修订后的国家结核病控制计划在西特里普拉10个指定显微镜中心的评估:一项横断面研究

Ankita Goyal, Aman Kumar, Tuhin Vashishth, P. Kumari, R. K. Pachauri
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摘要

抽象目标 肺结核是由结核分枝杆菌引起的慢性传染性细菌性疾病。目的是评估直接观察短期治疗(DOTS)提供者、实验室技术人员、高级治疗主管(STS)、高级结核病实验室主管(STLS)在肺结核(PTB)项目知识和实践方面的表现,治愈率,并确定供应、人力和基础设施方面的差距和潜在影响因素。材料和方法 2018年5月至2019年4月,在西特里普拉十个指定结核病中心对DOTS提供者、实验室技术人员、STS和STLS的PTB项目知识和实践进行了横断面研究。采用简单的随机抽样方法选择DOTS提供者,样本量为50。后果 大多数(40.0%)患者年龄在31至40岁之间,平均年龄为40.98岁 ± 10.13年。女性和男性分别为68.0%和32.0%。在DOTS提供者中,66.0%的人服务超过5年,84.0%的人在开始治疗前已核实地址。结论 大多数DOTS提供者对PTB项目有满意的了解和实践。参加DOTS培训的医务人员比例不足,参加DOTS训练的医护人员数量充足。在接受监督治疗的病例比例上没有发现差距。
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Evaluation of Revised National Tuberculosis Control Program among Ten Designated Microscopy Centers of West Tripura: A Cross-Sectional Study
Abstract Objectives  Pulmonary tuberculosis (TB) is chronic communicable bacterial disease caused by Mycobacterium tuberculosis . The objective was to assess the performance in terms of knowledge and practice of pulmonary tuberculosis (PTB) program among directly observed treatment short course (DOTS) provider, lab technician, senior treatment supervisor (STS), senior tuberculosis laboratory supervisor (STLS), factors affecting knowledge and practice of PTB program, rate of detection, cure rate and to identify the gaps and underlying contributing factors in terms of supply, manpower, and infrastructure. Materials and Methods  A cross-sectional study was conducted on knowledge and practice of PTB program among DOTS Provider, lab technician, STS, STLS in ten designated tuberculosis center of West Tripura from May 2018 to April 2019. Simple random sampling method was followed for selecting DOTS provider and sample size of 50 was taken. Results  Majority (40.0%) of patients were in the age group of 31 to 40 years and mean age of 40.98 ± 10.13 years. Females and males were 68.0 and 32.0%, respectively. Among DOTS provider, 66.0% had served for more than 5 years of service and 84.0% of them had verified address before starting the treatment. Conclusion  Majority of the DOTS provider had satisfactory knowledge and practice about PTB program. Proportion of the medical officers attending DOTS training was inadequate and there were adequate number of the health care workers who had attended DOTS training. There were no gaps found in proportion of the cases receiving the supervised treatment.
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