关键词: 结核,肺/预防和控制, 归口管理

Abstract: Objective To explore the role of convergence case-management in tuberculosis control.Methods Start the work of convergence case-management according to ‘The Management Methods of Prevent and Treatment Tuberculosis in Dalian’ under administrative intervention. All cases with smear positive were treated by the directly observed chemotherapy.Results The report cards of suspicious pulmonary tuberculosis cases increased from 448 pieces in 1997 to 2533 in 1999. The retain rate declined from 74.0% in 1997 to 2.8% in 1999. In 1997～1999, the proportion of the transfer finding cases in the new smear-positive case was 65.9%, 88.0% and 90.7% respectively. The annual register rate of new smear-positive was markedly increased than that before conduct the work of convergence case management. In 1997～1999, The cure rate of new smear-positive case was 93.9%, 95.3% and 95.0% respectively. Conclusion 1. The level of cases finded is in direct proportion to the convergence case-management. 2.Convergence case-management plays a major role in the new smear-positive case finding. 3.Convergence case-management and DOTS is a useful measure to improve case finding rate and cure rate of new smear positive cases.

Key words: Tuberculosis pulmonary/Prevention and control, Convergence case-management