The result of DOTS program to control tuberculosis in Sawanpracharak Hospital during 2003-2005
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2010-04-09
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Thai Journal of Tuberculosis Chest Diseases and Critical Care
Abstract
The objective was to study the result of DOTS program to control tuberculosis in Sawanpracharak Hospital. It was the retrospective descriptive study of pulmonary tuberculosis (New M+) register in provincial Sawanpracharak Hospital during 2003-2005. The data were collected from 401 new TB cases register and were presented as basic statistics, percentage and mean. It was found that smear-positive pulmonary tuberculosis affected male more than female (ratio 1.8 : 1). The most common age-group was more than 65 years old (25.68%). The second most common age-group was between 35-44 years old (20.95%). The sputum conversion rate was growth from 54.92 in 2003 to 80.72% in 2004 and 82.43% in 2005. Between 2003 to 2005, the cure rate was increased from 56.03 to 77.63 and 78.72%, success rate was increased from 58.62 to 82.89 and 80.82% and default rate was decreased from 8.62 to 2.63 and 4.26%, respectively. The treatment outcome result was improved due to development in TB clinic management, such as organization of tuberculosis treatment service, participation of health officers, doctors, nurses and TB registration system. TB patients were given standard treatment in daily pack by pharmacist and were followed up and evaluated every month. The treatment outcome result in Muang district, Nakhonsawan, was better than in rural countries because of health volunteers from Global Fund. However, tuberculosis control result was lower than WHO standard. Suggestion for DOTS strategy was active case finding in contacted and suspected cases in the community. If the system of case finding is widely developed, tuberculosis control will be improved.
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Thai Journal of Tuberculosis Chest Diseases and Critical Care; Vol.29 No.4 October-December 2008; 301-308