关键词: 结核, 肺/经济学

Abstract: Objective To realize the socio-economic situation of retreated smear-positive patients with pulmonary tuberculosis to revise drug-resistant tuberculosis control strategies and policy of the tuberculosis control program as well as to improve tuberculosis control services.Methods The retreated smear-positive inpatients with pulmonary tuberculosis were surveyed by questionnaire during Jan.to Sept.,2006.Results(1) The economic situation of the retreated smear-positive inpatients with pulmonary tuberculosis was rather poor.The annual average income per family member for 79.5% cases was lower than that of the local family member.(2) Only 20.5% of the cases investigated were covered by various kinds of medical insurances.(3) The local clinic was too far for 60.2% cases.(4) 85.5% patients had not been followed up during the therapeutic course.(5) 43.9% patients were on intermittent treatment.(6) 27.1% patients had not received any health education on tuberculosis.(7)The rates of resistance to INH was 69.6%,to RFP was 61.7%,to INH and RFP was 47.8%.Conclusion It is important to establish surveillance of drug resistance for smear-positive cases.The government should put high attention on treatment and management of smear-positive patients with pulmonary tuberculosis,improve the quality of tuberculosis control.

Key words: Pulmonary tuberculosis/economic