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目的分析直接督导短程化疗(DOTS)策略下广东省结核病防治现状。方法收集2010-2013年广东省肺结核患者的登记情况、治愈情况等资料,增加相关追踪信息,进行描述性统计分析。结果广东省活动性肺结核登记率呈逐年下降的趋势,2013年较2010年下降19.7%;新涂阳患者发现率也呈逐年下降的趋势,2013年较2010年下降了10.7%;转诊患者2013年的总体到位率为91.2%,较2010年的81.1%有所上升,上升幅度为12.4%;全省、粤东、粤西初治涂阳治愈率、复治涂阳治愈率均维持在90%左右。结论广东省结核病防治工作达到《广东省结核病防治规划(2011-2015年)》要求,但在珠三角、粤东、粤西地区上防治工作有差异,各级结核病防治机构应及时发现DOTS策略下的新问题并进行调整。
Objective To analyze the current status of tuberculosis prevention and treatment in Guangdong Province under the direct supervision of short-course chemotherapy (DOTS). Methods The data of registration and cure of pulmonary tuberculosis patients in Guangdong Province from 2010 to 2013 were collected, relevant tracking information was increased, and descriptive statistical analysis was carried out. Results The registration rate of TB in Guangdong Province showed a declining trend year by year, down 19.7% from 2013; the incidence of new smear positive patients also showed a declining trend from 2013 to 2010, down 10.7%; Referral patients 2013 The overall annual rate was 91.2%, up from 81.1% in 2010, an increase of 12.4%; the province, eastern Guangdong, western Guangdong cure the first cure of smear positive, cured cure recurrence rates were maintained at 90 %about. Conclusion The prevention and treatment of tuberculosis in Guangdong Province has reached the requirements of “Guangdong TB Prevention and Control Program (2011-2015)”, but there are differences in prevention and control work in the Pearl River Delta, eastern Guangdong and western Guangdong. TB prevention and treatment agencies at all levels should promptly discover DOTS strategy New problems and make adjustments.