Ralison A, Ralinoro N, Rasoely E, Rakotondramarina D, Ratsirahonana O
Service de Pneumo-phtisiologie, CHU de Mahajanga, Madagascar.
Arch Inst Pasteur Madagascar. 1995;62(1):13-7.
Comparative study of compulsory declarations registered at the provincial level and at the central level between January 1st 1993 and 31st December 1994 showed a high prevalence of tuberculosis in the province of Mahajanga and an under-declaration of cases at the provincial level was almost 25% with regard to data collected at the central level. Smear-positive pulmonary tuberculosis patients were the most frequent (86%), which showed respect towards the National Control Programme instructions. Extrapulmonary tuberculosis were under-estimated (less than 10%) because of the weak diagnosis means. Smear-positive pulmonary tuberculosis under treatment in the city of Mahajanga were cured globally at 80%. The difference between the centres diminished between 1992 and 1993, then it persisted requiring the improvement of tubercular management conditions within the province structures and most particularly within the city of Mahajanga structures which are at the present taking charge of more than 50% of the province tubercular.
1993年1月1日至1994年12月31日期间，对省级和中央级强制申报情况的比较研究表明，马哈赞加省结核病患病率很高，省级病例申报不足率相对于中央级收集的数据近25%。涂片阳性肺结核患者最为常见（86%），这符合国家控制规划的指示。肺外结核因诊断手段薄弱而被低估（不到10%）。马哈赞加市正在接受治疗的涂片阳性肺结核患者总体治愈率为80%。各中心之间的差异在1992年至1993年期间有所缩小，然后持续存在，这就需要改善该省机构内，尤其是马哈赞加市机构内的结核病管理条件，目前该市承担着该省50%以上的结核病防治工作。
