Abstract: Objective To evaluate the status of tuberculosis prevention and control in Kashi prefecture and to analyze the main problems, affecting factors and trends in the management of patients with pulmonary tuberculosis. Methods Twenty patients with active pulmonary tuberculosis who were registered as cure or treatment completed in 2010 were randomly selected by digital table and analyzed with report forms in each county. Results Of 244 cases with treatment completed, 64(26.23%) cases were classified with mistake and 172(70.49%) cases were treatment completed. The rate of sputum smear was 77.87%(190/244) at the beginning of diagnosis and was 20.90%(51/244) at the end of treatment. Of 151 cases with smear positive pulmonary tuberculosis, the rate of taking medicine observed by health worker or by themselves were 28.48%(43/151) and 71.52%(108/151), respectively. 109 cases were inspected by county level supervisor and 147 cases were inspected by township level supervisor among all patients.  Conclusion Case classification concepts unclear, lack of understanding on sputum bacteria finding, diagnosis and treatment of tuberculosis, and low DOTS are important causes which result to epidemic situation of tuberculosis seriously in Kashi prefecture.

Key words: Tuberculosis, pulmonary/drug therapy, Patient care menagement, Xinjiang