关键词: 结核, 肺/预防和控制, 监狱, 湖南省

Abstract: Objective To analyze the management model of TB prevention and control and the effect of the management model in Hunan prison system, and to provide scientific basis for case detection and treatment. Methods All detainees in all of Hunan jails were enrolled in this study, the survey began in January 2006, and ended in December 2009. By the establishment of the intersectoral department coordinating mechanism and pilot hospitals, and adopted multiple methods to detect cases, such as, made census on the people who were newly sent into prison, passive case identification, and screening those ones who have been in close contact with smear-positive patients. According to the results of the survey, TB patients newly discovered were centralized to the pilot hospital to accept “Multiple cohorts, face-to-face, people-to-people” unified management and treatment. Results In the cross-sectional investigation of Hunan custody TB epidemic from 2006 to 2009, 2015 pulmonary TB patients were detected, including 237(11.26%) smear-positive patients, and 1808 (85.89%) patients were mainly found out by passive case identification. The detection rate of custody smear-positive patients was increased year by year from 9.06%（57/629）in 2006 to 12.90%（53/411）in 2009. The cure rate of smear-positive patients was 97.05% (230/237), and the treatment success rate of the smear-negative patients was 84.74% (1583/1868). Conclusion Through establishment of a multi-department cooperative mechanism, and the combination between the jail and pilot hospital, the TB control work has achieved good results. The model proves to be a viable model for TB prevention and control in Hunan jails.

Key words: Tuberculosis,pulmonary/prevention &, control, Drisons, Hunan province