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背景:印度农村地区,Jharkhand州。目的:比较TumbagaraNavJivan医院二种结核病控制规划的完成率,并期望证明即使在困难地区,DOTS规划也可成功实施。设计:以病人治疗结果为基础回顾性分析二种DOTS规划在某农村小医院的实施。方法:二种DOTS规划实施方法的比较性研究。结果:在治疗结束时,经医院检查规划可供分析的在医院非督导规划治疗者359例,医院直接观察治疗者158例。前者的治疗完成/治愈率为64%,后者为89.2%,而在上述任一规划实施前则仅为17%。痰涂阳性率各为79.3%及76.5%,而规划前仅为6%。结论:即使在最贫穷地区,采用独立DOT观察员的医院督导和直接观察下治疗(DOT)规划均可超过WHO的治愈完成率目标。
Background: Rural India, Jharkhand State. Objectives: To compare the completion rates of two tuberculosis control programs at NavaJivan Hospital in Tumbagara and look forward to demonstrating the successful implementation of DOTS programs even in difficult locations. Design: The retrospective analysis of the implementation of two DOTS programs in a small rural hospital based on the results of patient treatment. Methods: A Comparative Study of Two DOTS Planning Practices. Results: At the end of the treatment, 359 cases of non-supervised planning and treatment were available for analysis by the hospital’s examination program, and 158 cases were directly observed by the hospital. The former achieved a cure / cure rate of 64% and the latter 89.2%, compared with only 17% before any of the above plans were implemented. The positive sputum smear rates were 79.3% and 76.5% respectively, compared with only 6% before planning. Conclusions: Even in the poorest regions, hospital supervision and DOT planning using independent DOT observers outweigh the WHO’s goal of cure completion.