Abstract: Objective Through retrospective analysis of the status ofpulmonary tuberculosis(PTB) registration and treatment management of Pinggu District from 2005 to 2009, to explore the PTB case detection and management model in mountainous and rural areas. Methods Five hundred and sixty-three PTB cases registered from 2005 to 2009 were analyzed in terms of case detection method, reporting and management and treatment outcome by descriptive epidemiological method. The task issued by Beijing research institute of Tuberculosis Control for Pinggu district in these 5 years was to detect a total of 280 cases PTB new smear-positive PTB patients. Results From 2005 to 2009, a total of 563 active PTB cases were registered in Pinggu District, of which 381 cases were from mountainous areas, accounting for 67.7% with the average annual registration rate of 32.86/100 000; the remaining 182 PTB cases were from plain areas, accounting for 32.3%, with the average annual registration rate of 22.12/100 000. The registration rate of TB patients in mountainous areas was significantly higher than that in plain areas(χ²=19.562, P<0.001). From 2005 to 2009, the average annual registration rate of smear-positive PTB patients was 13.27/100 000, the case detection model of these patients were mainly through referral and passive case finding, accounting for 94.1%(530/563), the average task completion rate was 83.9%(235/280). Jinhai town is a high TB prevalence area in Pinggu district. In these 5 years, a total of 118 active PTB cases were registered in this area, accounting for 21% of that in Pinggu District, among which 22 cases were complicated with silicosis accounting for 37.9% (22/58). All patients were managed under DOTS by household supervisor, and the smear conversion rate of new smear-positive PTB patients was 79.6%(187/235) at the end of intensive periods and the cure rate was 88.9%(209/235).  Conclusions The focus of TB control work should be placed in rural and mountainous area. In order to effectively control the transmission of PTB, we should discover the new smear positive PTB patients timely and proactively, and give standardized and thorough treatment.

Key words: tuberculosis, pulmonary/prevention and control, registries, Beijing city