关键词: 结核, 肺/预防和控制, 暂居者和移居者, 社区网络, 评价研究, 北京市

Abstract: Objective To evaluate the effect of tuberculosis (TB) control network which was composed of Chaoyang TB dispensary, community TB center and community TB supervisor in the field of TB control. MethodsThe data of all active pulmonary TB patients who were registered from the year 2002 to 2007 in Chaoyang district were analyzed. Some indexes of non-network period (2002—2004) versus network period (2005—2007) were compared, which included the cases finding, patients’ management under DOTS, and the treatment outcomes of the smear positive TB patient. Results1. The number of registered patients increased from 789 to 1332, with 533 cases (67.6%) increased. About 40% patients in network period were found by the TB dispensary. 2. The management rate of smear positive TB patient rose from 63.0% to 92.0%. 3. The treatment success rate of resident smear positive TB patients increased from 83.3% to 92.4%, while that of the smear positive TB patients in immigrant increased from 65.5% to 80.7%. 4. In network period, there was no significant difference in the treatment success rate of the smear positive TB patient between community TB center and Chaoyang TB dispensary. ConclusionsBased on the enhanced government commitment, establishment of the tuberculosis control network was an important measure to solve the problems and improve the quality of TB control of Chaoyang district.

Key words: pulmonary tuberculosis/prevention & control, transients and migrants, community networks, evaluation studies, Beijing city