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背景:2000年4月起,吉布提市3个公共卫生中心结核病人直接督导治疗(DOT)的分散化管理。目的:根据治疗地点、某些关键变量,以治疗成功率为指标对分散化管理进行评价。方法:对 2000年5月1日至 2001年3月31日期间,在所有治疗中心随访的涂阳病人治疗成功率进行比较评价。结果:主要治疗中心(Paul Faure中心)的成功率为58％,其它所有地方中心的成功率为84％(P<10~(-6)。3所新建治疗中心的成功率为80％,已建中心的成功率为85％(P>0.05)。在20岁以下年龄组,女性与治疗中心是成功率的相关因素。经 分层分析,性别显示为混杂交量。多变量分析显示,非吉布提国籍与治疗成功相关(P=0.02)。在已建治疗中心与新建治疗中心,治疗成功率与工作负荷呈负线性相关,已建治疗中心的工作能力较强。结论:城区DOT的分散化管理提高了涂阳病人治疗成功的机会。需要在吉布提市的公共卫生中心再建立一所结核病督导治疗中心。
Background: Since April 2000, the decentralized management of direct supervisory treatment (DOT) of TB patients in three public health centers in Djibouti City has been under way. OBJECTIVE: To evaluate the decentralized management based on the treatment site, some key variables and the treatment success rate as an indicator. METHODS: The success rates of treatment of smear positive patients followed up at all treatment centers during the period from May 1, 2000 to March 31, 2001 were compared and evaluated. RESULTS: The success rate was 58% for the main centers (Paul Faure Center) and 84% for all other centers (P <10 -6). The success rate of the three new centers was 80% The success rate of the center was 85% (P> 0.05) .In the age group of 20 years, women and the treatment center were the relative factors of the success rate.According to the stratification analysis, sex was shown as the mixed volume.Multivariate analysis showed that the non- The nationality of Djibouti was related to the success of treatment (P = 0.02) .Based on the negative linear correlation between the success rate of treatment and the workload of the newly established treatment center and the newly established treatment center, the work center of the established treatment center is more capable of working.Conclusion: Management has raised the chances of success of smear-positive patients and the need to establish a TB supervising and treatment center at the public health center in Djibouti.