Abstract: Objective  To analyze the impact of systematic management on the cure rate of pulmonary tuberculosis patients.   Methods  Data related the treatment management and treatment outcome of the new smear positive TB patients were compared and analyzed before (from 1994 to 2002, 6745 cases) and after (from 2003 to 2010, 11 426 cases)the implementation of systematic management in Chengde city.   Results  After implementation of systematic management, the annual average rate of full course supervision,systematic management rate, the standardized treatment rate, the cure rate of new smear positive TB patients increased from 71.55%（4826/6745）to 92.69%（10 591/11 426）,78.30%（5281/6745）to 93.22%（10 651/11 426）,81.94%（5527/6745）to 93.18%（10 647/11 426）,81.84%（5520/6745）to 93.06%（10 633/11 426）, respectively; the treatment completion rate and the loss rate decreased from 4.57%（308/6745）to 0.15%（17/11 426）, 5.69%（384/6745）to 0.46%（52/11 426）, respectively.   Conclusion  The implementation of the systematic management dramatically improves the cure rate of new smear positive TB patients in Chengde city.

Key words: Tuberculosis, pulmonary/drug therapy, Systematic management, Treatment outcome