Application of information technology in home quarantine of patients with sputum smear positive pulmonary tuberculosis

doi:10.3969/j.issn.1000-6621.2018.09.021

Abstract

Abstract:

To explore the application of global positioning system (GPS) technology and mobile terminals application (APP) to monitor the activity trajectory and medication of tuberculosis (TB) patients during their home quarantine, 10 smear-positive mild TB patients with voluntary signing the informed consent of home quarantine, who were newly treated and managed at Nanshan Center for Chronic Disease Control from August 2017 to November 2017, were selected as the research subjects. The ten patients were managed by the doctors with “Jian xiang hu lian” APP. After two weeks of quarantine (one home quarantine cycle), the patients went to Nanshan Center for Chronic Disease Control for sputum smear examination. According to the results of sputum smear, the doctors decided to cease or continue the quarantine. In the end, 7 cases carried out 1 home quarantine cycle, and 3 cases performed 2 home quarantine cycles. Eight patients’ medication video upload rates were above 95%. Three patients were at home during the whole period of quarantine, while 7 patients were unable to stay at home during the whole period of quarantine, but the trajectories were clear. Among the 7 patients who were out of their homes, 2 patients went to see a doctor 5 times with reporting to the doctor. Two patients respectively went out 3 times and 4 times due to illness and other matters without reporting to the doctor. One patient went to see a doctor 4 times with reporting to the doctor, but went out 1 time for moving house without reporting to the doctor. One patient went out 2 times for medical examination with reporting to the doctor, but went out 3 times due to other matters without reporting to the doctor. One patient went out 5 times for medical examination with reporting to the doctor, but went out 1 times for purchasing daily necessities without reporting to the doctor. The results showed that the home quarantine model based on GPS technology could provide control and supervision basis for the precise and effective quarantine of smear-positive TB patients and reducing the transmission of TB.

Key words: Tuberculosis, pulmonary, Patient quarantine, Portable telephone, Geographic information system, Management information system

Sheng-yuan LIU,Ya-rui YANG,Liang CHEN,Xu-jun GUO,Tao ZHONG,Min-min ZHU,Jian WANG,Sheng-bin LI,Jie ZHANG,Chun-fa SONG,Nan-sen YANG,Jian-ping MA. Application of information technology in home quarantine of patients with sputum smear positive pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2018, 40(9): 1012-1018. doi: 10.3969/j.issn.1000-6621.2018.09.021

Figures/Tables 7

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社会人口学特征	患者例数	社会人口学特征	患者例数
性别		家庭年收入情况(万元)
男	3	2~	1
女	7	5~	6
年龄(岁)		10~	3
≤19	1	医药费报销情况
20~	8	自费	4
≥40	1	医疗保险(自费比例≥10%)	3
文化程度		医疗保险(自费比例<10%)	3
初中	2	职业
高中	4	职员	6
大学及以上	4	工人	2
户籍		学生	1
非深圳户籍	9	待业	1
深圳户籍	1
有无单独居室
有	8
无	2

诊疗信息	患者例数	诊疗信息	患者例数
抑郁量表得分		治疗前痰涂片检查情况
<5	6	4~5条/300个视野	2
≥5	4	+	3
焦虑量表得分		++	3
<5	7	+++	1
≥5	3	++++	1
咳嗽、咳痰症状		治疗前痰培养情况
有	8	阳性	10
无	2	阴性	0
患者类别		耐药情况
初治	10	非耐药	10
复治	0	耐药	0