医学院诊断的病例中约94%以及疗养院中55%的病例根据RNTCP登记接受治疗。在RNTCP诊断的涂片阳性患者中约11%为初次违约者。
医学院和疗养院中肺外病例的比例较高，而复治病例的比例低于RNTCP。
