论文部分内容阅读
目的分析湖南省监狱结核病防治管理模式及其控制效果,为监狱结核病患者发现和防治提供科学依据。方法选取2006年1月至2009年12月湖南省所有监狱的所有在押人员为研究对象,通过2006年1月建立部门间协调机制和监狱肺结核患者定点医院,采取对新入监人员普查、在监人员因症就诊和涂阳患者密切接触者筛查等各监狱多途径发现患者,根据调查结果将发现的肺结核患者集中到定点监狱医院,实行“多列队、面对面、人盯人”服药治疗管理模式的处理和管理。结果 2006年1月至2009年12月湖南省监狱在押人员肺结核现况调查中共发现监狱肺结核患者2105例,其中涂阳患者237例(11.26%);发现的肺结核患者主要来自因症就诊1808例(85.89%)。2006—2009年涂阳患者检出率逐年增高,由9.06%(57/629)增加至12.90%(53/411)。涂阳肺结核患者治愈率为97.05%(230/237),涂阴肺结核患者治疗成功率为84.74%(1583/1868)。结论湖南省通过在监狱系统建立多部门合作、定点医院与监区相结合的患者管理模式,监狱肺结核的控制取得了良好的效果,证明该模式是监狱结核病防治的可行管理模式。
Objective To analyze the management mode and control effect of tuberculosis prevention and control in prisons in Hunan Province and to provide a scientific basis for the detection and prevention of tuberculosis patients in prisons. Methods From January 2006 to December 2009, all detainees in all prisons in Hunan Province were selected as research objects. Through the establishment of interdepartmental coordination mechanism and prison designated hospitals for tuberculosis in January 2006, Due to disease treatment and smear positive patients in close contact with screening and other prisons multiple ways to find patients, according to the findings will be found in tuberculosis patients were sent to designated prison hospital, the implementation of “multi-line team, face to face, man-to-man” medication management management Mode of processing and management. Results A total of 2105 cases of tuberculosis in prisons were found in the investigation of current status of prisoners in Hunan Province from January 2006 to December 2009, of which 237 cases were smear-positive (11.26%). The majority of cases of tuberculosis were from 1808 cases 85.89%). The detection rate of smear positive patients increased from 9.06% (57/629) to 12.90% (53/411) in 2006-2009. The cure rate of smear-positive pulmonary tuberculosis patients was 97.05% (230/237), and the cure success rate of smear-negative pulmonary tuberculosis patients was 84.74% (1583/1868). Conclusions Hunan Province has achieved good results in establishing control system for tuberculosis in prisons by establishing a multi-department cooperation and designated patient management system in the prison system. It is proved that this model is a feasible management mode for prevention and control of tuberculosis in prisons.