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成功治愈的肺结核患者是否接受了所有的随访痰涂片检查?

Did successfully treated pulmonary tuberculosis patients undergo all follow-up sputum smear examinations?

作者信息

Satyanarayana S, Nagaraja S B, Kelamane S, Jaju J, Chadha S S, Chander K, Vishnu H, Wilson N C, Harries A D

机构信息

International Union Against Tuberculosis and Lung Disease (The Union), South East Asia Regional Office, New Delhi, India ; Centre for Operations Research, The Union, Paris, France.

Revised National Tuberculosis Control Programme Technical Assistance Project, Hyderabad, India.

出版信息

Public Health Action. 2011 Dec 21;1(2):27-9. doi: 10.5588/pha.11.0013. Epub 2011 Nov 22.

Abstract

To assess response to anti-tuberculosis treatment as per national guidelines, a retrospective record review was undertaken in four districts of Andhra Pradesh, India, in December 2009 to determine whether pulmonary tuberculosis (PTB) patients reported as successfully treated (cured or treatment completed) underwent all scheduled follow-up sputum smear examinations. In a quarterly cohort of 3000 PTB patients reported as successfully treated, 1847 (61.5%) underwent all follow-up sputum examinations, with a higher proportion of new cases (65%) than retreatment cases (45%). The mid-continuation phase follow-up sputum examinations were commonly missed, and 11% patients had not undergone end-of-treatment follow-up sputum examinations.

摘要

为根据国家指南评估抗结核治疗的反应,2009年12月在印度安得拉邦的四个地区进行了一项回顾性病历审查,以确定报告为成功治疗(治愈或完成治疗)的肺结核(PTB)患者是否接受了所有预定的随访痰涂片检查。在每季度报告为成功治疗的3000例PTB患者队列中,1847例(61.5%)接受了所有随访痰检,新病例的比例(65%)高于复治病例(45%)。继续治疗中期的随访痰检通常被遗漏,11%的患者未接受治疗结束时的随访痰检。

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