关键词: 结核,肺/预防和控制, 医院,综合

Abstract: Objective To investigate the effect of detection and management of tuberculosis patients in anti-tuberculosis spots setting up in the hospitals.Methods The data of pulmonary TB patients which have been centrally registered in Fengtai District Anti-tuberculosis Institute from 1996 to 2002 were collected,and the data including the personnel,equipment conditions and their working status of anti-tuberculosis spots in the 1st and 2nd hospitals were also collected.Results In the nine anti-tuberculosis spots,there are altogether ten full-time or part-time anti-TB doctors.Seven spots can do the sputum smear examination,five can do the sputum culture.From 1996 to 2002,2253 active pulmonary TB patients were detected,in which 1493 cases(532 cases were culture positive) were urban,760 cases were floating population(262 cases were culture positive).1204 cases were detected and registered in the Anti-TB Institute of Fengtai District,which accounted for 53.4% of the total,and 1049 cases were detected in anti-TB spots,which accounted for 46.6%.During the 7 years,794 smear or culture positive cases were detected in Fengtai district,in which 38.4% were detected in the anti-TB spots.727 cases were treated under DOTs(Directly Observed Treatment,short-course),in which 37% were done in the anti-TB spots.The anti-TB spots had almost the same effect as the Anti-TB Institute of Fengtai district.Conclusion In the area where people live spread around and are not easy to get to see a doctor,setting up anti-TB spots in hospitals will be convenient for the tuberculosis patients,and will be helpful to detect and treat the patients under DOTs.Nevertheless,we must reinforce the DOTs and put more fund to the anti-TB spots,and make it as the most part of the work of tuberculosis control.

Key words: Tuberculosis, Pulmonary tuberculosis/prevention and control, Hospital,general