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目的了解闵行区开展第五轮全球基金流动人口结核病控制项目2年的病例发现及治疗转归情况,为结核病控制的可持续发展提供技术和政策依据。方法对闵行区2005年10月1日至2008年9月30日结核病网络报告疫情和报表进行病例登记及治疗转归队列分析。结果闵行区项目实施2年中,结核病定点医疗机构登记阳性病例268例,非结防机构网络直报总体到位率由65.0%提高到81.5%,新涂阳登记率由13.87/10万提高到22.65/10万。新涂阳病例2月末痰菌阴转率由实施前的58.5%提高到76.5%,项目第一年新涂阳病例治愈率达83.5%,新登记病例成功治疗率为85.2%,基本达到了WHO要求治愈率85%的目标。结论开展全球基金流动人口结核病控制项目,使政府领导进一步重视了结核病控制工作,形成了流动人口结核病防治管理模式。病例发现和治疗管理工作均较前提高。
Objective To understand the case-finding and treatment outcome of Minhang District in carrying out the fifth round of Global Fund Floating Population TB Control Project in two years and provide technical and policy basis for the sustainable development of tuberculosis control. Methods The data of tuberculosis network reports and reports from October 1, 2005 to September 30, 2008 in Minhang District were collected for case registration and treatment cohort analysis. Results In the two years after the project was implemented in Minhang District, 268 cases of positive TB cases registered by TB medical institutions were registered. The overall direct reporting rate of non-TB cases was increased from 65.0% to 81.5% and the registration rate of new smear was increased from 13.87 / 100,000 to 22.65 /100,000. In the new smear positive cases, sputum negative conversion rate increased from 58.5% to 76.5% at the end of February. In the first year of the project, the cure rate of new smear positive cases was 83.5%, and the successful treatment rate of newly registered cases was 85.2%, basically reaching the WHO Requires a cure rate of 85% of the target. Conclusion To carry out the Global Fund Floating Population Tuberculosis Control Project, the government leaders pay more attention to the TB control work and form the TB prevention and control management model for the floating population. Case discovery and treatment management are higher than the previous.